HomeMy WebLinkAboutX2021-2418 - PermitsI- City of Newport -Beach - Building Division ���������������������������������������������������������� COMB Permit: X2021-2418
100 Civic Center Drive, Newport Beach, CA 92660 Project No : 0987-2020
E+ Permit Counter Phone (949)644-3288
ss Inspection Requests Phone (949)644-3255
ri ' iuT'c Combination Type - BLDG Issued Date : 09/10/2021
0 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 Su rgays or Holidays
Job Address: 2161 MESA DR NB 'Vf
Description: SFR - RETAINING WALLS/PARTIAL RET WALLS/ BLOCK WALLS 78" HI MAX x 263 LF INSIDE P/L *MARKERS ON SITE* (REPLACES X202U i
Legal Desc.: TR 706 LOT 124 NWLY1/2
Owner: 2161 MESA DRIVE LLC Contractor. OWNER/BLDR act: ��
Address: 660 NEWPORT CENTER DR 9200 Address: CROWLEY KAIT Address: 14Ca �0 •
NEWPORT BEACH, CA 92660 - r.�J Pr
i� ��n nr G `�QlA1'atefL7c`:Liy>1•^ a
Phone: Pho � n Phone: r�� � %
Applicant: ALMENDAREZ OSCAR Con State Lie: O/ l/ EngineeQ WfN&OCILLA JOSE
Address: 24361 CONEJO #3 Lie Expire: Less: 24636 CRESTA CTLAGUNA HILLS CA 92656L Phone: 951-990-4834 Lie Extensat,,
to 11�d 0942 State Lic:C-047942 'o °
O 3 O 0
000.'V
Code Edit: 2019 's Con s c besigner:Type of Construction: i rrie` Address:Occupancy Group: U lily
Added/New sq.ft. Bldg: 0 ire: _ Do
Added /New sq. ft. Garage: 0No of Stones. 0 Buil Setba - R 5 '' nditions:
No of Units : 0 ron 0 '�
Bldg Height. 0 L
O °JO O
Bldg Sprinklers:
5
Flood Zone: Us Parking Spaces: 0 H ar
Construction Valuation: $0.00 :ff
�,,�
Building Permit Fee $0.00 Excise Tax. QD� Department - (�� Vyr�fn ire Department
Plan Check Fee: $0.00 AddTonalf yd0 Plan check Fee : $0.00 Fire Inspection: .0
Overtime Plan Ck: $0.00 Grading Bp ds ee 0 Fair Share : $0.00 Fire P $0.0
91
Investigation Fee: $0.00 Grading P C' " Rant '50.0�,afte�� SJH Trans : $0.00 emolitido Eee�
Record Management: $0.00 Grading P rmit Fee: �V11� 00 In -lieu Housing Fee : 0.00 �9ildt9�t
Energy Compliance: $0.00 Grading P Fee: $O.OD Public W artment -°{`General Se $0.00
CA Seismic Safety: $0.00 WQ Insp. Fee : $0.00 ark Dedication : $0.00 eposit $0.00
Disabled Access : $0.00 :-,• PNV Plan Che .00 Grading Bond: $0.00
Hazardous Mat $0.00 Electrical %: $0.00
Building Green Fee : $0.00 Mechanical %: N $0.00 $0.00
Plumbing %: $0.00
TOTAL FEE : $889.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $889.00
PROCESSED BY: PUBLIC WORKS APPROVAL:
ZONING APPROVAL: Z 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, 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 (commencini6PSection':t7000) of Divisign 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 a � for a permit subjects the applicant to a civil penalty of
more than five hundred dollars ($500). _®'
as owner of the property, or my employees with wages as their sole compensation, will do U all of or U porti a work, and the structure is not intended
ass and Professions Code: The Contractors' State License Law does not apply to an owner of prop rough employevees;�yr wonal effort, builds or irk
vements are not intended or offered for sale. If, however, the building or improvement is m one year of cor�Ip ner-Builder v�lJ h��.e It"l1'trl
ved for the purpose of sale). aE'r
as owner of the property, am exclusively contracting with license c ors to construct the projec ction 7044, Bttyy�� a¢XP�essions Code: The Col
to an owner of property who builds or improves thereo �o cy'tq�for the projects Icensed Contract r�17rEvto the Contractors' State
J I am exempt from licensure under the Co t
ly my signature below I acknowle ,except for my
ell a structure that I have built as owner -builder yf it h[
'rofessions Code, is available upon eque�hi�aJi
ignature of Property Owner or Auth rized`Rgent
.ICENSED CONTRACTOR'S D LARATIO
hereby affirm uedmv natty of perju that Icen
nd effect. Liceneo Class
F0 4jERS' COMPENSATION DE LA TIO
J RN1 G: FAILURPR)6ECURE WORKERS' CO ENS R
Qit 9E COMPENSATION, DAMAGES AS PROVID D FOR IN SECTION
hePeUy affirm upder penalty of perjury o of tl
•••
I have and*w•ill•maintain a certificate f cc
erformance of theiNork for which this per 't is
a-1'••
Jrp6e and ,RIP Iflaintain workers' compe se
�%ulagce carrier end policy number are:
3rpe pf Agent ••
31•aertify thatl 6414erformance of the work r w
Iat, if I should becortfe subject to the workers' m
ignature of Applicant
ECLARATION REGARDING CONSTRUCTION E
hereby affirm under penalty of perjury that there I
enders Name
y my signature below, I certify to each of the follow
I am the property owner or authorized to act on
I have read this application and the information
I agree to comply with all applicable city and cot
I authorize representatives of this city or county
Owner or Authorized
I must
one
a copy of the applicable law,
and rovi n 9 (commencing with 5n Division 3 of the Business and ProfessionsEt
Li�ate Contractor Signature
AGE IS UNLAWF LLVEKT L ENALTIES AND CIVIL FINES UP TO ONE HUNDR DD
37060E R INT Nall
Ice,
clar
nsur r rs' compensation, issued by the Di r o n s prov ed for by Sect
4 as required by Section 3 00 of Labor Code, pert tq vaCi� work for which this permit is
3700
forthe
any person in
Labor Code. L
hances and state laws relating to building construction.
,,�Lve-ijgntified property for inspection erty purposes.
��OLr�2 Print Prooertv Ownet
ACTION DATE BY c DECLARATION OF IREGULATIONS PA PAMPUA9CE WITH CODE OF RT OF 40 AND QMD RULE
�L
PERMIT EXPIRED Is T LJISUBMITTED ASBESTOS NOTIFICATION TO
PERMIT CANCELLED FpA
PERMITFINAL LJASBESTOS NOTIFICATION IS NOTAPPLICABLE TO
CERTIFICATE OF PROPOSED DEMOLITION
OCCUPANCY ISSUED SIGNATURE:
become
Date
this permit is issued (Section 3097, Civil Code).
FOR OFFICE USE ONLY
red for sale (Section 7044,
the property, provided that the
proving that it was not built or
State License Law does not
this permit, I cannot
of the Business and
license is in full force
IN ADDITION TO THE
Code, for
laws of California, and
Date