HomeMy WebLinkAboutX2017-3726 - PermitsCity of Newport Beach - Building Division IIIIIIIIIIIIIIII IIIIIII IIIIIIIIIIIIIIIII COMB Permit: X2017-3726
100 Civic Center Drive, Newport Beach, CA 926602 Pro ect No: 2602-2017
Permit Counter Phone (949)644-3288 FIRE t¢A,W 7 1 )
' Inspection Requests Phone (949)644-3255 C f
Combination Type - MFP GRAD ELEC MECH PLUM 'REOURED Issued Date : 0 611 812 01 8
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 Holidays
Job Address: 423 ORCHID AVE NB
NEW
Description: NEW DUPLEX 2923 SF GARAGE 420 SF T;.
Legal Desc.: CORONA DEL MAR BLK 441 LOT 15 eh L' fp
Owner: MANSOURIAN NOZARISANEI NEDA Contractor: ARMIN CORP Architect: TEALE MARK -
Address: 423 ORCHID AVE Address: 3943 IRVINE BLVD #22 Address: 2900 BRISTOL ST BLDG A203
NEWPORT BEACH CA 92625 IRVINE CA 92602 COSTA MESA CA 92626
Phone: Phone: 714.595-7673 Phone: 949-975-0123 State Lic:CO22162
Applicant: TEALE MARKIDEMI Con State Lie: 826987 Engineer: HAKIM FADY
Address: 2900 BRISTOL ST BLDG A203 Lie Expire: 1 113 012 01 9 Address: 124 PEONY -
COSTA MESA CA 92626 Bus Lie: BT30055974 IRVINE CA 92618
Phone: 949-975.0123 Lie Exp Date: 07/31/2018 Phone: 310422-1536 State Lic:C-075736
o°
Code Edit: 2016 Worker's Compensation Insurance .;o,y„er °0000
Type of Construction: V -B -SPR Carriers WC EXEMPT Address: o ° ° ° o ° • ° o
Occupancy Group: R31U Policy No: NO EMPLOYEES_
Added /New sq.ft. Bldg: 2923 Expire: Phone: ° ° ° ° ° °
Added /New sq. ft. Garage: 420 _ ° • ° °
No of Stories: 3 Building Setbacks Rear: 5 Special Conditions: ° ° o ° • • °
No of Units : 2 Front: 20 ° • • • °
Bldg Height: 29 Left: 3
Bldg Sprinklers: Y Right: 3
Flood Zone: X Use Zone: R-2 Parking Spaces, 4 Fire Hazard Zone : N °
Construction Valuation: $650.000.00
°•°°°° °
Building Permit Fee: $4,563.00 Excise Tax: $702.03 Planning Department - Fire Department ®° ° • o ° ° ° °;"
Plan Check Fee: $2,903.00 Additional Fee : $276.00 Plan check Fee: $0.00 Fire Inspection: °.$.0:0.0• ° ° ° °
Overtime Plan Ck: $0.00 Grading Bonds Fee: $0.00 Fair Share : $0.00 Fire Plan Rev $0.00
Investigation Fee: $0.00 Grading PC Consultant: $0.00 SJH Trans : $0.00 Demolition Fee
Record Management: $64.00 Grading Permit Fee: $840.00 In -lieu Housing Fee: $0.00 Building Dept Adm $0.00
Energy Compliance: $268.00 Grading PC Fee: $730.80 Public Works Department- General Service $0.00
CA Seismic Safety: $84.50 WQ Insp. Fee: $106.00 Park Dedication : $0.00 Refund Deposit $0.00
Disabled Access : $0.00 PAN Plan Check: $456.00 Grading Bond: $0.00
Hazardous Mat $0.00 Electrical %: $638.82 San Dist: $2,269.00
Building Green Fee: $26.00 Mechanical %: $501.93 NMUSD Fee: $1,963.28 $0.00
Plumbing %: $410.67 $0.00
TOTAL FEE : $17,196.03 Plan Check Fee: $3,178.00 Fee Due at Permit Issuance : $14,018.03
PROCESSED BY: PUBLIC WORKS APPROVAL:
5
ZONING APPROVAL: PLAN CHECK BY:
GRADING APPROVAL: APPROVAL TO ISSUE:
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from thet e LO ` " Ckaof e t n(s) indicated below by the checkmark(s) I have placed next to the applicable item(s)
(Section 7031.5, Business and Professions Code: Any city or county tI W4tonik[$riC ove, 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 pisip - rs' 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 yiy violation of Section 7031.5 by any applicant for a permit 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 L) all of or U 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 thepurpose of sale).
--- 1, 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. alicensed Contractor pursuant to the. Contractors' State License Law)..
❑ I 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.htmi.
Signature of Property Owner or Authorized Agent Date
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjunr that I am licensed under provisions of Chapter 9 (commencing with Sto tion 7000) of Division 3 of the usiness and Professions ode, and my license is in full force
and effect. License Class License No t Uhrt�e @ it 11, / r _Q� o tra or Signature 14 4
WORKERS' COMPENSATION D CLARATION
WARNING: FAILURDTO SECMRE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THO SAND DOLLARS ($100,000), IN ADDITION TO THE
COST OF g,OMPENSAiIbA,�OAMAGES AS PROVIDED FOR IN SECTION 3705 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
1221@fAo1.ffirm gnttel•r1e•nalty of perjury one of the following declarations:
a 1 have 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 thl
r o ince of the work for which this permit is issued. Policy No.
w11P1h91hfain 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 ho'CA
e carrier and Qolicy number are:
• •
Darner • • • Policy Number Expiration Date
Agent
ZceRlly that, iNthe performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject
at, if I thould BdIrbMb•_a fact to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those proal
areby 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
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 represents this city or county to a r the above -identified property for inspection purposes.
nature of Prooertv Ow uthorized Acent 1 �.�f\ _ Print Prooertv Owner's or Authorized Aaent' Nal a
ACTION DATE BY PARTION OF O 1 O TIITLE 40 AND RULE CE WITH CODE OF AL FOR OFFICE USE ONLY
I REGULATIONS
PERMIT EXPIRED I _ UISUBMITTED ASBESTOS NOTIFICATION TO
PERMITCANCELLED I
CERTIION IS NOT APPLICABLE TO
FICATE OF a/�� p� SIGNATURE:
EMOLITION
OCCUPANCY ISSUED 1
compensation laws of California, and
Civil Code).
9.