HomeMy WebLinkAboutX2012-0689 - PermitsCity of Newport Beach
Building Division
PO Box 1768 Newport Beach, California 92658-8915 Permit Counter Telephone (949)644-3288
Combination Type - SFP/ ELEC/ PLUM/ I
Job Address: 2215 CLIFF OR NB
Description:REMODEL KITCHEN & (2) BATHROOMS
Inspector Area: 2
Owner: ABM INVESTMENTS LLC
Address: 19671 BEACH BLVD
HUNTINGTON BEACH CA 92648
Phone
Applicant: LEZAMA INC
Address: 571 N OLIVE STREET
ORANGE CA 92867
Phone: 714395-9579
Code Edit : 2010
Type of Construction: VB
Occupancy Group: R3/U
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:
Flood Zone:
Issued Date: 03/2912012
Legal Desc.: TR 919 LOT A NWLY 50 FT SELY 200 FT
Contractor: LEZAMA IN
Address: 57p1,c-#40 STREET
„""ORANGE CA 92867 -
~ L
d � s
Lic
Worker's
Ca.
3
Building
COMB Permit No: X2012-0689
PROJECT NUMBER:
Inspection RequestsFFelephone (949)644-3255
r-LJ
Arcfiitect y ? rZj
„u
C_-
Address r .r
V
957� Phone: State Lic:
Engineer
72
c3sf�`Qv r ,bti`'
Phone: State Lic:
lice -`` D'esignq:
NO EMPLO,YJ«ES'' ress
��Phone: s '9p"J3y.
4
Special CondiElons: 11i
\s
R-1
Fire Hazard Zone : N
Construction Valuation:
$30,000.00
Building Permit Fee:
$491.75
Solar Syster(f'P
;$O,QO
a _j2 Anning Department-
FW4art
Plan Check Fee:
$0.00
Excise Tax
-
'' $0 00 -tv`' Plan check Fee :
$0.00
F' - pection:
$0.00
Overtime Plan Ck:
$0.00 -
,� "• J -�°'
Fair She
0
Fire Plan Rev
$0.00
Investigation Fee:
$0.00
vans
Demolition Fee
Record Management:
$1.00
Grading Permit Fee: $0.00
/ In -lieu Housi a—
$0.00
Building Dept Adm
$0.00
Energy Compliance:
$0.00
Grading PC'.Fee:
$0.1[11,Q/
Public s Dope
nt-
General Service
$0.00
CA Seismic Safety:
$0.00
WQ Insp. Fee; .
_? . i$0:00
- ark QeZ'`3Cn :
$0.00 -
Refund Deposit
$0.00
Disabled Access :
$0.00,'-
/ „�p1F/V—Plan Check:
$0.00
Fee Increase: Fee:
$0.00
Electrical %
$34A2
>- "ySan Dist:
$0.00
Additional Fee :
$0.00
Mechanical °/d;
/` $Q.0.0'�
NMUSD Fee:
$0.00
-
$0. 0
Hazardous Mat :
$0.00
Plumbing %:
'"$ 9.18
$0.00
Building Green Fee :
$2.00
TOTAL FEE: $578.35
Plan Check Fee: $0.00
Fee Due at Permit Issuance :
$578.35
PROCESSED BY:
ZONING APPROVAL:
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
GRADING APPROVAL: `.`." _ _ APPROVAL TO ISSUE:
�PERI ITS EX-PIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION
6
INER-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 items)
ction 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
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
fessions 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
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,
:iness 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
rovements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -Builder wj(I,have the burden of proving that it was not built or
roved for the purpose of sale). '333333
I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: he Contractors' State License Law does not
ly to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Qontradtor'pursuant to the Contractors Stat License Law).
J 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 [mustY64 resided for at least one :,year -prior to completion of thsyR
ell a structure that I have built as an owner -builder if it has not been constrrycJed-,K1fs entirety by licensed confiactars 1'6nderstand that-a•copy tiitj)y. pp'1
professions Code, is available upon request when this applicatio2 st?tf'mitted or at the following Web site:http://www.leginfo,ca. "� oak ce1'awAV&
signature of Property Owner or Authorized Agent
.ICENSED CONTRACTOR'S DECLAR�TfSN ��d
hereby affirm under penalty.¢I:PeVrry that I am I' en a ;.r s of Chapter 9 (commehahg")Aith Section 7000� of DI ision 3 usiness and
nd effect. ^f
ioense Class - _ ns No en. `bated;.: y"'C//7 Contractor Signat
'ARNING. FAILURE TO SECURE'.N
DST OF COMPENSATION, DAMAf
hereby affirm under penalty
1 have and will maintain
erformance of the work for,
JI have and will maintain 1
isurance carrier and policy
arrier
FaMN of Agent
in the performai
become subject
Of
hereby affirm under pelfafty of perjure, t
Ender's Name `_
y my signature below, I certify to each;±.
I am the property owner or authorize
I have read this application and the
I agree to comply with all applicable
I authorize representatives of this cil
signature of Property Owner or Authoriz
CT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED
AND ATTORNEV'SRUE --
law, Section 7044 of the Business and
Date
and my ligense is in full force
DOLLARS ($100,000), IN ADDITION TO THE
to self -insure for _waFkecs: cbmpensaflpn'Jjb the�oirector of Industrial Relations as provided for by *ction 3700 of the Labor Code, for
iti n ms6ra6oe as reduired},? SeQi 900 of the Labor Code, for the performance of t w�N fbr'5Adp his perm i� is issued. My workers' compen
Policy Numfier ^ $°° a ' °c E- attii�o Dat
SsSS pi'
for which this permit is issued, I, hp, nojmploy any p ., any4 rp�gqey Fy a�'tAecome subject to the workers sation laws of California, and
compensation provisions oASEp> iaF= O Vf the Labor Code, I shall \ rtMvith comply with those provisions. > i
the following: `
to act on the property
'ormation_I,have provic
for the performance of the which this
Lender's Addr _
correct.
Id state a tting�tgb mg construction.
F�dentified,p I y for inspection purposes. _
Print Property Owner's or Authorized Agent's Name Date ^ Z
ACTION
DATia'
BY
DECLARATION OF COMPLIANCE WITH CODE OF
FORDIRCFUSEONLY
FEDERAL REGULATIONS,PAPT.61QF 7IT"4044D •
AQMDRULE1403 • e
❑ 1 SUBMTTTEDASBEST, S M02IFIGAWN TO . .
❑ EPA • e • ® e • • • • •
❑ AQMD
❑ ASBESTOS NORFICATIONIS NOT APPLICABLE TO
PROPOSED DEMOLITION • e ... e s •
e s e
e
. .
• • ^
s '
PERMITEXPIRED
`1
lie
�PERMITCANCELLED
PERMITEXTENDED
PERMIT FINAL
CERTIF/CATEOF
SIGMATiR?E:
OCCUFANCYISSUED
0