HomeMy WebLinkAboutX2021-1792 - Permits�t9r' City of Newport Beach - Building Division
,z 100 Civic Center Drive, Newport Beach, CA 92660
'Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255
i�+tsra,• Combination Type - SFP EkEC MECH PLUM GRAD
*X2021-1792*
COMB Permit: X2021-1792
Project No: 1539-2021
Issued Date : 01103/2022
Inspection Area : 3
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST SE COMPLETED BY 0110312025 OR PERMIT WILL BE 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
Job Address: 1712 IRVINE AVE NB
Description: SFR REMODEL 504 SF & ADD 305 SF, YARD DRAINAGE
Legal Desc.: N TR 3082 LOT 9
Owner:
BOCIAN HILLEL
Address:
1712 IRVINE AVE
NEWPORT BEACH, CA 92660
Phone:
Applicant:
HURTAOLO ALEX
Address:
6305 GLASSELL STREET
ORANGE, CA 92866
Phone:
714-289-4652
Code Edit : 2019
Type of Construction: V-B
Occupancy Group: R3/U
Added /New sq.ft. Bldg: 305
Added /New sq. ft. Garage: 0
No of Stories: 1
No of Units : 1
Bldg Height: 0
Bldg Sprinklers: N
Flood Zone: X
Construction
Building Permit Fee: $2,019.00
Plan Check Fee: $1,581.17
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management:
$42.00
Energy Compliance:
$65.91
CA Seismic Safety:
$12.24
Disabled Access :
$0.00
Hazardous Mat
$0.00
Building Green Fee:
$4.00
TOTAL FEE: $5,838.87
PROCESSED BY:
ZONING APPROVAL:
Contractor:
RELLION INC
Address:
16560 HARBOR BLVD # 1
FOUNTAIN VALLEY CA 92708
Phone:
949-209-9896
Con State Lic:
996937
Lic Expire:
09/30/2022
Bus Lic:
BT30063850
Lic Exp Date:
01/31/2022
Worker's Compensation Insurance
Carrier: STATE COMP INS
Policy No: 9126644
Expire:
Building Setbacks
Excise Tax:
Additional Fee
Grading Bonds Fee:
Grading PC Consultant
Grading Permit Fee:
Grading PC Fee:
WQ Insp. Fee:
Electrical %,
Mechanical %:
Plumbing %:
03/06/2022
Rear: 6
Front: 20
Left: 6
Right: 6
$0.00
$0.00
$0.00
$0.00
$237.00
$199.00
$0.00
$141.33
$80.76
$181.71
Architect:
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Address:
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Phone:
State Lic:
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Engineer:
AFSHAR HOOSHANG
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Address:
17 COROZAL
° ° • •
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FOOTHILL RANCH CA 92610
....
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Phone:
9494134382 State Lic:C-061157
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Designer:
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Address:
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Phone:
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Special Conditions:
Fire Hazard
Planning Department -
Plan check Fee
Fair Share
SJH Trans
In -lieu Housing Fee:
Public Works Department -
Park Dedication: $0.00
PNV Plan Check : $60.75
San Dist: $1,016.00
NMUSD Fee: $0.00
Fire Department
$208.00
Fire Inspection:
$0.00
Fire Plan Rev
$0.00
Demolition Fee
$0.00
Building Dept Adm
General Service
Refund Deposit
Grading Bond:
Plan Check Fee : $1,905.38 Fee Due at Permit Issuance
PUBLIC WORKS APPROVAL: \�/
PLAN CHECK BY:
GRADING APPROVAL: APPROVAL TO ISSUE:
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$3,933.49
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that 1 am exempt from the Contractors' State License Law for the masen(s) indicated below by the checkmark(s) I have placed ned to the applicable-ttem(s)
coon 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any stiuctute.-pfor to its issuance, also mgrrrrese aRLcant for
permit to fide a signed statement that he or she Is licensed pursuant to the provisions of die Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and
Cessions Code) or that he or she is exempt from Bcensure 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
mom than five hundred dollars ($500).
1, 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 70".
mess and Professions Code: The Contractors State license law does not apply to an owner of property who, lhrix gh employees' or personal effort, builds or improves the property, provided that the
rovements are not intended or offered for sate. If, however, the bulldmg 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
ly to an Vwiser 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 eftrggtJiOm Iicensure under the Contractors State License Law for the following reason:
ny slgnature bb�low 1 acknowledge that, except for my personal residence In which I must have melded for at least one year prior to completion of the improvements covered by this pemdt, I cannot legal
a strectilre the:1 have built as an owner -builder If it has not been constructed In its entirely by licensed contractors. k' understand that a copy of the applicable haw, Section 7044 of the Business and
iessions Code,4s aveflabie upon request when this application is submitted or at the following Web site:http*wwwr.I ' info.cagov/dalaw.hhnl.
nature of Properly Owner or Authorized Agent Dale
ty of perjury that 1 am licensed under provisions of Chapter 9 (commencing with
License No
3 of the Business and Proton Code,
force
NO: FAILURE TO SECURE WORMSM COMPENSATIONCOVERAGE is UNLAWFUL, AND $HALL SUBJECT AN EBPLOYER TO CRIMINAL PENALTIES AND CIVIL Fares UP TO ONE HUNDRED THOUSAND DOLLARS (5150,0I5), m ADDRION TO THE
•• COST OF COMPERSAmON, DANAGraSASPROVIDED FORIN SEenON3M OFTHE LABORCODE, INTEREST. AND ATTORNEYS FEES.
V liieieby affirm undq penalty of perjury one of the following declarations:
have arftrwill'maintain a certificate of consent to se"sum for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for the
mtance sf the?mrk ferwhich this permit Is issued Pofccy No_
I have ar; 'O; maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. W workers' compensako
n OF
ce carrier and policy numbeir ate:
vier Policy Number Expkra ion Data
Name of Agent Phone #
ertffy that, in the performance of the work for which this pert is issued, I shag not employ any person in any
ff I should beoomssybject to the workers'.compensation provisions of Section 3700 of the Labor Code, I shall
ireby affirm under penalty of perjury that there Is a construction tending agency for the performance of the work for col
uws Name Lende'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 1 have provided is corers.
I agree to complywith all applicable city and county ordinances and state laws relating to building construction
I authorize representatives of this city or cour&jb enter the a �1opjderVMdAWerty for inspection purposes.
F77
CERTIRC4TE OF
OCCUPANCYISSUED
AQMD RULE
ISNOTAPPUCABLE TO
o as to become subject to the wodmrs compensation laws of California, and agrei
comply with those provisions.
Date r l 0 3 ram_
this permit is issued (Section 3097. Civil Code).