HomeMy WebLinkAboutX2020-2534 - Permits (3)$ nct 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
rs , rx Combination Type - SFP
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPEC'
Construction Hours: Monday - Friday 7:00 a.m. to 6:3
Job Address: 2161 MESA DR NB
Description: DELTA 4 *ADDITIONAL SCOPE* NEW TRELLIS
Legal Desc.: TR 706 LOT 124 NWLY1/2 / s
Owner: 2161 MESA DRIVE LLC Co r: INKEEC
Address: 660 NEWPORT CENTER DRf
0 P= Address: 397NEWPORT BEACH, CA 926wNA
Phone:
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: V-BSPR
Occupancy Group: U
Added /New sq.ft. Bldg: 0
Added /New sq. @. Garage: 0
No of Stories: 1
No of Units: 1.
Bldg Height: 0
Bldg Sprinklers:
Building Permit Fee:
$381.00
Plan Check Fee: $266.75
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management:
$12.00
Energy Compliance:
$0.00
CA Seismic Safety:
$0.65
Disabled Access:
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$1.00
TOTAL FEE: $707.65
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
II�IXIN�2I�II020IIIII5 IIVIR II
COMB Permit: X2020-2534
Issued Date: 1
Inspection Area A 3
Saturrdday from 8500 a.rr��t�p.m�� 1�i rd`t'kJ20 '�"unnddays or H�d
VIA
L.AritAL&V %OLSEN ERIC
#11 ess: 2728 E COAST HWY, STE A
%0000RONA DEL MAR CA 92625
UL�IusE_.ic'
n - 12 j P w 949-887-885fi State Lic:C034489
on t 992 07 - ngi r: ' FORBES DALE L oo ° °
03/31/2022 - dd s: 1800 E 16TH ST #B lionn
- SANTA ANA CA 927018aic Exp Phone: 714-835-2800 t� cbaf N407
Co Designer.�13mer UND
'cy 9122252 any.
're: 01/10/2021 P ne. 9 �j®. ej$ t 1
Building Setbacks Rep, 2 Special (~ioC editions:
enh
t: 2
�y5 \
Richt;.,Srt
Exci Tax:
Add ih nal F1e �D
Gradi Pee
Gradin PC Consultant
Grading ermit
F
Grading as
WQ Insp
Electrical
Mechanical %:
Plumbing %:
Planning DeepaFtTfgn-t -
$0.00
$&00"
Trans:
'lieu
In -lieu Housing fee:
$0.00
Public Works Department
-
$0.00
Park Dedication:
$0.00
PM Plan Check :
$0.00
$0.00
San Dist:
$0.00
$0.00
NMUSD Fee:
$0.00
$0.00
Plan Check Fee
5VISt _ 0 0
Zone, N_ °dO°
Fire Department
$46.25
Fire Inspection:
$0.00
$0.00
Fire Plan Rev
$0.00
$0.00
Demolition Fee
$0.00
Building Dept Adm
$0.00
General Service
$0.00
Refund Deposit
$0.00
Grading Bond:
$0.00
$0.00
$0.00
$313.00 Fee Due at Permit Issuance : $394.65
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
APPROVAL TO ISSUE:
f
o° 00 °000 0
o�oaoo
o
eoao
OWNER -BUILDER DECLARATION -
1 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)
Iction 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
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 of8)e Business and
ifessions 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 U all of or U portions of the work, and the stmcture' or offer for sale (Section 7044,
;iness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employee ' e ort, builds or improves t property, provided that the
)rovements are not intended or offered for sale. If, however, the building or improvement is sold within one year a Owner -Builder will have the burden of p ving that it was not built or
)roved for the purpose of sale).
I, as owner of the property, am exclusively contracting with licensed Con s mct the project (Section 7044, Bue`IJe&, 9Q411^^ roAssions Code: The CoraV' ate License Law does not
)Iy to an owner of property who builds or improves thereo n r s for e'�','(]�,ect/s with a licensed Con ctor pursuant to the Contractor t�,fdc e41
I am exempt from licensure under the. tate Licens 4Wfor 1611r ngLrae� 0 O 1 1I�J
my signature below I acknowledge the except for my personal r siden e' ust have resided for at I t e year completion of the improvements covered y this permit, I cannot legalll
a structure that I have built as an own-builr�eT j�i�s no s rutted in its entirety by lit co rs^- •understand that a copy of the applicable ectiDF 7 of the Business and
ifessions Code, is available upon reque t wh gh application is submitted o t the ow s h info.ca.gov/c (!yM'.
nature of Property Owner or Authorized gent s� .i ° to VVvv �) �' Date
TENSED CONTMgTOR'S DECLA TI _ - a:
�bY•affirm under penalty of perjury that am I ensed u r pro ions (m t cing I`a Se
7 0) of 3 of the Business and Pro sions o n doense is in full force
(effect• Licenaa. rasa ense Date Contractor Signature :rE4
MiKERS' COMPENSATION DECLA TI ^,lj�
ININ6TFAILURE TO SECURE WORKERS' COMPEN TION C VERAGE IS UNLAWFUL, A L _ N TIE D CML FINES UP TO ONE HUNDRED TN USAND D ARS 10I{0�O61N ADDITION TO THE
rn OF gOMPENSAjIDfI,*C&IAGES AS PROVIDED F INSECTION 37 FTHE D E N a ?'
!rely.affirm undar•p halty of perjury one of he fo de ratio x IE,
✓,?wave and will maintain a certificate of nsen t elf-i re fo o ation, issued by the Director of Industrial Relations as prov��1ed 370A othe abor Code, for the
fpwv ce of theWo'Pl2 for which this permit i issu $'��$1rj30B Ind will maintain workers' compensa on 1 ante, as required by Section 3700 of the Labor Code, fo the rfo a �ScZf wTtk h Pkafol
permit is is su M w„`,'P}T_IS' compensatior
�i ccecarrier and polleynumber are: // � �^.+ T e i
awr••• Ffk�lirvsNiimhcr __ ,..sa �`' e 7f i._.. YA3.Ht1 L +;tf`,.
Re erAgent
certify that, in t rformance of the
if I should beco subject to the w
Iature of Applicant
rreby affirm under penalty of perjury that there is
Ider's Name
my signature below, I certify to each of the folio
I am the property owner or authorized to act on t
I have read this application and the information I
I agree to comply with all applicable city and count
I authorize representatives of this city or co to
nature of Property Owner or Authorized ADent
ACTION
PERMIT EXPIRED
PERMIT CANCELLED
PERMIT EXTENDED
PERMIT FINAL
CERTIFICATE OF
OCCUPANCYISSUED
DATE I BY
person in any manner so as to become
r Code, I shall forthwith comply_Nitl-ft
Viand state laws relating to building construction.
)ove-identified a pr inspection purposes.
I L Print Property Owners or Authorized Agent's Name
)N OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
NS PART 61 OF TITLE 40 AND AQMD RULE
I SUBMITTED ASBESTOS. NOTIFICATION TO
IS NOT APPLICABLE TO
3097,
and