HomeMy WebLinkAboutX2018-1327 - Permits��w1ro� 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`
r ,�vtiT Combination Type - MFP
IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2018-1327
x 2 0 1 6 1 3 2 7 Project No : 2248-2016
Issued Date: 05/03/2018
Inspection Area : 5
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. -
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 Hol' s
Job Address: 608 ORCHID AVE NS
Description: NEW DUPLEXS/CHANGE OF OWNERIBLDR' (REPLACES X20164293)
Legal Desc.: CORONA DEL MAR BILK. 642 LOT 10 OF PROJECT 939-82 LOCATED ON AP
Owner:
NICHOLSON THOMAS G
Address:
608 ORCHID AVE
Occupancy Group:
CORONA DEL MAR CA 92625
Phone:
949-278-1327
Applicant:
NICHOLSON TONYA
Address:
606 ORCHIS AVE
2
COROAN DEL MAR CA 92625
Phone:
949-378-1327
Code Edit:
2016
Type of Construction:
V -B -SPR
Occupancy Group:
R3/U
Added /New sq.ft. Bldg:
1775
Added /New sq. ft. Garage: 1181
No of Stories:
3
No of Units :
2
Bldg Height:
0
Bldg Sprinklers:
Plan check Fee
Flood Zone:
Overtime Plan Ck:
Contractor: OW N E RIBLDR
Address: VELOZ MIKE
Phone:
Architect:
Address:
Phone:
PATETHERON
3919 WESTERLY PL STE 102
NEWPORT BEACH CA 92660
949486-0120 State Lic:CO22981
Con State Lic: OIB
Engineer:
TRAN JOHN DINH
Lic Expire:
Address:
14371 EUCLID ST #2F
Bus Lic:
$0.00
GARDEN GROVE CA 92843
Lic Exp Date:
Phone:
714-265.1200 State Lic:C-062653
Worker's Compensation Insurance
Carrier:
Policy No:
Expire:
Building Setbacks Rear: /
Front: /
Left: I
Right: I
Designer:
Address:
Phone:
Special Conditions: OIB FORM ATTACHED
Construction Valuation:
$0.00
$0.00
Fire Inspection:
$0.00
Fire Plan Rev
Building Permit Fee:
$0.00
Excise Tax:
$0.00
Planning Department -
General Service
Plan Check Fee: $0.00
Refund Deposit
Additional Fee:
$33.00
Plan check Fee
Overtime Plan Ck:
$0.00
Grading Bonds Fee:
$0.00
Fair Share:
Investigation Fee:
$0.00
Grading PC Consultant:
$0.00
SJH Trans :
Record Management:
$0.00
Grading Permit Fee:
$0.00
In -lieu Housing Fee
Energy Compliance:
$0.00
Grading PC Fee:
$0.00
Public Works Department -
CA Seismic Safety:
$0.00
WQ Insp. Fee:
$0.00
Park Dedication :
$0.00
Disabled Access:
$0.00
PAN Plan Check:
$0.00
Hazardous Mat
$0.00
Electrical %:
$0.00
San Dist:
$0.00
Building Green Fee :
$0.00
Mechanical %:
$0.00
NMUSD Fee:
$0.00
Plumbing %:
$0.00
TOTAL FEE: $33.00
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Plan Check Fee:
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$0.00
$0.00
$0.00
$0.00 Fee Due at Permit Issuance : $33.00
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
APPROVAL TO ISSUE:
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Fire Department
$0.00
Fire Inspection:
$0.00
Fire Plan Rev
$0.00
Demolition Fee
$0.00
Building Dept Adm
General Service
Refund Deposit
Grading Bond:
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$0.00
$0.00
$0.00
$0.00
$0.00
$0.00 Fee Due at Permit Issuance : $33.00
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
APPROVAL TO ISSUE:
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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)
lection 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
IS 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
of more than five hundred dollars ($500).
1, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044,
usiness 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 notintended 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
roved 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
ply 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).
I am exempt from licensure under the Contractors' State License Law for the following reason:
�y 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 h of 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 thi pplication is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi.
ignature of Property Owner or Authorized Agent Z Date
.ICENSED CONTRACTOR'S DECLARAT40N
hereby affirm untlempenalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force
Pd effeit. License&Irdss License No Date Contractor Signature
MfCERS' t;t3MPENSATION DECLARATION
ARNRfp: FAILURE TO eaCURE 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
09r OFEOMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
heresy affirm uprlej Penalty of perjury one of the following declarations:
1.1.F *e and wiNrriaiintain 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 the
pVQ rmance oGthe wprk for which this permit is issued. Policy No.
s71 have and PMI meintain 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' compensatiol
1Wgr1pe carrier end policy number are:
arriel: . Policy Number Expiration Date
pf Agent
If I
of
:rformance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and
subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
Date
CLARATION REGARDING CONSTRUCTION LENDING AGENCY
�reby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
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 o fiances and state laws relating to building construction.
1 authorize representatives of this city or county t ter the above -identified property for inspection purposes.
mature of Pronertv Owner or Authorized ADent _. Print Property Owner's or Authorized Agent's. Name
ACTION DATE Br DECLARATION OF I I REGULATIONS PA T0MPLIANCE WITH CODE OF 61 OF IIT E 40 AND QMD RULE AL I FOR OFFICE USE ONLY
PERMIT EXPIREDU SUBM ITTED ASBESTOS NOTIFICATION TO
PERMITCANCELLED I Ieg EPA
CERTIFICATE OF I�I f' I 9t// POSED SIGNATURE: EMOLITIONION IS NOTAPPLICABLE TO
OCCUPANCYISSUED I I .IAd
Date