HomeMy WebLinkAboutX2021-2420 - PermitsCity of Newport Beach - Building Division
r-
�''� 100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
s. Inspection Requests Phone (949)644-3255
Combination Type - BLDG GRAD ELEC
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS PLETE
Construction Hours: Monday - Friday 7:00 a.m. to 6:30 p.m. y from 8:00 a.m. to 6:00
Job Address: 2161 MESA DR NB
Description: SFR DIET. HORSE BARN 1,884 SF (CHAN CTOTE CAS 02 -0555
Legal Desc.: TR 706 LOT 124 NWLY1/2 [/ -
Owner: 2161 MESA DRIVE LLCoOWNER/BLD 5SA ct:Address: 660 NEWPORT CENTER DR #200 Address: ROrNEWPORT BEACH, CA 92660Phone: Pho ne:
1 (4 ,
Applicant: OLSEN ERIC
Address: 2728 E COAST HWY, STE A
CORONA DEL MAR CA 92625
Phone: 949-887-8856
Code Edit: 2019
Type of Construction: VB
Occupancy Group: U
Added /New sq.ft. Bldg:
Added /New sq. ft. Garage:
No of Stories. 1
No of Units . 0
Bldg Height: 0
Bldg Sprinklers: N
COMB Permit: X2021-2420
Project No : 0444-2020
Issued Date :
D BY 0911OZ2024 OR PERMIT WILL BE INV)
q.n1.ftl"gb""r undays or Holidays
141
OLSEN ERIC sd
2 �SW TEA
C 72DNA DEL MAR CA 92625
949-887-8856 State Lic:C034489
Con to Lic.gnDF8CtRBES DALE L
eIR0E 16TH ST #B 01
us Lip ANTA ANA CA 92701 � _ ° • •�
L' ate: IIN
14-835-2800 State Lic C-030407 ®• •�
o c•
W ers ensa nsur Designer.
C rrier Address: -
i 4 �• YJO
xpire: one, ` c • =
wilding etbr-nackar: / 0 01
ard
S onditjors,®r�(. $iAY�� ,.?,`•
t�! f J
Building Permit Fee:
$0.00
- Excise Ta : ersfr
$0
Plan Check Fee: $0.00
Additional eedu ��'
$38.00
Overtime Plan Ck:
$0.00
Grading Binds Fee:
$0.00
Investigation Fee:
$0.00
Grading P Consults
. 8
Record Management:
$0.00
Grading Pe ee:
Energy Compliance:
$0.00
Grading PC tag
$169.92
CA Seismic Safety:
$0.00
WQ Insp. Fee:
$0.00
Disabled Access :
$0.00
Hazardous Mat
$0.00
Electrical W
$0.00
Building Green Fee :
$0.00
Mechanical %:
$0.00
Plumbing %:
$0.00
TOTAL
FEE: $38.00
Plan Check Fee
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Planning Department -
dF a, t
Plan c'�
Fire Inspection:
Fair r Shar
$0.00
Fire Plan Rev
rans :
$0.00
Demolition Fee
In -lieu Housing Fee:
$0.00
Building Dept Adm
Public Works Department -
General Service
Park Dedication :
$0.00
Refund Deposit
PAN Plan Check:
$0.00
Grading Bond:
San Dist:
$0.00
NMUSD Fee:
$0.00
$0.00
Fee Due at Permit Issuance
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
APPROVAL TO ISSUE:
a
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$38.00
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(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
the 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
Professions 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
not more than five hundred dollars ($500).
LI 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 i d or offered for sale (Section 7044,
Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or off rt, builds nor the property, provided that the
improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completio ner-Builder will have the burden of proving that it was not built or
imairoved for the purpose of sale).
Ion 7044, Busirr��ss rr��1,1�¢'9`�s`31O�ns Code: Th C A . 'Spate License Law does not
Contractor purk aIN e Contra�s�,T _ ,�}��cfi Caw).
IVA.l, as owner of the property, am exclusively contracting with licensed Contractors to construct the pi
apply to an owner of property who builds or improves thereon, and who contracts for the J�Wawmlr
❑ I am exempt from licensure under the Contractors' State License Law fort ng reason:
By my signature below I acknowledge that, except for my personal r In which 1{n ha resi
sell a structure that I have built as an owner -builder if it h Oruc jts i ' n
Professions Code, is available upon request w pli ation is su d or at owing Web
Signature of Property Owner or Authorized ant
LICENSED CONTRACTOR'S DECLA TI
I hereby affirm utdCMpenalty of perjury that am Ii 19I�under provisio f Ch 9 ( in
and effect. Licenee Oass License
®Or'?'ERS' g0MPENSATION DECLA TI
�.ftNING: FAILURPfOS1ECURE WORKERS' COMPENS ION VERAGE I LAW
Q6T r,COMPENSAj10N, DAMAGES AS PROVIDED FOrS',fN BE ON, 06 HE LAB
hye�eby affirm up:::penalty of perjury one of tN foll tions:
3�r3ve and will maintain a certificate of co ant to self -insure for
erformance of Wwwwrk for which this permit is i Lied.
al JW*te and wNIMAintain workers' compensatio. insu nc as Lire
)gurg4ce carrier end policy number are:
:e^rriel• _ • _�• n Po r
large pf Agent ••
Itertify that, 4tite2erformance of the work forwhI h this permi is i d
lat, if I should becon% subject to the workers' comp etasatio ion k
ignature of Applicant I
IECLARATION REGARDING CONSTRUCTION LEND 'Y
hereby affirm under penalty of perjury that there is a co t tion lending ag(
ender's Name
y my signature below, I certify to each of the following:
I am the property owner or authorized to act on the pro�eeftii's b2t a
I have read this application and the information I have ottvlded is correct.
I agree to comply with all applicable city and county ordances and
I authorize representatives of this city or county tooter,_ e ova -Ids
ACTION
PERMIT EXPIRED
PERMIT CANCELLED
PERMIT FINAL
CERTIFICATEOF
OCCUPANCY ISSUED
AN
one year p c t0Vrrip1etion of the improvements cov.red by this permit, I cannot
nderstaTd that a copy of the applicab action 7044 of a Business and
�I ca.gov/calav
V'�51`'i Date_...
SIM) of Division 3 of the Business and Professions Code, and
Contractor Signature
5PE:N3S AN IVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS
of Industrial Relations as
of the Labor Code, for
arson in any manner so as to become subject
Code, I shall forthwith comply with those
Oekvlo of
,permit is issued. M
for the performance work for which this s issue n 3097, Civil Code).
FtEI'lSuilding construction.
for inspection purposes.
DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
ASBESTOS NOTIFICATION TO
LJ ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO
PROPOSED DEMOLITION
SIGNATURE:
FOR OFFICE USE ONLY
license is in full force
10,000), IN ADDITION TO THE
he;Labbr Code, for the
workers'-,com pensatio r
,Gf-California: and aoref