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Home My WebLink AboutX2020-0555 - Permitshaw City of Newport Beach - Building Division ` 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 v. Inspection Requests Phone (949)644-3255 Combination Type - BLDG GRAD ELEC *X2020-0555* COMB Permit: X2020-0555 Project No: 0444-2020 Issued Date : 0710112020 Inspection Area: 3 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE -OR -LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 07/02/2023 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: SFR DET. HORSE BARN 1,884 SF Legal Desc.: TR 706 LOT 124 NWLY112 - - Owner: 2161 MESA Address: 660 NEWPORTIVE LLCCENTERIlR #200 Addrra sor. I�N7IJ}S VSTRD 1OM 010 ES Arp dp�-�RIC NEWPORT BEACH, CA 92660� 1(aFA�AA-9262g r CORONA DE DAST �1 CA E A5. Phone: s,.. 949-873-3125 P�e 0 7 9tk f�II {��21 f F .$o0`a9�181 ng6�i} /'.l atE-l.iC C034489 Applicant: OLSEN ERIC 4' to L'"' 9 7 Engineer: FORBES DALE L OR Address: 2728 E COAST HWY, STE CcEv re .? , 0 LAdrjrreesss: y �' 10 E 16TH ST #B - T t� —_ CORONA DEL MAR CA 92 5� Li - �I 1 ANTAAflJ�C7�92701�� """Phone: 949-887-8856 /2 Phone: 714-835.2600 State Lic:C-03O Code Edit : 2019 - Workers Compensation Insurance Designer. d Type of Construction: VB ddress:` Occupancy Group: U icy No: 9 - Added /New sq.ft. Bldg: 0 0 02 - honer _ Added /New sq. ft. Garage: 0 No of Stories: 1 ildin a acks -. Rear: / Special Conditions: No of Units : 0 Front:' / _ Bldg Height: 0 Left: /Bldg e ' Ian Flood Zonelers: X e - arRn h 0 r rNd d..4 1 Construction Valuation: $180.000.00 /_-q .I^rie ctqrtrld 1 —. Building Permit Fee: $1,687.00 Plan Check Fee: $1,467.69 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $40.00 Energy Compliance: $0.00 CA Seismic Safety: $0.50 Disabled Amass: $0.00 Hazardous Mat $0.00 Building Green Fee: $8.00 TOTAL FEE: $6,165.90 PROCESSED BY: ZONING APPROVAL: E� a Tax: (wo, n sta r t1i0.Q Additional Fee : $0.00 Grading Bonds Fee: $0.00 wing PC Consultant: 4774na. Grading PC Fee: $975.64 Planning Department - Plan check Fee : $41.50 Fair Share SIFI-Iran.. $0.00 In -lieu Housing Fee : PNV Plan Check : $127.50 lectrical %: $118.09 San Dist: - $0.00 Mechanical % $0.00 NMUSD Fee: $0.00 Plumbing %: $0.00 Fire Department Fire Inspection: Refund Deposit $0.00 Grading Bond: $0.00 $0.00 $0.00 Plan Check Fee: $6,165.90 Fee Due at Permit Issuance : $0.00 PUBLIC WORKS APPROVAL: PLAN CHECK BY: GRADING APPROVAL: _. APPROVAL TO ISSUE: OWNER -BUILDER DECLARATION I 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(;) ction 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 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 fessions 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 more than five hundred dollars ($500). I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, ,iness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the rovements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or roved for the purpose of sale). I, as owner of the property, am exclusively contracting with licensed Contractors t rojeet( -- n 44, Business and Professions Code: The Contr tors' State License Law does not ly to an owner of property who builds or improves _ s r the projects with a licensed Contractor pursuant to fhq Contractors' State License w). J I am exempt from licensure ur ly my signature below I acknowle ell a structure that I have built as 'rofessions Code, is available up( signature of Property Owner or At .ICENSED CONTRACTOR'S hereby affirm under penalty of pe nd effect. License Class COMPENSATION IARNING: FAILURE TO SECURE WORKERS' DST OF COMPENSATION, DAMAGES AS PF hereby affirm under penalty of perjL 7 1 have and will maintain a certfl erformance of the work for which th JI have and will maintain workers' Isurance carrier and policy number lame of Agent 1 3 certify that, in the performance of tl iat, if 1 should become subject to the I signature of Applicant )ECLARATION REGARDING-CONST hereby affirm under penalty of perjury .ender's Name lam is submitted or at COVERAGEIS reason: g ,lCa e• aLhave-resided-forat feast one year prior to com,�l.e,tion o �¢ Im v pp��,ppts' overed by this permit, I cannot rety by licensed contractors. I prryi�t@bAttlett alc�r ,�pp(i� q�M, S tion 7044 of the Business and Date t e Business andProfessions Contractor Signature _ AND CIVIL FINES UP TO ONE of Industrial Relations as provided for by insurance, as required by Section 3700 of the Labor Code, for the performance of By my signature below, I certify to each if the following I not employ any person in any mMAYA as to beccome su 3700 of the Labor Code, I shall forthwith comply with those nristm,tion lending-ag-e-n-cy-fo—rthe performance of the work for which this Lender's Address I am the property.. owner or authorize to aeta rperty owner's I have read this application and the i I e is correct. 1 agree to Comply with all applicable city and county ordinances and state laws relating to building construction. 1 authorize representatives of this city or county to enter the above -identified property for inspection purposes. Signature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agar ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIGNS PART 61 OF TITLE 40 AND AQMD RULE PERMIT EXPIRED / U I SUBMITTED ASBESTOS NOTIFICATION TO PERMITCANCELLED UEPA PERMIT EXTENDED OAQMD PERMITFINAL CERTIFICATE OF OCCUPANCYISSUED EIASBESTOS NOTIFICATION IS NOT APPLICABLE TO PROPOSED DEMOLITION SIGNATURE: to my license is in full force ($100,000), IN ADDITION TO THE of the Labor Code, for My workers' of California, and