HomeMy WebLinkAboutX2021-1986 - Permitso
City of Newport Beach - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255
Combination Type - SFP GRAD MECH ELEC PLUM
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COMB Permit: X2021-1986
Project No : 1737-2021
Issued Date : 11/04/2021
Inspection Area : 5
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 1110412024 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: 307 GOLDENROD AVE NB
Description: NEW SFR W/ATT GARAGE 4,2091695 SF, ROOF DECK 529 SF, COVERED PATIO 2081302 SF
Legal Desc.: CORONA DEL MAR BILK 233 LOT 3
Owner: 307 GOLDENROD PARTNERS LLC
Contractor:
BUILDING WORX INC Architect: ELENES CARLOS
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Address: 307 GOLDENROD AVE
Address:
130 GLENDORA AVE Address: 17871 MITCHELL N #150
CORONA DEL MAR, CA 92625
GLENDORA, CA 91741 IRVINE CA 92614
Phone:
Phone:
909-373-7461 Phone: 949-955-3282 State Lic:C017463`�
Applicant: ELENES CARLOS
Con State Lic: 901795 Engineer: BURICA MICHAEL JEROME
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Address: 17871 MITCHELL N #150
Lic Expire:
0813112022 Address: 9283 RESEARCH DR
IRVINE CA 92614
Bus Lic:
BT30040115 IRVINE CA 92618
Phone: 949-955-3282
Lic Exp Date:
07/31/2022 Phone: 714-547-1115 State Lic:C-057151
Code Edit : 2019
Worker's Compensation
Insurance Designer:
C
Type of Construction: V-B-SPR
Carrier:
INS COMPANY OF THE WEST Address:
,�,t
Occupancy Group: R3/U
Policy No:
WVE505581500
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Added /New sq.ft. Bldg: 4209
Expire:
0610112022 Phone:
Added /New sq. ft. Garage: 695
No of Stories: 3
Building Setbacks
Rear: 5 Special Conditions: HIGH DENSITY AREA
No of Units : 1
Front: 15
Bldg Height: 0
Left: 3 '
Bldg Sprinklers: Y
Right: 3
Flood Zone: X
Use Zone:
Parking Spaces: 0 Fire Hazard Zone : N
Construction Valuation: $826,735.00
Building Permit Fee: $6,431.00
Excise Tax: $1,137.15
Planning Department - Fire Department
Plan Check Fee: $4,416.00
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 : $94.00
Grading Permit Fee: $1,046.00
In -lieu Housing Fee: $0.00 Building Dept Adm
$0.00
Energy Compliance: $303.00
Grading PC Fee:
$910.02 Public Works Department - General Service
$0.00
CA Seismic Safety : $107.48
WQ Insp. Fee:
$152.00 Park Dedication : $0.00 Refund Deposit
$0.00
Disabled Access : $0.00
P/W Plan Check : $304.50 Grading Bond:
$0.00
Hazardous Mat $0.00
Electrical %:
$450.17 San Dist: $2,031.00
Building Green Fee : $34X0
Mechanical %:
$257.24 NMUSD Fee: $5,777.60
$0.00
Plumbing %:
$578.79
$0.00
TOTAL FEE : $24,549.95
Plan Check Fee : $6,149.02 Fee Due at P mit Issuance : $18,400.93
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PROCESSED BY:
—_
FUaLh WORKS APPROVAL:
-
ZONING APPROVAL:
PLAN CHECK BY:
GRADING APPROVAL:
APPPOVAI. r0 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
the 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
Professions 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
not more than five hundred dollars ($500).
❑ I, 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,
Business 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
improvements 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
improved 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
apply 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 Iicensure under the Contractors' State License Law for the following reason:
By 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 legalIN
sell 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
Professions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi.
Signature of Property Owner or Authorized Agent Date
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with SectiN7 40) f givision 3 of the Business and Pro ss Cod my li sin full force
and effect. License Class License No Dat Contractor Signat �
WORKERS' COMPENSATION DECLARATION
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE 15 UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DO LLAR51$ 100,000), IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
I hereby affirm under penalty of perjury one of the following declarations:
❑ 1 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
pe¢pcmance of the work for which this permit is issued. Policy No.
have and wil main 'n 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 d poII numb r ���� //^'
Iar 91 \ \PofSc Lm1bar Expiration Date
ie of Agent �7 /
certify that, in the performance of the work for which this
. if I should become sl biect to the workers' com ensat9.
of
issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree
is of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
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1. A""' RE RIDING CONSTRUCTION LENDING AGENCY
areby affirm underlpenalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097
lder'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 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 county ordinances and state laws relating to building construction.
I authorize representatives of this city or count to nt J I operty for inspection purposes. (�
mature of PrODertv Owner or Authorized Aoent Print Property Owner's or Authorized Agent's Name I ✓'eJ,
ACTION
DATE
BY `
bECLARATION OF COMPLIANCE WITH CODE OF FEDERAL
FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
1403
PERMIT EXPIRED
U I SUBMITTED ASBESTOS NOTIFICATION 7C
EPA
PERMIT CANCELLED
PERMIT EXTENDED
qMD
PERMIT FINAL
ASBESTOS NOTIFICATION IS NOT APPLICABLE TO
CERTIFICATE OF
PROPOSED DEMOLITION -
OCCUPANCY ISSUED
( z/�
SIGNATURE:
Civil Code).