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Home My WebLink AboutX2018-3550 - Permits1rr, City of I ° 100 civic q H � Permit Cowj Inspection R Combinatio Copstrur Job Address: 717 MARIGOLD Ary Description: NEW DUPLEX W/A Legal Desc.: CORONA DEL MAR ort Beach - Building Division ro, PVew(I Ell InA..92660 i449)f4JI3�W . . Phone F940)644.3265 : - SFP GRAD ME& ELEC PLUM X 201 3 5��IIIIIIIII Itn #W8PFWftM III Permit: X2018-3550 act No: 2745-2018 Issued Date : 02/25/2019 /7S EXP/RE t80 DAYS AFTER ISSUANCE OR LAST VAL/D INSPECTION. Inspection Area ; 5 n Hvbrs:,Mbnday� Frlc*a,�r 7;00 a.m. to 6:30 M. and Saturday from 8:00 a.m. to 6: pp P. m - No work nn Sundays or No/idays IS °•• s •s• ♦s GARAGE 2,922/416 SF -K 739 LOT 17 Owner: 717 MARIGOLD PARl7'NERS LLC Address: 130 N GLENDORA AVEContractor: BUILDING WORX INC GLENDORA CA 91741 Phone: Architect: Address: 130 GLENDORA AVE TEALE MARK I Applicant: TEALE MARK GLENDORA, Address: Phone: CA 91741 909-373.7461 2900 BRISTOL ST BLDG A203 COSTA MESA CA 92626 Address: 2900 BRISTOL ST B i DG 8203 9626 Con State Lie: 801795 Phone: 949-975-0123 State Lic:0022162 COSTA MESA CA Phone: 949-975.0123 ' i Lie Expire: 08/31/2020 Engineer: Bus Lie: BT30040715 Address: BURKE THOMAS 312 OCEAN AVE Code Edit: 2016 Lie Exp Date: 07/31/2019 LAGUNA BEACH CA 92651 Type Construction: V-BSP�t Occupaa ncy Group: Phone: Workers Compensation Insurance 949-494-0776 State Lic:S-005088 R3/U., Carrier: STATE FUND Designer: Added /New sl Bldg: Policy No: 9116685 Address: Added /New sq. R. Garage: 29PZ 416 No of Stories: Expire: OBI01/2019 3 No of Units : 1 - Phone: Building Setbacks Rear: Bldg Height. 0 Bldg Sprinklers: 5 f Front: 20 - Special Conditions: ' y Flood Zone: I X Left: 3 a J Construction Valuation: 1 000 00 Right: 3 Use Zone: Parkin S aces: g Building Permit Fee: $4,866.00 Fire Hazard Zone : N Plan Check Fee: $3,035.00 ! Excise Tax: $700.98 Overtime Plan Ck: $0.00 Additional Fee : Planning Department - $0.00 Investigation Fee: $0.0q Grading Bonds Fee: Plan check Fee : $0.00 $866.00 Fire Department Record Management : _ Energy Compliance: $100.00 Grading PC Consultant : Fair Share : Grading Permit Fee: $0.00 SJH Trans: $1,865.00 Fire Inspection: Fire Plan Rev $0.00 CA Seismic Safety: $268.00 $84.Sd Disabled Grading PC Fee: $918.00 In -lieu Housing Fee : $0.00 $798'66 $0.00 Demolition Fee $0.00 Access: $0.00 WQ Insp. Fee: Public Works Department - $108.00 Building Dept Adm $0.00 Hazardous Mat $0.00 Building Green Fee: 5$000 Park Dedication : P/W Plan Check: $0.00 Electrical %: $340.62 $371.25 General Service Refund Deposit $0.00 Mechanical %: San Dist: $2,452.00 $194'64 Grading Bond: $0.00 $0.00 Plumbing %: NMUSD Fee: $437.94 $3,751.76 TOTAL FEE :i $20,975.35 $0.00 Plan Check Fee : $20,975.35 $0.00 PROCESSED BY: � Fee Due at Permit Issuance $0.00 ZONING APPROVAL: PUBLIC WORKS APPROVAL: GRADING APPROVAL: PLAN CHECK BY: l APPROVAL TO ISSUE: indicated'jeIOW 'aY :he chec i"I t demolish, or ropair crI s el"Gistun OWNER -BUILDER DECLARATION at 1 am exempt from the Contr ter 9 (comm�flciA I hereby affirm under penalty of perjury r tate icense Law (Chap applicant Business and Professions Code: Any C1ty or nsed pursuant to the provi ' lation of Section 7031.5 by any pP t;lave placedrezt to the applicable item(s) rior is its Issuance, also requires the applicant for ilh 5ectidh 7006)fglSlsien 3 of the Business and a permit subjectsdtfa applicant to a civil penalty of Ichon 7031 .5, a P . permit to file a signed statement that he or she Is Ice .and the st uCure rn°j rfessions Code) or that he or she is exempt from licensure and the basis for the all of or (.] Portions of the work, . I 61 t more than five hundred dollars ($500). I to an owner of property who, through employ he Owner-EfuilderAll he I as owner of the property, or my employees with wages as their sole compensation, will do (_) tractors State License Law does not apply ovement is sold within one year of comple Ion, ,iness and Professions Code: The Con r however, the building or ImprThe uonI xovements are not intended or offered for sale. If, Law) - proved for the purpose of sale). 1, as owner of the property, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' Staten emants coveli am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: ply to an owner of property who builds or improves thereon, of the applicable law, SectioI I am exempt from licensure under the Contractors' State license Law for the following must havelresid ed contractors. I understand that a copy Date personal residence in which I must have resided for at least one year prior to completion o e e im 1 my signature below I acknowledge that, except for my plication is submitted or at the following Web site:htlp:/Iwww.leginfo.ca.govlcalaw.html. ;ll a structure that I availahave t ble as an owner -builder if it has upon request when this app not been constructed in its entirety by es . ns Codi rofessions Code, Owner or Authorized Agent ignature of property with Section' 700 of of Division 3 of theBusiness Contractor re ICENSED CONTRACTOR'S DECLARATION Darg �— hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing �G. License No Ind effect. License Class YORKERS' COMPENSATION DECLARATION DAMAGES AS PROVIOEO FOR IN SECT ION 3708 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. fOVlded for by SSC11G YARNING: FAILURE TO SECUARE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOU ;OST OF COMPENSATION, 0 one of the following declarations: the Director of Industrial Relations as p hereby affirm under penalty of perjury it is issued. Policy No. L bor Code for the performance of the work for which this permit is i have and will maintain a certificate of consent to Self -insure for workers' compensation, issue Y for sale l,ecu-I I ., --" propelty, provided that the sin j that it was not built Or State License Law does not d by this Penn", , 7044 of the Business and and my license is In full force prrance of the work for which this per Section 3700 of the a Ei�t JL5 L_/ Expiration Date rcilp,.�SD° ve and will maintain workers' compensation insurance, as required t S �. /r. , '66 Phone # a Ce ca�rrier�policy number are: Policy Number er erson in any manner so as to become subject to the workers' co/m)pens �e of Agent I shall forthwith comply with those provisions Datb� I' y that, in the perfo r ante of the work for w this permit is issued, I shall not employ any p (/ if 1 should become subject to the w C pe atlon provisions of Section 3700 of She Labor Code, r 111;7 lature of Applicant - - G CONSTRUCTION LENDING AGENCY a enc for the performance of the work for which this permit is issued (Section 3097, Civil Code). REGA that there is a construction lending agency Lender's Address eby affirm under penalty of perjury ider's Name I certify to each Of the following: my signature below, fY owner's behalf. I am the property owner or authorized to act on the propertytd building construction. I have read this application and the information I have provided is correct. any for inspection purposes. I agree to comply with all applicable city and coujYdinance oved state laws relay g Print property Owner's or Authorized Agent's Name I authorize representatives of this city ora^oenitY r th „F cPnEaAL I FOR OFFICE USE ONLY DAT DECLARATION OF CUWIFLI+11. .•••.. . BY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE NOTIFICATION TO F RMITFIOAL I,Q-i a_2) p�-"�' PROPOSERTIFICATE OF V 516NATU9 CUPANCY ISSUED ($100,000), IN ADDITION TO THE of the Labor Code, for My workers' n laws of California, and lP4