HomeMy WebLinkAboutX2020-1085 - Permitsv'rrlq City of Newport Beach - Building Division
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100 Civic Center Ddve, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255
Combination Type - MFP ELEC PLUM
COMB Permit: X2020-1
Project No : 0713-2020
Issued Date : 0510412020
Inspection Area : 5
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST SE 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.m. to 6:00 p.m. No work on Sundays or Holidays
Job Address:
428 HELIOTROPE AVE NB St:1 FI: 1/2
Description:
DELTA 1 - ADD'L SCOPE. KITCHEN ALT 182 SF (DELTA 1 REV20-0675)
Legal Desc.:
P M 213-25 PAR 1 UNIT 1 OF PROJECT LOCATED ON AP 459-182-24 TOGETHER
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Owner:
SUMMA ELISA Contractor: FARLEY CONSTRUCTION
Architect:
CONSTRUG.(�ON
Address:
428 112 HELIOTROPE Address: 87 ADELFA ST
Address:
N O
NEWPORT BEACH, CA 92625 LADERA RANCH CA 92694-1284
Phone:
201-800-0291 Phone: 949-424-9834
Phone:
State Lic:Appl^DAYS'
Con State 1
Engineer:455
O N
Addrless:t
TOS STE 100 Lic Expire: 02 2812021
27401E OS ALTN
OS
Address
23 ORCHARD # 50
MISSION VIEJO, CA 92691 Bus Lic: BT30065271
LAKE FOREST CA 92630
Phone:
949-424-9834 Lic Exp Date: 12131/2020
Phone:
949-206-9929 State Lic:5-003812
Code Edit: 2019
Type of Construction: V-B
Occupancy Group: R3/U
Added /New sq.ft. Bldg: 0
Added /New sq. ft. Garage: 0
No of Stories: 2
No of Units : 2
Bldg Height: 0
Bldg Sprinklers:
Flood Zone:
Worker's Compensation Insurance Designer:
Carrier: NORGUARD INS CO Address:
Policy No: AAWC874364
Expire: 11/21/2020 Phone:
Building Setbacks Rear: I Special Conditions:
Front: I
Left: I
Right: I
Use Zone: Parkin Spaces: 0 Fire Hazard Zone : N
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Construction Valuation:
$5,000.00
Building Permit Fee:
$162.00
Excise Tax:
$0.00
Planning Department-
Fire Department
Plan Check Fee: $132.24
Additional Fee:
$0.00
Plan check Fee: $0.00
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:
$0.00
Grading Permit Fee:
$0.00
In -lieu Housing Fee : $0.00
Building Dept Adm
$0.00
Energy Compliance:
$0.00
Grading PC Fee:
$0.00
Public Works Department -
General Service
$0.00
CA Seismic Safety:
$0.00
WQ Insp. Fee:
$0.00
Park Dedication : $0.00
Refund Deposit
$0.00
Disabled Access:
$0.00
PNV Plan Check: $0.00
Grading Bond:
$0.00
Hazardous Mat
$0.00
Electrical %:
$10.64
San Dist : $0.00
Building Green Fee :
$1.00
Mechanical %:
$0.00
NMUSD Fee: $0.00
$0.00
Plumbing %:
$13.68
$0.00
TOTAL FEE : $309.56
Plan Check Fee
: $0.00 Fee Due at Permit Issuance :
$309.56
PROCESSED BY:
PUBLIC WORKS APPROVAL':_.
-
ZONING APPROVAL:
PLAN CHECK BY:
GRADING APPROVAL:
APPROVAL TO ISSUE: ___
L lYNI:H•BUILDER DECLARATION
I harany af;Vm ulnd r pstLLhy, or PEqutythat f am exempt from tire Contractors' stale ucenSo Lai; for tho reason{s) IrACatoat haaadf Via UrecknLirk s} t Ili 4"a
(SaCban 7031 s, Susrbiss and PrOlasslons Coda: C e or tour,[ that ra u�fas a { placed r a 10 the applicable tams) "nl i'Y Y Q runs to construct, allU, UnprOrO, denfW.sh, Of rapau eAY structure, poor m its NSUar", aISO raQwas the applicant for
tlfa pamkt S Coda) a Offla s o Of a rllaf na pt bor l5 IKBnSatl pursuant fD iha (n'Ot'ISIOnS of Vie Contractors' State LiCenso Law (Cr49ptar i) Corn mane: win
riot m re In n eu anal no Dr slta u axempC hom!wansfua and me'basis for file alle-joa OxafnP(a5n Any vlcJauon of Sanwa 7031.E a a( , ' Oa 'l S 7�) of Lappli n 3 of to it pGess and tYDt more tnan rrYa rviu»rad ckntfar5 (5.5z70). Y -n`A' aFt=Card for a pamvt SutY;aCls the app4r.317t la a evil penarry of
I. as owner ic the pr ts; C,0 , Or he empContractors, wrin wages as than sale Cafnaansauon, Ca°iii Ua (..) a€I of or () parba olide Kprk. arrow Ina structure Is rcrl HltanDaa or attarea for seta f3aewn 7a1s,
EfPlo ai ana Ptolaa`smte intended
The rao I& 'Ors' State tk:ense tart dOOS not appiy to an wvn r OI pse{ran} wtq. Vauugh arnplcyaaand no struct re Is. of Intended
or edmriOf Dig Dilated
properly, acoan 7 44 lira
�ntproYan1an15 a)d riot 1rflarKfed ad 6ifdle0 t{u Saie. f1, hOuaV�ar„ llla tpiBrling or Unprb; emanf is sill([ vhthol o"D year Of Coally"On, RW Ownlif•Bulfaar writ nale trig bufdan at pfumv that It was not built Of
i rO+.vd far the purpose Ot sak}.
1, as aLYffar Or 11fa pl DpaRy, am I.VuShrey contracting Win tcensed is ereariofs to Carlsin.110 the project (Sacunn 7UL3, BuSmase and PfalassiOnS Cade: Tile Contractors' State License Law roes not
a.'PPI la exempt of pro(sa su who der' in or improves maroon' aria Nrno contracts Iof Iraq prD)ects wilt' a 11wilsad Coniraalo.! pursuant to the Contractors: Slale L " r" Law).
I y S rule Ie4o wI ansu!e under file COnt!tractais' SIatD License Law lof fro IOBowtng reason.
icy my sgnafure bHOw igCknavrtleage mat, except for my personal residence at mach 1 must Italia i-es(Uaii to( al te(c5.1 i:rw year rr;.;r to COINA9UDn of the irripruvamatits covared by this paimq, I cannot legath
c011 a structure Thal I hate buaf as an oque5l b"n this
if has not bean 01 fsfflod d a its enuroty by Ilcens it ntlp a4'taIs I ur4ofskand Mat a Copy of the app4caUg law, Suction 7044 Of the Business and
signature
Of Coda, Is Cui av-dik"a Upon reQudSl g n t [Ills application is subm tlad of 8f fha fWlawing ffdGlY giCeTII(p Is
flay,, thaw, VINW
S'gna Wra DI Property Owrfar or AulffCreed Agent . __ _-.- __-
LICENSED CONTRACTOR'S DECLARATION - _-. -- `_- -- __ _ __ Data _ _
tty
I nc oriE I Li Unger penalty ss of pallury al 1 am liconsad under pfavl3iOns al ChaPfer 0 fcOmrf arwr,,tj v,i1h $G\ Uon 7Q00) at IsltN.3 of'tie BUS1(IBSS and Protassbns Cade, slid aCanSB Is M, full for
ono afrECl. License Class __ Licerisa tie _ _F/11Cjy(J-. 1 FOIO my —! tiB;G.(^jL�i�,/��ConVactbr SYjnaltuTc---- -
NORKERS' COMPENSATION DECLARATION - `!f -- %
VAAHvid: FAILURE TO SECURE WORKERS AS P VIDED FOAM CTIONOOVER37 fs THE LAal AND E M I, SUaJEC1 Ali Lf/fi OY{p Tv 4 3ayeµE tN}ZtLTris prep Cfva. FAMES UP TD ONE HINiNAEO THOU'S/.Ia1 a011Agi (ilp9,upp(. ADDnIDN Tfjiyq
:OST OF COOPENUI 6Eg Ag PROVIDED FOAM W SECTION l706 OF THE LABOfl cD66 Y/IF17E4i„UtO ATPGNkE ER IC, C. reby aftum l+r 'ty Of perjury one of the loaiow'ng dociwations,
µt1M•a' ' Work
lotn a certificate this poi a consent , Policy SurD for fvorkars' f.oinpansat»n l;aued bsr td:o-NOCiar Of Industrial RiOations as PIovlWxl tar by Section 3700 of the Labor Code, for If
r.D�rk fdr wh[ch this parmd r5 issuetl. Pohcy h1a_ -„_
hav0 and µf11 maintain workers" confperLsatlan insurance, a5 ra+duuod by SaefuDrl 3700 at frla Lamar CcaPo, I" WO frOdS=--WXU Of the work for which Ous permit is issued. Yrry workers' eDmpansabo
n5uranw came and poucy mba are:
7arner PWFy Numbet %/ It7p �q
lame of Agent - -_. ` CS L I.S!_.SL_�t ,----EirAmtion Date
1 Certify trial, In the Performance of the won for Which VusPnone A
Tali If Y should tNaComu subfatl [a the wollcers' camparf5atiwl proviskDrissoI Sl not c
dianl3700 of (rho}Labor C:rkl, Ylisa ati tatrffws0t Dori m b ma suC;act to the workers' compensation laws bt Caltirxn6a, and agrE
nature of - piy with Incise provisions
rig AppOcan
IECLARATION REG ING CONSTRUCTION LENDING AGENC ..-. —_-- -- _
hereby atrium under penally 0 perplri+ that l here's a construction leading age, for U'e Parlarmanca of the eroff: far vdlicil PP.is pemut is issued {Section 3097, Civil Coale).
Y My i name LarefEts AaC
y my signature below, 1 cemYy. to Each of Ih0 foaovnng: - ress
l am the propafry Owner or authorized ID ad on the property awnv a Whalf.
I naive road INS appircation and the Intarmabod I have provided is coned.
I agree to comply with aft aPPlicabfe cry and county Ordinances and state laws rotating to building consuacZon.
1 aueTbnae fepras9motIves of this City or coupjyy L[9 enter the ab nlifaga. Property for Inspocikon purposes. .. - ,�� / ,�U �n a �� _ anatur2 ofpr,,vM n.�.... a..».......,,..�.___.V //—.. \/
_ _-- - __-.._.. _.'_.... .•,,,—..,,.,. wvc �r ICVLI AL I i0a OE ICE USE ONLY
AEGULATI006 PAR'r ed OF TITLE 40 ANU AQMo Iq
CWIFFCATE DF • �,� rLr ,/ L.IA'BES-OS NOTIFKATION IS NOTAPPUCA@LE TO
OCCUPANCY I55ofD �JL• PHI�PCSEf'W`MOOTION
SfGNATURE•