HomeMy WebLinkAboutX2019-3816 - PermitsCity of Newport Beach - Building Division
100 Civic Center Drive; Newport Beach, CA 92660
(91
Permit Counter Phone (949)644-3288
Inspection Requests Phone(949)644-3255
Combination Type - MFP GRAD MECH ELEC PLUM
COMB Permit: X2019-381
x 2 0 1 9 3 e 1 6 Project No: 2623-2019
Issued Date: 0311012020
Inspection Area : 5
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY OR PERMIT WILL BE INVALID
Construction Hours: Monday - Friday 7:00 a.m. to 6:30 p.m. and Saturday from 8:00 a. In. to 6:00 p.m. No work on Sundays or Holidays
Job Address: 217 ORCHID AVE NB
Description: SFR ADD
Legal 109 SF, REMOVE
MBILK 141LOT 13 HABITABLE 114
E SF &REMODEL 2000 SF, REPLACE WINDOWS&DOORS, RE -ROOF, DRAINAGE
sc.: RESUB OFCORONA DEL AR NO CONSTP 1r-r
Owner:
ZILKER INVESTORS LLC
Address:
2618 MARIA ANNA RD
ALSTON TX 78703
Phone:
Applicant:
BLAKEMORE MICHAEL
Address:
PO BOX 4563
LAGUNA BEACH CA 92652
Phone:
949-376-4319
Code Edit:
2016
Type of Construction:
V-B-SPR
Occupancy Group:
R3/U
Added /New sq.ft. Bldg:
109
Added /New sq. ft. Garage: 0
No of Stories:
2
No of Units :
4
Bldg Height:
0
Bldg Sprinklers:
N
Flnnd 7one:
X
Building Permit Fee: $2,462.00
Plan Check Fee: $2,066.86
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management:
$96.00
Energy Compliance:
$175.00
CA Seismic Safety:
$32.50
Disabled Access :
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$10.00
TOTAL FEE: $7,860.26
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Contractor:
CLEAR VIEW BUILDERS
Address:
2033 E 3RD ST 1J
LONG BEACH CA 90814
Phone:
310-956-5965
Con State Lie:
899333
Lie Expire:
06/30/2021
Bus Lie:
BT30066872
Lie Exp Date:
01131/2021
Worker's Compensation Insurance
Carrier: STATE COMP INS FUND
Policy No: 9255232
Expire: 06/06/2020
Building Setbacks
Excise Tax:
Additional Fee
Grading Bonds Fee:
Grading PC Consultant
Grading Permit Fee:
Grading PC Fee:
WQ Insp. Fee:
Electrical W
Mechanical %:
Plumbing %:
Rear: 5
Front: 20
Left: 3
Right: 3
'arking Spacr
$0.00
$0.00
$0.00
$0.00
$312.00
$312.00
$0.00
$172.34
$98.48
$221.58
0
Architect:
Address:
Phone:
State Lie: ON
1 S ^ tU' f
Engineer:
/�
AHMADI MANSOUR
Address:
32262 VIA DEL SOL •_
TRABUCO CANYON CA 92679
Phone:
949-716-9990 State Lic:C-076370 "
Designer:
o
Address:
'
��p`
Phone:
Special Conditions: HIGH DENSITY "
WASTE MANAGMENT TO HAUL
Planning Department -
Plan check Fee
Fair Shan::
SJH Trans:
In -lieu Housing Fee:
Public Works Department -
Park Dedication : $0.00
PAN Plan Check: $82.50
San Dist: $874.00
NMUSD Fee: $0.00
Fire Department
$160.00
Fire Inspection:
$0.00
$0.00
Fire Plan Rev
$0.00
$0.00
Demolition Fee
$0.00
Building Dept Adm
$24.00
General Service
$197.00
Refund Deposit
$564.00
Grading Bond:
$0.00
$0.00
$0.00
Plan Check Fee : $2,678.01 Fee Due at Permit Issuance : $5,182.25
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
APPROVAL TO ISSUE:
NOISE
OWNER -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 item(s)
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 oft" 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).
1, 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,
;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 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 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).
J I am exempt Iruro Iire nsure under the Contractors' State License Law for the following reason:
y my signature Lc;cv. 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 thi
='1 a s".rJcture 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
rofessiuns Cooe, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html.
ignature of Property Owner or Authorized Agent Date
ICENSED CONTRACTOR'S DECLARATION
hereby affirm cd,or penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7 of ivision 3 of the Business and Profes IS, an my
nd effect. License Class License No Date 2pi Contractor Signature
ICRXERS' COMPENSATION DECLARATION
and
license is in full force
'F QV'Nr: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMIKAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
DST OF COMPENSAT.ON, DAMAGES AS PROVIDED FOR IN SECTION 0706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES.
he.ebyaffrm un.ier piaaalty of perjury one of the following declarations:
f hive 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
�etrf,nrrp5nce of th-a'work for which this permit is issued. Policy No.
ill have and will 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. My workers' compensatiol
Is ante carrier and policy number are:
Policy Number
of Agent
Date
JI certify that, in the perfor nce of the work forwhich 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 agre
iat, if I should become subj ct t0 the wor ompensation provisions of 3700 of the Labor Code, I shall forthwith comply with those provisions./7,Civil
signature of Applicant - Gzo
IECLARATION REGAR NG N LENDING AGENCY
hereby afFrm under pe Ity of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3 Code).
ender's Name Lender's Address
ly 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 count ordinances and state laws relating to building construction. )
I authorize representatives of this city or county to/enter the ab e-identified property for inspection purposes.
PERMITCANCELLED
PERMIT EXTENDED
PERMIT FINAL
CERTIFICATEOF
OCCUPANCYISSUED
DATE BY / CL. KATI04eF"C6MPUANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
IyATIONS PART 61 OF TITLE 40 AND AQMD RULE
I SUBMITTED ASBESTOS NOTIFICATION TO
IS NOTAPPLICABLE TO
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