HomeMy WebLinkAboutX2021-2419 - Permits0
City of Newport -Beach - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255
Combination Type - SFP ELEC MECH PLUM GRAD
PERMIT EXPIRES 130 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PRW - mua I cc r
Construction Hours: Monday- Friday 7:00 a.m, to 6:30 p.m. an day from 8:0, a.m. 0 p.m. No io
Job Address: 2161 MESA DR NB -,,C1- O.
Description: SFR(CHANGE OF CONTRACTOR) ADD 975 SF LIV AND 69 SF G�rcpMQZiEL,2 E 2PLACES uu)
Legal Desc.: TR 706 LOT 124 NWLY1/2 - r
Owner: 2161 MESA DRIVE LLC Contractor: ER/BLDR rchitectko
Address: 660 NEWPORT CENTER DR #2136, Addres� CROW JL s:
NEWPORT BEACH, CA 92660 ), 4ee. AU D la
Phone: Phone:
Phone:
Applicant: ALMENDAREZ OSCAR
Address: 24361 CONEJO 93
LAGUNA HILLS CA 92656
Phone: 951-990-4834
Code Edit:
2019
Type of Construction:
V-B-SPR. _.
Occupancy Group:
R3/U
Added /New sq.ft. Bldg:
975
Added /New sq. ft. Garage:
69
No of Stories:
2
No of Units :
1
Bldg Height:
0
Bldg Sprinklers:
Y
Flood Zone:
X
Construction Valuation: $0.
Building Permit Fee:
$0.00
Plan Check Fee: $0.00
Overtime Plan Ck
$0.00
Investigation Fee:
$0.00
Record Management:
$0.00
Energy Compliance:
$0.00
CA Seismic Safety:
$0.00
Disabled Access :
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$0.00
TOTAL FEE: $38.00
PROCESSED BY:
ZONING APPROVAL:
Excise
COMB Permit: X2021-2419
Project No : 0987-2020
Issued Date : 0911012021
Inspection Area : 3
Zo,EI?MIT-WILL BE.INV)
rdays or Holidays
State Lic:
on! Lic ine VENTOCILLA JOSE
Expi ss 24636 CRESTA CT
Lic: LAGUNA HILLS CA 92653
xp Date: one: 949-910-0942 Sta p
ker' ompe mins ` ce Designer: AggL,,M��EN
r: ! , Address: '0. � 3 AN
Grading B-1
Grading PC
Grading Per
Grading PC
WQ Insp. F
Electrical %:
Mechanical %:
Plumbing %:
Rear:
25
y 4t Specie
Front:
a
r in
pa
t�I� Fir
$0.00
�chec
$38.00
®'N®XV' SLU
LgiCo
n ns: CMSD SD20-0106
4 BED --> 4J31EB'
68.58
SJ
$0.
- -lieu Housing Fee
10.4
Public Works Department
-
. 0
Park Dedication :
$0.00
PAN Plan Check :
$0.00
$0.00
San Dist:
$0.00
$0.00
NMUSD Fee:
$0.00
$0.00
0-100-
Fire Department
$0.00
Fire Inspection:
$0.00
Fire Plan Rev
$0.00
Demolition Fee
$0.00
Building Dept Adm
General Service
Refund Deposit
Grading Bond:
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w
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•
ooame
•
•••
a •o
0
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Plan Check Fee: $0.00 Fee Due at Permit Issuance : $38.00
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
GRADING APPROVAL: APPROVAL TO ISSUE:
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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 the rriark(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 a ructure, prior to its issuance, also requires the applicant far
the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter ommencing with Section 7000) of Division ir of the Business and
Professions Code) or that he ll she is exempt from licensure and the basis for the alleged exemption. Any violation of Section 7031 y any applicant for a permit subjects the applicant to a,civil penalty of
not more than five hundred dollars ($500).
❑ I, as owner of the property, or my employees with wages as their sole compensation, will do L) p P U all of or portions a work, ad the struct re i��ir>Y intendeADr offered for sale (Section 7044,
Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, t h employ,YCf persor4 fort, builds or impFs�ves the property, provided that the
improvements are not intended or offered for sale. If, however, the building or improvement is sold within one of complple'ir�ir e Ow a- ifder well have th urde of proving that it was not built or
proved for the purpose of sale). rr,,���(f /
as owner of the property, am exclusively contracting with licensed Contractors to construct the act (Section 4'4, B2R� a� d Professions de: The Contract ' State License Law does not
❑ly to an owner of property who builds or improves thereon, and who contracts for the projects a licensed Contractor lltant to the Cont ors' State License Law).
1 am exempt from licensure under the Contractors' State License Law for the followin ' son: tl_
By my signature below I acknowledge that, except for my personal residence in whit ust have resi for at least one year pri mpletion of the improvements covere y this: permit, I cannot legall
sell a structure that I have built as an owner builder if it h of been constructe ' s entirety by I nsed co t tors. I und�e�jj��ti hat a copy of the applicable law, Section 70 of the Business and
Professions Code, is available upon request when this plic Lion i, sub r at the follow eb si :/ .IeginfdW.gov/calaw.htmI.
Signature of Property Owner or Authorized Agent '
LICENSED CONTRACTOR'S DECLARATI Date
v
I hereby affirm ulideMenalty of perjury that I am licensed un rovisi pf ter 9 (c Rm cing w' h n 7000) of ivision 3 of the Business and Profes "on�5 d hand m net 7s. in full force
nd effect. License CrassiceJf;dgNo ��I
Date Contractor Signature ^'
0R1jERS' gCq PENSATION DECLARA yV�
RNIaG: FAILURE•105ECURE WORKERS' COMPEN ON COVERAGE ILAWFUL, AND sU T PIL R TO CR NA D CIVIL FINES UP TO ON 1'{J Dj$EO OUSAND pOLLA Y e s
06T Or
oCOMPENSAJION, DAMAGES AS PROVIDED -OR IN SECT 3 OF THE L COD S D ATTORNEY' ($100,000) x[ON TO THE
�e�� .
hereby affirm under Wrialty of perjury one of t SECT
declarati
• • • • • . fye�,$ a ij
�)?dve and will maintain a certificate of corisent to surewor tom ens
P the (rector of Industr' Poi as oy for by Sectio th abo ode, for IN
rformance of SheaKork for which this permit is issue 01i o. $ ��4 �
1*Oe and wAlPfiaintain workers' compensation urance, required by 00 he Labor Code, for the rfo m ce ofi tk �wli7OX, which thi erm�t�j� d. workers' compensatior
ipr*utjrjce camerend Policy number are: \t
Carrier` ••
'N3rDE of Agent • • um r Expiration Dat
Phone #
01-Afy that! 4*m*@ Qerformance of the work for which IN arm is ad, I shall not employ an any manner so as to bec0 subject t e w rs' compensation laws of California, and agree
that, if I should becorr%subject to the workers' compensatio , ro Isi Section 3700 of the L or e, I shall forthwith comply those pr SID
Signature of Applicant -
DECLARATION REGARDING CONSTRUCTION LENDING AGE CY Date_
I hereby affirm under penalty of perjury that there is a construction lend! L.
9 perf ce of the work which this rmi ' sued Section 3097, Civil Code). Lender's Name
Len-ddress
By my signature below, I certify to each of the following: ��
I am the property owner or authorized to act on the property ow alf.
1 have read this application and the information I have provided is cc rect.
I agree to comply with all applicable city and county ordinances and s ate laws relatin o building str n.
I authorize representatives of this city or county to to the ab ve-i ntifi o y for insp
Agent 5 oses.
Signature of Property Owner or Authorized ri Party Owner's or Authorized Agent's Name Date �C
ACTION DATE BY DECLARATION OF COMPU CE H -OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 610E E4 DAQMD RULE
3
PERMITEXPIRED 11L Li I SUBMITTED ASBESTOS NOTIFICATION TO
PERMIT CANCELLED EPA
PERMIT EXTENDED QMD
PERMIT FINAL ASBESTOS NOTIFICATION IS NOTAPPLICABLE TO
CERTIFICATEOF PROPOSED DEMOLITION
OCCUPANCY ISSUED