HomeMy WebLinkAboutX2021-2734 - Permits;�, City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2021-2734
100 Civic Center Drive, Newport Beach, CA 92660 x 2 0 2 1 2 7 3 4 Project No : 0959-2021
w Permit Counter Phone (949)644-3288
s r°r 4 Inspection Requests Phone (949)644-3255
"�`z,isv,r'°c> Combination Type - SFP Issued Date : 10/07/2021
9 Inspection Area : 3
Job Address
Description:
Legal Desc.:
Owner:
Address:
Phone:
Applicant:
Address:
Phone
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 1010712024 OR PERMIT WILL SE 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
2411 ORCHID HILL PL NB
SFR REMOVEIREPLACE (E) 8 SQ OF B.U.R, CLASS'B'MIN.
N TR 6407 LOT 9
HEIMALL BLAKE
2411 ORCHID HILL PL
NEWPORT BEACH, CA 92660
949-244-5475
TAYLOR ROB
42518TH STREET
HUNTINGTON BEACH CA 92648
714-580-6137
Code Edit : 2019
Type of Construction: VB
Occupancy Group: R3/U
Added /New sq.ft. Bldg: 0
Added /New sq. ft. Garage: 0
No of Stories: 1
No of Units : 1
Bldg Height: 0
Bldg Sprinklers:
Construction Valuation:
Building Permit Fee: $351.00
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
Hazardous Mat
$0.00
Building Green Fee:
$1.00
TOTAL FEE: $352.00
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Contractor: ORANGE COUNTY ROOFING Architect:
Address:
425 18TH ST
Address:
g3
W
HUNTINGTON
BEACH CA 92648
Phone:
949.548.0680
Phone:
State Lic:
Can State Lic:
784622
Engineer:
1
Lic Expire:
09130/2022
Address:
Bus Lic:
BT30076858
Lic Exp Date:
10/31/2022
Phone:
State Lic:
.�
Workers Compensation Insurance
Designer:
Carrier:
Policy No:
STATE FUND
9074951
Address:
Expire:
10/05/2022
Phone:
Building Setbacks
Rear: /
Special Conditions:
Front: I
Left: /
Right: /
Use Zone: Parking Spaces:
0
Fire Hazard Zone : N
Excise Tax:
$0.00
Planning Department -
Fire Department
Additional Fee :
$0.00
Plan check Fee :
$0.00
Fire Inspection:
$0.00
Grading Bonds Fee:
$0.00
Fair Share :
$0.00
Fire Plan Rev
$0.00
Grading PC Consultant:
$0.00
SJH Trans :
$0.00
Demolition Fee
Grading Permit Fee:
$0.00
In -lieu Housing Fee:
$0.00
Building Dept Adm
$0.00
Grading PC Fee:
$0.00
Public Works Department -
General Service
$0.00
WQ Insp. Fee:
$0.00
Park Dedication :
$0.00
Refund Deposit
$0.00
PAN Plan Check,
$0.00
Grading Bond:
$0.00
Electrical %:
$0.00
San Dist :
$0.00
Mechanical %:
$0.00
NMUSD Fee:
$0.00
$0.00
Plumbing %:
$0.00
$0.00
Plan Check Fee
$0.00 Fee Due at Permit Issuance: $352.00
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y.�O yao 0 Oq0 04•
PJBLICWONKSAPPROVAL: a
L F 4 p pp
PLAN CHECK BY`:' ` c
10PRCOVAL 70 ISSUE:
OWNER -BUILDER
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 f311siness and
'rofessions 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).
I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or L) 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 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 one year prior to completion of the improvements covered by this permit, I cannot legall)
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 0) of Divisi n 3 of the Business and Pr fe 'o p(, a r�lice se is in full force
nd effect. License Class License No Date Contractor Signat `
CORKERS' COMPENSATION DECLARATION
DARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS 00,000), IN ADDITION TO THE
DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the following declarations:
I 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 th
eyformance of the work for which this permit is issued. Policy No.
have and will Igr�t�ain 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'
rance carrier an oXv number a4A l A .-.
is of Agent
certify that, in the pi
if I should become
Date
the work f r 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
wars' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. t
nature of Applican
CLARATION REGA(RI>I?iIGCdNSTR1JCT N LENDING AGENCY
Ireby affirm under penalty of perjury that t ere is a construction lending agency for the performance of the work for which this permit is issued (Section 3097
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 prdinances and state laws relating to building construction.
I authorize representatives of this city or county o nter a e-1 d roperty for inspection purposes.
nature of Property Owner or Authorized Agent �f � _ Print Property Owner's or Authorized Agent's Name
ACTION
DATE I BY
PERMIT EXPIRED
PERMITCANCELLED
PERMITEXTENDED
PERMITFINAL
CERTIFICATE OF
OCCUPANCYISSUED
LARATION OF COMP 4NCE WITH CODE OF FEDERAL
RE TIONS PART 61 ,',7F TITLE 40 AND AQMD RULE
1403 .4 a
1 %AA- PE ASBESTOS I TIFICATiOr TO
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ASBESTOS NOTIFICATION IS OTAPPLICABLf TO
PROPOSED D MO,(ITI Po
SIGNATUR ••• •• $${{��• •
FOR OFFICE USE ONLY
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