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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).