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Home My WebLink AboutX2020-2534 - Permitsw City of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 E., Permit Counter Phone (949)644-3288 u. Inspection Requests Phone (949)644-3255 Combination Type - SFP *X2020-2534* COMB Permit: X2020-2534 Project No: 0444-2020 Issued Date : 11/03/2020 Inspection Area : 3 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 1110412023 OR PERMIT WILL BE INVALID Construction Hours: Monday - Friday 7:00 a.m. to 6:30 p.m. and Saturday from 8:00 a.m. to 6:00 p.m. No work on Sundays or Holidays Job Address: 2161 MESA DR NB Description: DELTA 4 *ADDITIONAL SCOPE* NEW Legal Desc.: TR 706 LOT 124 NWLY1/2 4'. Owner: 2161 MESA DRIVE LLC Address: 660 NEWPORT CENTER DR #200 NEWPORT BEACH, CA 92660 Phone: Applicant: OLSEN ERIC Address: 2728 E COAST HWY, STE A CORONA DEL MAR CA 92626 Phone: 949-887-8856 Code Edit: 2019 Type of Construction: VB Occupancy Group: U Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 1 No of Units : 1 Bldg Height: 0 Bldg Sprinklers: Construction Building Permit Fee: $381.00 Plan Check Fee: $266.75 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $12.00 Energy Compliance: $0.00 CA Seismic Safety: $0.65 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee : $1.00 TOTAL FEE: $707.65 PROCESSED BY: ZONING APPROVAL: Date Contractor. NKLE CUSTOM HOMES Architect: If a4� a le. Address: 33971 SELVIA RD #110 Address: 2 E COAST HWY, STE A one: ANN ANAINT CA 92629 lineee: g25 ;a= a�nSt Licr. FORBES DALE L Expi C E t01 JQ11DMH ST #B Us Lic:. BT30063271 SANTA ANA CA 92701 Lic Exp Date: 0513112021 Phone: 714-835-2800 State Lic:C-030407 Co nsationCE2PIRED rrier: lice 2ire: 01/Phone: Building Setbacks Rear: 25 Special Conditions: - Front: 20 c� i � card play Use Zone: Parkin a s: 0 Fire Hazard Zon : N 5 �CSiseaTax: $0.00 Planning Department- Fire Department Grading Bonds Fee: $0.00 Fair Share 3rading PC Consultant: $0.00 SJH Trans WQ Insp. Fee: $0.00 Park Dedication-: $0.00 Refund Deposit PNV Plan Check: $0.00 Grading Bond: Electrical W $0.00 San Dist: $0.00 Mechanical %: $0.00 NMUSD Fee: $0.00 Plumbing %: $0.00 Plan Check Fee: $707.65 Fee Due at Permit Issuance PUBLIC WORKS APPROVAL: PLAN CHECK BY: GRADING APPROVAL: APPROVAL TO ISSUE: $0.00 $0.00 $0.00 $0.00 OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable item(s) Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for is permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and 'rofessions Code) or that he or she is exempt from licensure and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of of more than five hundred dollars ($500). 1, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or U portions of the work, and the struct iS oot ♦atenAeffO"rMered for sale (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through a rsonal effort, builds or improves the property, provided that the nprovements are not intended or offered for sale. If, however, the building or improvement is sgjdaMithi"ne year of completion, the Owner -Builder will have the burden of proving that it was not built or nproved for the purpose of sale). - -� i� �pb iIG2�EJ�� I, as owner of the property, am exclusively. - a'd gMt licensed C trac tggV1�+�'�tmc he p jed (Section 704 Business an r fessions Code: The Contractors' State License Law does not pply to an owner of property who builds or im roves thereon, and who trysts fl1e lro'ect ontractor pursuant to�thg QoSI�� ct4rsat�(,1L �IDri)?-i I am exempt from licensure under the Con ctorostaL a (lowing reason: U,j VV ly my signature below I acknowledge that, ex t for my personal residence in which I musNve,d t I ne r prior to completion of the improvements covered by thiss permit, I cannot legally ell a structure that I have built as an owner -bus er if it has not been con din ' fire contra ' n rstand that a c ,,..ppe applicable 4 of.the Business and 'rofessions Code, is available upon request wh n thi isu Itta r:htt ' .le in v/c�N lignature of Property Owner or Authorized Age Date .ICENSED CONTRACTOR'S DECLARAT N - hereby affirm under penalty of perjury that I am cans visions of Chapter 9 (commencing with Section 7 f 3 of the Business and Professigns Code, and my 1cen". is in full force and effect. License Class Icense No [ Contractor Signature VORKERS' COMPENSATION DEC LARA N c `=, rARNING: FAILURE TO SECURE WORKERS' COMPENSATIO CO U FUL, LL E L R C A I ML FINES UP TO ONE HUNDRED THOUSAND DOLLARS [$10400), IM',ADDmON TO THE :DST OF COMPENSATION, DAMAGES AS PROwDED FOR IN CTIO W OFT LA ODE, INT N TTORN hereby affirm under penalty of perjury one of the Ilowi de ns: r� I have and will maintain a certificate of cons t t - sure for workers' compensation, issued by the Director of InduDol Rolationsa for y�' 1i. o of the Lab4j Code, for the erformance of the work for which this permit is iss d. Policy No. 3 �A i r 31 have and will maintain workers' compensation nsur ce re�K,� dby S 37 Code, for th te work for whi h t ' permit is issued w kershcompensatior lsurance carrier and policy number are: pit, \�E 1jljOrk $taC�O�� ' °n F varier P be �,/ \ Expiration Date 't lame of Agent to Phone #10 31 certify that, in the performance of the work for wh h this permit is issued, I shall not employ any person in any manner so as to b o e workers' c en WE o is, and agree iat, if I should become subject to the workers' comp sation provisions of Section 3700 of the Labor Code comply with those prns ir„ts. t Stj N i signature of Applicant Date _. :reby affirm under penalty of perjury that there is a nstruction lendin _age ormance oft permit is issued (Section 3097, Civil Code). lders Name my signature below, I Certify to each of the following I am the property owner or authorized to act on the property owners behalf. I have read this application and the information I have provided is correct. I agree to comply with all applicable city and county ordinances and state laws relating to building construction. I authorize representatives of this city or county to enter the above -identified property for inspection purposes. mature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name TION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AOMD RULE PERMIT EXPIRED - •7 L-I I SUBMITTED ASBESTOS NOTIFICATION TO PERMITC4NCELLED DEPA PERMITEXTENDED LJAQ1VID PERMITFINAL CERTIFICATE OF OCCUPANCYISSUED LIASBESTOS NOTIFICATION IS NOTAPPLICABLE TO PROPOSED DEMOLITION SIGNATURE: