HomeMy WebLinkAboutX2021-1882 - PermitsCity of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2021-1882
100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 2 1 1 8 8 2 Project No : 1620-2021
�. Permit Counter Phone (949)644-3288
k..,, Inspection Requests Phone (949)644-3255
Combination Type - MFP GRAD ELEC MECH PLUM Issued Date : Area
: 2021
YP
Inspection Area 6
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 12/09/2024 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 Hp ys
Job Address: 716 ORCHID AVE NB �////s
Description: NEW DUPLEX W/ATT GAR 2894 & 401 SF /
Legal Desc.: CORONA DEL MAR BLK 742 LOT 18 `//O
Owner: 716 ORCHID DEVELOPMENT LLC Contractor: OWNER/BLDR Architect: TU LUOYA ��
Address: 1032 GOLDENROD AV Address: OMAR RONALD ALJAZZAR Address: 2917 W TEMPLE #101
CON CA 92625 LOS ANGELES CA 90026
Phone: Phone: 949-877-6719 Phone: 8471226-2761 State Lic:C033846
Applicant:
HE LIN
Address:
1032 GOLDENROD AV
CDM CA 92625
Phone:
9491209-9896
Code Edit: 2019
Type of Construction: V-B-SPR
Occupancy Group: R3/U
Added /New sq.ft. Bldg: 2894
Added /New sq. ft. Garage: 401
No of Stories: 3
No of Units : 2
Bldg Height: 29
Rlrin Cnrinklarc Y
Construction
Con State Lic: O/B
Lic Expire:
Bus Lic:
Lic Exp Date:
Worker's Compensation Insurance
Carrier:
Policy No:
Expire:
Building Setbacks Rear: 5
Front: 20
Left: 3
Right: 3
Engineer:
AFSHAR HOOSHANG
Address:
17 COROZAL
FOOTHILL RANCH CA 92610
Phone:
949-413-4382 State Lic:C-061157
Designer:
Address:
IVTm
Special Conditions: O/B FORM ATTACHED
LLC ATTACHED
21(M0Y-r*A-1
Building Permit Fee:
$5,855.00
Excise Tax:
$691.95
Planning Department -
Fire Department
Plan Check Fee: $3,297.00
Additional Fee :
$0.00
Plan check Fee :
$520.00
Fire Inspection:
$0.00
Overtime Plan Ck:
$0.00
Grading Bonds Fee:
$0.00
Fair Share :
$0.00
Fire Plan Rev
$0.00
Investigation Fee:
$0.00
Grading PC Consultant :
$0.00
SJH Trans :
$0.00
Demolition Fee
Record Management:
$110.00
Grading Permit Fee:
$973.00
In -lieu Housing Fee :
$0.00
Building Dept Adm
$0.00
Energy Compliance:
$303.00
Grading PC Fee:
$846.51
Public Works Department -
General Service
$0.00
CA Seismic Safety:
$104.00
WQ Insp. Fee:
$152.00
Park Dedication : $0.00
Refund Deposit
$0.00
$0.00
Disabled Access :
$0.00
PAN Plan Check : $304.50
Grading Bond:
Hazardous Mat
$0.00
Electrical %:
$819.70
San Dist : $23031.00
$0.00
Building Green Fee :
$32.00
Mechanical °/:
$644.05
NMUSD Fee: $2,848.32
Plumbing %:
$526.95
$0.00
TOTAL FEE : $20,058.98
Plan Check Fee
: $20,058.98 Fee Due at Permit Issuance :
$0.00
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
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 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
to 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
'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).
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 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).
1 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).
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 legally
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
'rofessiogs Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html.
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 7000) of Division 3 of the Business and Professions Code, and my license is in full force
nd effect. License Class License No Date Contractor Signature
CORKERS' COMPENSATION DECLARATION
'ARNING: 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 ($100,000), IN ADDITION TO THE
DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 0706 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 the
erformance of the work for which this permit is issued. Policy No.
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'
rance carrier and policy number are:
Policy Number
of Agent
Date
certify that, in the performance 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
if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
nature of Applicant Date_ _
CLARATION REGARDING CONSTRUCTION LENDING AGENCY
;reby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
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 owners behalf.
I have read this application and the information I have provided is correct.
I agree to comply with all applicable city and county ordinances and state laws relating to building construction.
I authorize representatives of this city or county to enter the above -identified property for inspection purposes.
of Prooertv Owner or Authorized
doer's or Authorized Aoent's Name
ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
1403
PERMIT EXPIRED
PERMIT CANCELLED
PERMIT EXTENDED
PERMIT FINAL
CERTIFICATE OF
OCCUPANCVISSUED
I�
I SUBMITTED ASBESTOS NOTIFICATION TO
UASBESTOS NOTIFICATION IS NOT APPLICABLE TO
PROPOSED DEMOLITION