HomeMy WebLinkAboutX2021-2039 - Permitsgt.., City of Newport Beach - Building Division
o .fie 100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255
:rt,pgi3n� Combination Type- MIFF ELEC MECH PLUM
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID
Construction Hours: Monday- Friday 7:00 a.m. to
Job Address: 611 ORCHID AVE NB
Description: MFR KITCHEN REMODEL 280 SF
Legal Desc.: CORONA DEL MAR LOT 11 BLK 641(AND NELY1/2 LOT K 64%
Owner: LANGFORD PHILLIP B C actor: J P
Address: 611 ORCHID AVE dress: 341
CORONA DEL MAR, CA 92625 NE
Phone:
Applicant: PALMEQ—JIM
Address: 3419 VIA LIDO #233
NEWPORT BEACH, CA 92663
Phone: 714-337-3700 ,
Code Edit :
Type of Construction:
Occupancy Group:
Added /New sq.ft. Bldg:
Added /New sq. ft. Gare
No of Stories:
No of Units 00
Bldg Height:
Bldg Sprinklers:
Flood Zone: Z
Construction Valua
2019
V-B
000
0
IQ p
Building Permit Fee:.
467.0`
Plan Check Fee: $4962
Overtime Plan Ck:
00
Investigation Fee:
{>,.�$0.
Record Management
1, 1¢.0
Energy Compliance:11,10
CA Seismic Safety
Disabled Access :
$0.06
Hazardous Mat
$0.00
Building Green Fee :
$1.00
TOTAL FEE: $1
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
*X2
O�
tic:
6ol 206pire
Xtate
05/3112023
c
BT3004667�,.p
Date.
07131/2022
Worker's Compensation
Insurance '-
�--' Carrier.
WC EXEMPT`''
Policy No:
(NO EMPLOYEES)
Expire:
Building Setbacks;' *ar: /
Front I
CIO Left: /
Right /
Exci 4!dd!t' Fee : ding BondsFee:
ing PC Cons ii`�0
rading Permi �r�t$'0.00
Grading Iii 5 $0.00
WO Insp. i'� $0.00
o: � 69
$18.68
Plumbino %: $4'j 3
An
t
I S MUST COMI
from 8:00 a.m. to
�• Architect:
Address:
CA 92663
Phone:
Engine ` EN EMILY
Ad es 22629 LAKES
a\ LAKE FORE£
310-617-90
es
G A ss:
Phone:
Spa Cogal
COMB Permit: X2021-2039
Project No : 1772-2021
Issued Date : 08103/2021
Inspection Area &
4 OR PERMIT WILL BE INV,
on Sundays or Holidays
7-073319
:es: 0 S' Fj9 Hafard Zone: N
S
Planni Depa a
Fire Department
P in check ee$52.00
Fire Inspection:
$0.00
air Sh $0.00
Fire Plan Rev
$0.00
SJH an $0.00
Demolition Fee
I eu using Fee : $0.00
Building Dept Adm
$0.00
P li orks Department -
General Service
$0.00
rk Dedication : $0.00
Refund Deposit
$0.00
AN Plan Check: $0.00
Grading Bond:
$0.00
San Dist: $0.00
NMUSD Fee: $0.00
$0.00
$0.00
k Fee : $0.00 Fee Due at Permit Issuance :
$1,033.69
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
APPROVAL TO ISSUE:
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reasons) indicate ow by the <
ction 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, de , or repair any
permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State Licen aw (Chapter 9 (cor
fessions Code) or that he or she is exempt from licensure and the basis for the alleged exemption. Any violation ection 7031.5 by ay
a
more than five hundred dollars ($500). 11N'
I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or I
ainess and Professions Code: The Contractors' State License Law does not apply to an Per of pro y wh
)rovements are not intended or offered for sale. If, however, the building or improvement is sold in Gne y)
)roved for the purpose of sale). �y
I, as owner of the property, am exclusively contracting with licensed Contractors to co ct the projadt Se
)ly to an owner of property who builds or improves thereon, and who contracts for th ojects with a licensed
I am exempt from licensure under the Contractors' State License Law for the f wing reason
my signature below I acknowledge that, except for my personal residence i ich I must a resided for at
a structure that I have built as an owner -builder if it has not been cons ad in its ant y by licensed contr
�fessions Cuoe, �s available upon request when this application is s Itted or at th allowing+Web site: http,
nature of Froperty Owner or Authorized Agent
'FNSED CCNTRACTOR'S DECLARATION
or
) 1 have placed next to the applicable item(s)
d0F to its issuance, also requires the applicant for
'itff,S, ection 7000) of Division 3 of the Business and
a p .jnit subjects the applicant to a civil penalty of
will have
id Professions Code: The
the Contractors' State Lic
EAyyear prior to completion of the
understand that a copy of the al
hereby affirm urdar penalty of perjury that am licensed Fr provisy n Chapter 9 (commencing with Sectio 7 0 f iss++44n 3 of the Bu
nd effect. License Class License N Date r — Contr
WGRKERS' CCLIPENSATION [
NAR ING. FAILhPS TO SECURE WORKERS'
COST OF COMPENSATION, DAMAGES AS PR
hereby affirm ur der penalty of perju
nave and H II maintain a c'Wric
)).ante of the work for WhC this
av�
have and w• I maI dair*�,k ' c
,a roe carrier and policy r6p{g tld r
that, in the pl
ould become
RATI �}
n
JS COVERAGE NLAWF�I L, AND sHALL.SU6J ECT AN EMPLOYER TO CRIMIPd NALTIES AND CIVIL FII�E9U�T
IN SECTION 3 OF THE R CODE, INTEREST AND ATTORNEY'S
of the folio g declarations
p4D nt to self -insure for workers compensation issued by the Director of du l RedFyis as
issued. Policy No. _ -.0
Q
nsatipn insurance, as required by Section 3700 ofihe Labor Code, the orm�l�ue of the war
Policy Number E ax tin
n re of Applicant
ARATION Tbe4l'certify
I R (O 1
;reby affirm uof perjury that.. ;ie
Ider's Name `R
my signature to each of the V,
I am the property owner or authorized to act
I have read this application and the information
I agree to comply with all applicable city and col
I authorize representatives of this city or county
nature of Property Owner or Authorized ADent
ACTION
DATE I BY
1403
PERMITCANCELLED EPA
PERMIT EXTENDED AQp
PERMIT FINAL A58ES1
CERTIFICATE OF PR El
OCCUPANCY ISSUED crow An -m
is 11
ad, I shall not employ any jJgr�on in any manner so
ions f Section 3700 of the LaIWCode, I shall forthwith.e
for
ate laws relatin o building cbn�Wction.
ntified prop y for inspection }Surposes.
Il Property Owner's or Authorized Ag
I. PLIANCE W CgDE OF FEDERAL FOR OFFICE USE ONLY
61 OF TIT 40,Q,NT)AQMD RULE
APPLICABLE TO
or offered for sale (Section 7044,
proves the property, provided that the
den of proving that it was not built or
State License Law does not
Pants erechpy this permit, I cannot
law, Sec 70* of the Business and
is in full force
ADDITION TO THE
of the Labor Code, for
is issued. My workers'
the workers' compensation laws of California, and
ns.
is issued (Section 3097, Civil Code).