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Home My WebLink AboutX2021-2455 - Permits,,"R''r'U'y3y- City of Newport Beach - Building Division �� COMB Permit: X2021-2455 ' 100 Civic Center Drive, Newport Beach, CA 92660 Project No : 0444-2020 F Permit Counter Phone (949)644-3288 u Inspection Requests Phone (949)644-3255 Issued Date : 0911412021 °rt �„��*,-' � Combination Type - SFP Inspection Area : 3 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 09/14/2024 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 o lays or Hq9 ays Job Address: 2161 MESA DR NB ��'"y Description: DELTA 1 -'ADDITIONAL SCOPE* ADD 179 SF (CHANGE OF CONTRACTOR) REPLACES X2020-1985 d Legal Desc.: TR 706 LOT 124 NWLY1/2 Owner: 2161 MESA DRIVE LLC Contractor: DR 4T Aggi IGOVSEN ERIC , Address: 680 NEWPORT.CENTER DR #200 A CROWLEY KAITLIN A_d��jress: 27,2$ F1,4Q1RQ/�-OH1Ni',S�E A €, NEWPORT BEACH CA 92660 71 (1a O'I✓��jttSS/�t++D`"'EL MAR CA 92625e Phone: -. e/. C/ gha ? 949-887-8856 State LicA034489 Applicant: OLSEN ERIC `.-C9rrl J tate Lic: O/B Engine r: n� .80RB Address: 2726 E COAST HWY, S A� ` Lic Expire J�d ifG" 1$00 E 16TH ST #B CORONA DEL MAR CA 2625 is - SANTA ANA CA 92701 Phone: 949-887-8856 is xI e. +� Phone: 714-835-2800 State Lic:C- 0407 °®®. Code Edit : 2019 We nsati nsurance esigner Type of Construction. ier: Relyphone ddress: Occupancy Group: U ` Policy No: Added /New sq.ft. Bldg: 179 - : Added /New sq. ft. Garage: 0 No of Stories: 0 OuuseZone: ildi ac I Special Conditions: t% No Of UnliS: 0 root: 1 Bldg Height: 0 Left: /°.� Bldg Sprinklers: Right: / `k�9 Flood Zone: X Parkin aces 0 ire Hazard go q4 ° Construction Valuation: - '$0.00 a Building Permit Fee: $0.00 pradsingPC a: 'S� $� Planning Department- m° JJOo Plan Check Fee: $0.00 al a :}0�� Plan check Fee : Fire sp`;'$13>00 Overtime Plan Ck: $0.00 Bond k- �` $0.00 Fair Share : $0.00 8 hi $0.00 Investigation Fee: $0.00 C sultant: $0.00 Si $O.1%iSP' Darnell' Record Management: $0.00 Grading Permit Fee: $0.00 In -lieu Housing Fee : .00 - i ding Dept Adm $0.00 Energy Compliance: $0.00 Grading PC Fee: 0 Public Wor ment - General Service $0.00 CA Seismic Safety: $0.00 #gyp. $0.00 r Dedic 0.00 Refund Deposit $0.00 Disabled Access $0.00 n Check: $0.00 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical %: San Dist: $0.00 Building Green Fee : $0.00 mcal %: - $0.00 NMUSD Fee: $0.00 $0.00 a: $0.00 $0.00 TOTAL FEE: $38.00 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 item(s) ction 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, priorto 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 L) all of or L) 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, bu' 'os 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- ave the burden f proving that it was not built or roved for the purpose of sale). as owner of the property, am exclusively contracting with licensed Contractors to construct theg�?i ply to an owner of property who builds or improves thereon, and who contracts for the te*�'Iffi-i I am exempt from licensure under the Contractors' State Licen ollowm reason: _ 'y my signature below I acknowledge that, exce r esiden wk, st have resi ell a structure that I have built as an owa - I er if it h not a ofl5t cc 'rn an I n CGLY-b7"ti� 'rofessions Code, is available upon retluest when this p'li atio ub erg a following Web ignature of Property Owner or Authored A .ICENSED CONTRACTOR'S DE41LARMY61W hereby affirm under penalty of perjuryflat I am licensed under ns pt cing nd effect. License Class ` Lic e o VORKERS' COMPENSATION DE 0 P IM TION 'ARNING: FAILURES"QJ EgQ RE WORKERS' COM@ENSA ON COVE . E IS UN L, AND SHALL SUBJECT AN E�M.,..PwwL�OO) OST OF OOMPENSATION, DAMAGES AS PROVIDED FAOR._ OF THE LABOR CODE, INTEREST�AND,&TTO.N e6y affirm uad&.peiialty of perjury one of the f lowin declaratior .hAo and will jnaintain a certificate of co -insu fc )rMnce of the work for which this perrFlit is i u y No. • pave.and will maintint ain workers compe(Isati insure as raAce carrier ylg policy number are n er Policy Number fie of Agent Certifp that, iq th%Mformance of the work for f should become eubject to the workers' co lkre of Aodisar4i CMT7044, Business and Pr fessions Code: The Conti Contractor igursygp(gtr 413�tractors' State License 5 a�S' _ r .eft ICI tor -a ast one year prior cojjQQ��l ti gWiV' ihf(Jrovemen contractors. I Lin er t 'g® ai ak"opy of the applicable law, Section 3700 of the Labor Code, for the DECLARATION REGARDING CONSTRUCTION LENDING AGENCY hereby affirm under penalty of perjury that there is a construction lending agency for the ender's Name y my signature below, I certify to each of the follow{g� -en I am the property owner or authorized to act on the property owner's behalf. I have read this application and the information I have provide , rr2C-f"� I agree to comply with all applicable city and county r Inances atsel I authorize representatives of this city or countyto '9 above*entified property DiRVtlttvr�•.— ion 3 of the Business and Professions Cc Contractor Signature �S AND CIVIL FINES UP TO ONE HUNDRED THOUSAND of Industrial Relations as provided for by any person in any manner sous to become subject to the workers' Labor Code, I shall forthwith comply with those provision work for which this to building construction. rr inspection purposes. ACTION DATE BY DECLARATION OF REGULATIONS PART NIPMNCE WITH CODE OF D 61 OF TITLE AND RULE G PERMITEXPIRED I L1 I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT EXTENDED LJAQMD PERMITFINAL LJ ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO CERTIFICATE OF PROPOSED DEMOLITION OCCUPANCY ISSUED SIGNATURE: Owner's or Authorized AD I FOR OFFICE USE ONLY State License Law does not :d by this permit, I cannot legally 704444�Jf he Business and nfty license is in full force �w1S R5,(@?00,000), IN ADDITION TO THE 70 GF the Labor Code, for the I tie My orkers' compensation y tin la s°�ta'�alifornia. and aareE