HomeMy WebLinkAboutX2017-3580 - Permits,yq$.W1�r 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
c°�4rpe,> Combination Type - SFP GRAD ELEC PLUM
COMB Permit: X2017-3580
x 2 0 1 7 3 5 8 0 Project No: 2491-2017
Issued Date: 11/07/2017
Inspection Area : 5
Job Address:
Description:
Legal Desc.:
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
515 ORCHID AVE NB - y
SFR -ADD ENTRY OVERHEAD STRUCTURE 20 SF, DRAINAGE, GAS R ELEC TO BBQ/FIREPIT/FOUNTAIN
CORONA DEL MAR BILK
K 541 LOT 15
i
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Owner:
Address:
Phone:
VOREYER CATHERINE A Contractor: ROBERTS MICHAEL CONSTRUCTIONArchitect:
515 ORCHID AVE Address: 6 CALLE ALIMAR Address:
CORONA DEL MAR CA 92625 RANCHO SANTA MARG CA 92688
949-933-0942 Phone: 949-858-7540 Phone: State Lic:
Phone:
949-858-7540
Applicant:
VOREYER MICHAEL
Address:
6 CALLE ALIMAR
Record Management:
RANCHO SANTA MARG CA 92688
Phone:
949-858-7540
Code Edit: 2016
Type of Construction: VB
Occupancy Group: R31U
Added /New sq.ft. Bldg: 0
Added /New sq. ft. Garage: 0
No of Stories: 2
No of Units : 1
Bldg Height: 0
Bldg Sprinklers: -
Construction
Building Permit Fee: $127.00
Plan Check Fee: $110.49
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management:
$10.00
Energy Compliance:
$0.00
CA Seismic Safety :
$0.00
Disabled Access:
$0.00
Hazardous Mat
$0.OD
Building Green Fee :
$ ,00
TOTAL IgE: $599.31
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Con State Lic:
681116
Lic Expire: -
1113012017
Bus Lic
BT30052633
Lic Exp Date:
01/31/2018
Worker's Compensation Insurance
Carrier: BENCHMARK INS CO
Policy No: CST5009619
Expire: 01/24/2018
Building Setbacks
Use
Excise Tax:
Additional Fee
Grading Bonds Fee:
Grading PC Consultant
Grading Permit Fee:
Grading PC Fee:
WQ Insp. Fee:
Rear: /
Front: I
Left: I
Right: /
Parkinc Spaces
$0.00
$0.00
$0.00
$0.00
$293.00
$0.00
$0.00
$8.89
$0.00
$11.43
Plan Check Fee
0
Engineer: WELSH STEPHANIE
°
Plan check Fee:
Address: 12722 BARRETT LN
Fair Share
$0.00
SANTA ANA CA 92705
Fire Plan Rev
In -lieu Housing Fee:
Phone: 714.352-6297 State Lic:S-002998 m o e o: m
m
.....
c
Designer:
$0.00
PAN Plan Check:
Address:
momo
oa o
NMUSD Fee:
+ a
o e
Phone:
anme
o o u
°° a
$0.00
mom
$0.00
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ommom
Special Conditions:
a
V
$599.31
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oommco
m
Fire Hazard Zone: N
ca�mom
0
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Planning Department -
Fire Department
Plan check Fee:
$37.50
Fair Share
$0.00
SJH Trans
Fire Plan Rev
In -lieu Housing Fee:
$0.00
Public Works Department -
Park Dedication :
$0.00
PAN Plan Check:
$0.00
San Dist:
$0.00
NMUSD Fee:
$0.00
$0.00 Fee
PUBLIC WORK PPR
PLAN CHECK Y:
APPROVAL TO ISSUE:
Fire Department
$37.50
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
D
suance :
$599.31
OVAL:
UWNtK-BUILUCR uo� I rvry
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
the 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 dermit subjects the applicant to a civil penalty of
not 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 (_) portions of the work, and the structure is not intended or offered for sale (Section 7044,
Business 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
improvements 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
improved 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
apply 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).
❑ 1 am exempt from licensure under the Contractors' State License Law for the following reason:
By 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
sell 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
Professions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. Date
Signature of Property Owner or Authorized Agent
LICENSED COK,TRAGTOR'S DECLARATION
I hereby affirm ur%? P81alty of er.ury that I am licensed under provisions pof Chapter 9 (commencing with Section 7 f D ision 3 of the Business and Professions AancL licen a is n full force
ai1d.%f(ecg License Class License No b .Cf /I I _ Date Contractor Sig t
ure
WORKERS' COINPL'IQ8 ON DECLARATION
W04VG?FAILURE TO S$ECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMIN PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
CGST OFCOMPENSATIdFJ, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
I hereby affirm unTe? pgrtalty of perjury one of the following declarations:
s •.•
6e and v(III nlalrLtain 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, or I
m ce of t _e work for which this permit is issued. Policy No.
'v% nd will rr ,main 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' compensatior
n:C �h carrier al d policy number are:
er ""• • Policy Number Expiration Date
A181 L%gent
. .
certify that, iii4e performance 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
. if I should become subkct to the yvorkgrs' c"peryfation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
nature of Applicant
CLARATION REG DING CONSTR CTION LENDING AGENCY
Ireby affirm under nalty 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 ordinances and state laws relating to building construction.
I authorize representatives of this city or cou r the aboye�id�nt'IfI d rope y for inspection purposes.
nature of Prooertv Owner or Authorized Agent �✓%*•/ Print Property Owners or Authorized Agent's Nam
ACTION
PERMIT EXPIRED
PERMIT CANCELLED
CERTIFICATE OF
OCCUPANCYISSUED
DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
1403
-� I cI IRnnITTFn ASRFiTOS NOTIFICATION TO
❑ASBESTOS NOTIFICATION IS NOTAPPLICABLE TO
573o I I 411& PROPOSED DEMOLITION
laws of California, and
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