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Home My WebLink AboutX2014-0197 - Permits&wNe4� City of Newport Beach - Building Division of d� 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 �a Combination Type - SFP Job Address: 2181 MESA DR NB Description:SFR- RESTUCCO AND R/R FASCIA AS NEEDED Inspector Area: 3 Legal Desc.: TR 706 LOT 124 SELY1/2 Owner: STOAKS TIMOTHY B Contractor: Address: 2181 MESA OR Address: NEWPORT BEACH, CA 92660 Phone: Phone: Applicant: PESCHELT WILLIAM A Con State Lic: Address: 2211 LAUREL PL Lic Expire: NEWPORT BEACH CA 92663 Bus Lic: Phone: 714-697-1515 Lic Exp Date: Code Edit : 2013 Type of Construction: VB Occupancy Group: R3/U Added /New sq.ft. Bldg: Added /New sq. ft. Garage: No of Stories: 1 No of Units: 1 Bldg Height: 0 Bldg Sprinklers: Construction Building Permit Fee: $129.00 Plan Check Fee: $0.00 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $0.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access : $0.00 Fee Increase: Fee: $0.00 Additional Fee: $0.00 Hazardous Mat: $0.00 Building Green Fee: $1.00 TOTAL FEE : $130.00 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: iiiipii7 II PESCHELT WILLIAM A 2211 LAUREL PL NEWPORT BEACH CA 92663 714-697-1515 676377 09/30/2015 BT30008777 04/30/2014 Worker's Compensation Insurance Carrier: WC EXEMPT Policy No: Expire: Building Setbacks Use Zone: Excise Tax: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WO Insp. Fee: Electrical %: Mechanical %: Plumbing %: Rear: / Front: / Left: / Right: I $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Plan Check Fee COMB Permit: X2014-0197 Project No : Inspection Requests Phone (949)644-3255 Issued Date : 01/29/2014 Architect: a Address: Phone: State Lie: Engineer: Address: Phone: State Lic: Designer: Address: Phone: Special Conditions: 12013-0434 Planning Department - Plan check Fee: Fair Share SJH Trans In -lieu Housing Fee Public Works Department - Park Dedication : $0.00 P/W Plan Check : $0.00 San Dist: $0.00 NMUSD Fee: $0.00 Fire Department $0.00 Fire Inspection: $0.00 $0.00 Fire Plan Rev S11!11) $0.00 Demolition Fee $0.00 Building Dept Adm WG.OG General Service vC.00 Refund Deposit $0.00 $0.00 $0.00 $0.00 Fee Due at Permit Issuance : $130.00 PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. INSTALL OR VERIFY SMOKE/CARBON MONOXIDE DETECTORS /PLUMBING FIXTURES TO BE UPGRADED 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) 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 ie 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 Irofessions Code) or that he or she is exempt from Iicensure 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 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 structure is not intended or offered for sale (Section 7044, lusiness 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 nprovements 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 nproved 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 pply 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). 7 I am exempt from Iicensure 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 one year prior to completion of the improvements covered by this permit, I cannot legally ell 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 of the Business and rofessions 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 .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7 00) of Division 3 of the Busi as nd ProfeXon; ode, d my license is in full force nd effect. License Class License No / S� Contrac or Ignature /L,/� VORKERS' COMPENSATION DECLARATION FARMING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CR MINA.L PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LAEOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: i 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 rmence of Ih.=work for which this permit is issued. Policy No. 71I 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' .sursrce carrier and policy number are: Policy Number f Agent __ Date ertl'y that, in thr performance of the work for which this permit i5 sued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree t, it I should become ssubje/ctto th workers' compen anon provi ' ns of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. signature of Ai/ ��n Lr((te� %� IECLARATION REGARDING CONSTRUCT ON LENDING A ENCY 0�/ 1 hereby affirm Uldd r penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3 7, Civil Code). enders Name _ Lender's Address ly 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 ordinances and state ws relating to building construction. I authorize representatives of this city or c unty to nterabove-idle/7ed property fo ' spection purposes. 7— signature of Property Owner or Auth 'ze gentPrint Property Owner's or Authorized Agent's N�Ume Dat ACTIlN! 7F RV DECLARAT/OIY4OFCOMPU4NCEWTHCO0EOF i-UR O}µ[;L 057 OMI FEDERAL REGULATIONS PART 6f Of TITLEJ0 AND AOINDRVLC 1403. PFRUIT FYPIRR? - ❑ i Sf N1u1TTrn Asnrsrrs NnTtfm-4rION rn: ❑ EPA ❑ A011i PLr,WTT CANCELLED PERIuIrT EXTElu'fED ASBESTOS NO17RCATIONIS OT APPLICABLE TO PQS DEMOUTWAI. PERMIT RNAL r, / [> CERTFfCATECF 1 I ZO _I l SICNAI OCCUD,ANCYiSSUED U