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Home My WebLink AboutF2021-0544 - Permitsn'I City of Newport Beach - Building Division Ilfl'�IIIIIIIIIIIIIIIII�II�IIIIII�III II ,p 100 Civic Center Drive, Newport Beach, CA 92660 II 4 2 0 2 1 0 5 4 I Permit Counter Phone (949)644-3288 ca{irrri4"€} Job Address: 2300 MESA DR NB Inspector Area:r f1 VL4 Owner: GLIDEWELL FAMILY TRUST Address: 2300 MESA DR NEWPORT BEACH, CA 92660 Phone: Applicant: SOLT EMANUEL Address: 22046 CELES ST WOODLAND HILLS CA 91364 Phone: 818-963.2667 Code Edit : 2019 Type of Construction: V-B Occupancy Group: U Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 1 No of Units : 0 Flood Zone: X Bldg Sprinklers: Y FIRE Permit: F2021-0544 Project No: 2644-2021 Inspection Requests Phone (949)644-3255 Description: SFR INSTALL 3" X 5' FIRE RISER X 2toal - D (ADS Legal Description: IRVINE SUB LOT 152 BLK 51 FOR OF LOT Contractor: UNI FIRE PROTECTION INC Architect: Address: 22046 CELES ST Address: WOODLAND HILLS CA 91364 Phone: 818-348-1616 Phone: State Lie: Con State Lie: 692497 Engineer: Lie Expire: 08/31/2023 Address: Bus Lie: BT30047752 Lie Exp Date: 10/31/2022 Phone: State Lie: Worker's Compensation Insurance Designer: SHAHNAM SALEH Carrier: PREFERRED PROF INS CO Address: 22046 CELES ST Policy No: ON1195801 WOODLAND HILLS CA 91364 Expire: 10122/2022 Phone: Issued Date: 1110912021 Special Conditions: Setback- Front: Left: Right: b I bl- ll�✓ — �� FEES Construction Valuation: $5,500.00 Building PC Fee : $222.00 Fire Residential Alarm PC Fee : $0.00 Records Management: $2.00 Building Overtime PC Fee: $0.00 Planning Counter Review: $0.00 Building Extention Fee, $0.00 Planning Zoning PC Fee, $0.00 Building Investigation Fee : $0.00 $0.00 Fire Plan Check Fee: $0.00 Public Works PC Fee : $0.00 $0.00 Fire Permit Fee : $0.00 Public Works Traffic Plan Check Fee; $0.00 Building Permit Fee : $269.00 TOTAL FEE : $493.00 Plan Check Fee : -$0.00 Fee Due at Permit Issuance : $493.00 PROCESSED BY: ZONING APPROVAL: FIRE APPROVAL: OTa82R DgPARTMENT: a PLAOCH&KED BY:: ° ° APPROVAL TO ISSUE: PERMIT EXPIRES 180 DAYS AFTkR SSrLANC-Ea OR i'„4ST VALID INSPECTION °°° BB9 B • •Ya •atl i0i DWNER-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). ❑ 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, Business 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 improvements 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 improved for the purpose of sale). ❑ I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). ❑ 1 am exempt from licensure under the Contractors' State License Law for the following reason: By my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot Iegall sell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 afthe Business and Professions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and P Ions Code, d ense is in Lit force and effect. License Class License No Date (�l1 �"'r Contractor Signat r WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm under penalty of perjury one of the following declarations: 111 have and will maintain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for IN krrormance of the work for which this permit is issued. Policy No. have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' rance carrier and policy number are: Number ie of Agent certify that, in the performanspeof the work for if I should become subjec gj0?workers„co, Date d, I shall not employ any person in any manner so as to become subject to the Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applicant Late CLARATION REGAR CONSTRUCTION LENDING AGENCY Jreby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issue (; ider's Name Lender's Address my signature below, I certify to each of the following: I am the property owner or authorized to act on the property owner's behalf. I have read this application and the information I have provided is correct. I agree to comply with all applicable city and county ' antes a fate a ing to building construction. I authorize representatives of this city or county to ov a pr a or inspection purposes. naNire of Pronerty Owner or Authorized I Print Property Owner's or Authorized Agent's Name 3097, Civil Code). laws of California, and ACTION DATE BY DECLARATION OF COMPLIANCE WTH CODE OF FOR OFFICE USE ONLY ,F Fj1!L REGULATIONS PART 51 OF TITLE40 AND AQ� b.'fi)/LE Vil • ° PERMfTEXNRED C] I$UBPoJITf'EPAS&STOSPO71F;4!ATION' TO:. •: B EPwn{ AQM • e°• �• PERMIT CANCELLED PERMITEXT€NDED ❑ ASBESTOS N071€ICATION IS NOT APPLICABLE TO PIJQPOS EDDEMOUTION. ° ° • • • e. s°• •• PERMIT FINAL CERTIFICATEOF OCCUPANCYISSUEO SIGN3iTUR ' e • ; e