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Home My WebLink AboutX2021-3130 - Permits� nToze City of Newport Beach - Building Division T 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 7J.. S Inspection Requests Phone (949)644-3255 - `7iird,w`� Combination Type - BLDG MECH ECEC PLUM GRAD COMB Permit: X2021-3130 IIIIQIIII0IIIIQIII�Illlllllllllulll0ll II Project No : 2711-2021 Issued Date : 02/22/2022 Inspection Area : 3 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 02/22/2025 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: 2252 MESA DR NB Description: SFR NEW DETACHED BARN 2,251 SF (UNCONDITIONED SPACE) Legal Desc.: IRVINE SUB LOT 152 BLK 51 POR OF LOT AND TR 706 POR OF LOT 116 (P M Owner: JABARA GARYIMADISON Address: 2252 MESA DR NEWPORT BEACH CA 92660 Phone: Applicant: GUIDERO WILLIAM Address: 425 30TH ST NEWPORT BEACH CA 92660 Phone: 949-675.2626 Code Edit: 2019 Type of Construction: VB Occupancy Group: U Added /New sq.ft. Bldg: Added /New sq. ft. Garage: No of Stories: 1 No of Units: 0 Bldg Height: 0 Bldg Sprinklers: Flood Zone: X Building Permit Fee: $399.00 Plan Check Fee: $347.13 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $36.00 Energy Compliance: $0.00 CA Seismic Safety: $0.50 Disabled Access: $0.00 Hazardous Mat $0.00 Building Green Fee: $1.00 TOTAL FEE: $2,622.18 PROCESSED BY: ZONING APPROVAL: J ` GRADING APPROVAL: Contractor: LEWIS R W CONSTRUCTION Architect: Address: 1863 BAYPORT WAY Address: NEWPORT BEACH CA 92660 Phone: 714-321-4126 Phone: State Lie: Con State Lie: 597309 Engineer: CHEN MING-TARNG Lie Expire: 06130/2022 Address: 12121 CANDOR DR Bus Lie: BT00021581 CERRITOS CA 90703 Lie Exp Date: 0313112022 Phone: 714-521-0169 State Lic:C-054011 Worker's Compensation Insurance Designer: GUIDERO WILLIAM Carrier: CONTINENTAL INDEMNITY Address: 425 30TH ST#23 Policy No: 46864922 NEWPORT BEACH CA 92663 Expire: 12111/2022 Phone: 949-675-2626 Building Setbacks Excise Tax: Additional Fee Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: Electrical %: Mechanical %: Plumbing %: Rear: 25' Front: 58' Left: 5' Right: 5' $0.00 $0.00 $0.00 $0.00 $237.00 $199.00 $1,220.00 $27.93 $15.96 $35.91 Special Conditions: COSTA MESA SANITATIIOA° ,>�� "'-�� Planning Department - Plan check Fee Fair Share SJH Trans In -lieu Housing Fee: Public Works Department - Park Dedication : $0.00 P/W Plan Check : $50.75 San Dist: $0.00 NMUSD Fee: $0.00 Fire Department $52.00 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 Plan Check Fee : $2,622.18 Fee Due at Permit Issuance : $0.00 ... ... ... ... PUBLIC WOF&%A•a^P9Z01rA!L:. a . • • PLAN CHECK BY: APPROVAL TGr-4&.o cGG ••• ••. Eon• f G (39 O J O ,i O Gl G O Jt] JOJ O C G�J GG l��n 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 (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). J I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U portions lusiness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, throu! nprovements are not intended or offered for sale. If, however, the building or improvement is sold within one year of cc nproved for the purpose of sale). I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 70 pply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contra( I am exempt from licensure under the Contractors' State License Law for the following reason: ly my signature below I acknowledge that, except for my personal residence in which I must have resided for at least or ell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I 'rofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.le 'ignature of Property Owner or Authorized Agent .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7gBC nd effect. License Class — _ License No Date/ i COMPENSATION DECLARATION EARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PEt :DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. hereby affirm under penalty of perjury one of the following declarations: 51 have and will maintain a certificate of consent to self -insure for workers' compensation, issued by the Director Fmanse of the work for which this permit is issued. Policy No. ave and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the rance carrier and policy number are: ;arrier Policy Number me of Agent , ! certify that, in the perform a of the w k for ch this permit is issued, I shall not employ any person in any t, if I should become subject to a workk rs' c pensation provisions of Section 3700 of the Labor Code, I shall nature of Applicant K . Z/ CLARATION RE1, DAAR INI�a ONSTRZ CTIO 1 LENDING AGENCY )reby affirm under penalty of perjury that there is a construction lending agency for the performance of the work Ider's Name Lender's Address my signature below, I certify to each of the followin I am the property owner or authorized to ac on the prop y own 's�Jehalf. I have read this application and the informatio I have pro 'ded c rrect. I agree to comply with all applicable city and co ordina ces d state laws relating to building construction. I authorize representatives of this city or county e r t abo a-i tifed property for inspection purposes. nature of ProDertv Owner or Authorized Acre n Print Prooery Owner ACTION I DATE PERMIT EXPIRED PERMITCANCELLED PERMITEXTENDED PERMITFINAL CERTIFICATE OF OCCUPANCY ISSUED ��JJJJ �`I+p7 � l DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 0- I UI'SUBMTLTED ASI3ESTOSNOTIFICATION TO ASBESTOS APPLICABLE TO the work, and the structure is not intended or offered for sale (Section 7044, employees' or personal effort, builds or improves the property, provided that the 3letion, the Owner -Builder will have the burden of proving that it was not built or Business and Professions Code: The Contractors' State License Law does not pursuant to the Contractors' State License Law). to completion of the improvements covered by this permit, I cannot that a copy of the applicable law, Section 7044 of the Business and of the Business and PrafaisilVns , and my license is in full force ,,Contractor Sianature 1 AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO Industrial Relations as provided for by Section 3700 of the Labor Code, for of the work for which this permit is issued. My workers' Date so as to become subject to the workers' compens tion laws of California, and agre i comply with those provisions. Date *L ZL t this permit is issued (Section 3097, Ivil Code). FOR OFFICE USE ONLY Date