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Home My WebLink AboutX2021-2421 - PermitsCity of Newport.Beach - Building Division IIIIIIIIIIII11111111111101111111111111111111111111111IN COMB Permit: X2021-2421 i7 100 Civic Center Drive, Newport Beach, CA 92660 Project No: 0444-2020 Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Combination Type - BLDG ELEC Issued Date : /1or2o21 Inspection Area : 3 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0911012024 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. POTTING SHEDIBATHROOM/CHICKEN COOP 171 SF (CHANGE OF CONTRACTOR) REPLACES X2020-0556 Legal Desc.: TR 706 LOT 124 NWLY1/2216 Odd Address: 660wner:Archite 1NEWPORTMESA ICENTER DR #200 AddressVE LLC tor: OWNER/BL�ITLIN Addres �r27t1 EC OAST HWY NEWPORT BEACH, CA 92660 cop oh IdI A09t2522 Phone: ..:.: Phone:��, 2 Phone. U $f}3-v88 State Lic:C034489 �S tnginee CP Address Applicant: Y 28 E COAST HWY, STE A "I�' CoC Expire: on S O/BOW IiW�dd essr' FORBES DALE L® ov°¢ CORONA DEL MAR CA 92625 �?� Bus LiCat. ic.' v TA ANA CA 92701 ° ° ° °° ° Phone: 949-887-8856 ''I3.1icy Exone: 714-835-2800 State Lic:C-030407 �• •• o•°°°° w a o o o°o• o 0 Code Edit: 2019 Coo nsu - De er Type of Construction: VB rrie. Occupancy Group: U No: Added /New sq.ft. Bldg: 0 y Expire: Added /New sq. ft. Garage: 0 pseZoe No of Stones: 1 z etba Re Special Conditions:No of Units 0 $ rcBldg Height: 0 ; Left: I Bldg Sprinklers: N Right: IFlood Zone: X Parking Spaces: 0 H Construction Valuation: $0.00 NyrpC ap° °9� ®p°• rr��p o e Building Permit Fee: $0.00 Eu°;yc�ise 4nsFr .BO° Planning Departrnent- Fire Department Plan Check Fee: $0.00 AdOitio $38.00 } {{\\ Plan check Fee : $0.00 F' on: $0. �G�LP j Overtime Plan Ck: $0.00 Gr�`dingee: �oi#�Oali. Fair Share : Fire PIan,ReX_ .0 h XInvestigation Fee: $0.00 Graing ultan $0.00 SJH Trans : $0.00 q,�@riq�oq'Ctdr�N�e Record Management: $0.00 Grading Permit Fee: $0.00 In-' sing Fee : $0.00 " wilding D $0.00 Energy Compliance: $0.00 Grao�ng PC Fee: $0.00 Public Works Departmen - a Service $0.00 CA Seismic Safety: $0.00 WQ ns�..j 0.00 Park De " $0.0 Refund Deposit $0.00 Disabled Access : $0.00 a Plan .00 Grading Bond: $0.00 Hazardous Mat $0.00 Electr al "/n: $0.00 Building Green Fee : $0.00 Mechni NMUSD Fee: $0.00 $0.00 Plumbilmo $0.00 - $0.00 TOTAL FEE : $38.00 7 Plan Check Fee : $0.00 Fee Due at Permit Issuance: $38.00 PROCESSED BY: / PUBLIC WORKS APPROVAL: ZONING 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 items) (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). ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or L) portions of the work, and the structure is not intended 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 p,�r R, builds or improves the property, provided that the mprovements are not intended or offered for sale. If, however, the building or improvement is sold within one year of complefiLo new r illdder will have the burden of proving that it was not built or Wed for the purpose of sale). ov as owner of the property, am exclusively contracting with licensed Contractors to construct Section 7044, Busing and Professions Code: Thy Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for s wi�i' th a licensed Cpntr "S&A b the Contractors' ate License Law). ❑ I am exempt from licensure under the Contractors' State Licens a following reason:lr�E;'u By my signature below I acknowledge that, except for residehigh I must have d for at least ongy�ar� o letion of the improverQents covered by this permit, I cannot legal) cell a structure that I have built as an own - I h t bee oylsyrpctAtlrth its y licensed contra �o s`(�LhdAs and that a copy of the applicable I4w, Section 7044 of the Business and 'rofessions Code, is available, es t when this a a n is ub t the following W s :http://vvWw.leginfo.ca.gov/calaw.html. signature of Property Owner.' Authorized Agent s Date LICENSED CONTRACTgR'S ® }}O �j[°, ' e I r hereby affirm uederyenaltybf OEMhat I am licensed under pr ions a (co in 't n 7D00) of Division 3 of the Business and Professio s Code, and my license is in full force and effect. Licence Glass zk en m Date Contractor Signature _ •.hfteii'by affirm under penalty of perju x ollowing declaratiol ?I have and VVAIntain a c rti icate of -consent toee �errformance of Uv"rk forwhlct�thisned.„yJVeCe and wMl r?Ai`rtain worke�' csujsura�cecarrierendpolicynumb ar:2rrier•Policy Number qjp, Qf Agent • • 2certify thatr%tlioperformanceo hewor for hic is tat, if I should becorr2 subject to the jj vork pe o p 4a 0 denature of ADolicant !reby affirm under penalty of perjury Ia Ider's Name my signature below, I certify to each c'faaa I am the property owner or authorize his rs I have read tapplication and the in# I agree to comply with all applicable cil I authorize representatives of this city nature of Property Owner or Authorized TION I DATE PERMIT EXPIRED PERMIT CANCELLED PERMIT EXTENDED PERMIT FINAL CERTIFICATE OF OCCUPANCY ISSUED SHALL SUBJECT AN PENALTIES AND CIVIL FINES UP TO ONE HUNDRED 1 ra do tF-e Director of Industrial Relations as p v6id�eNd by Sec :ion 3700 of the Labor Code, for eap �yr2k ft a or r �chltthis permit $$ e ted pate b one# mploy any person in any m ner so as to become subject to a !7 3700 of the Labor Code, I shall forthwith comply with t� Isions. /�J/� Vera is a construction lending agency for the pert anTe_of the work for er's Address e following: e-p erty owner's behalf. oration I have provided isle and co.. cei and relating to building construction. "on ty e e ve-identified property for inspection purposes. �t¢�J>;� � Print Prooertv Owne1's DECLARATION OF COMPUMCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40AND At RULE SUBMITTED ASBESTOS NOTIFICATION TO LJ ASBESTOS NOTIFICATION IS NOT APPLICABLE TO PROPOSED DEMOLITION DOLLARS ($100,000), IN ADDITION TO n 3700 of the Labor Code, for Issued. My workers' compensE , Civil Code). of California, and