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Home My WebLink AboutXR2022-3311 - Permits�EWPo�T City of Newport Beach IIIIII��IIII�II�II�II�I�III�III��II��I�IIII�II� I� p�•.. @ 1 1 Community Development Department- Building Division X R 2 0 2 2 3 3 COMB Permit: XR2U22-3311 a,� 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2022-3192 i Permit Counter Phone: (949) 718-1888 ' newportbeachca.gov/civic Issued Date : 06/14/2023 ,�!FoYa Combination Type - ELEC MECH PLUM Inspection Area : 5 Work Class - New PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION, BUT NO LATER THAN 3 YEARS FROM ORIGINAL ISSUANCE DATE NO CONSTRUCTION RELATED NOISE ON SATURDAY OR SUNDAY IN HIGH DENSITY AREAS AND NO WORK ON SUNDAY AND HOLIDAYS IN ALL AREAS Job Address : 419 GOLDENROD AVE Legal Desc : A TR CORONA DEL MAR BLK 333 LOT 19 Description : NEW DUPLEX/GARAGES - 3112/415 sf Owner: 419 GOLDENROD LLC Address : 419 GOLDENROD AV AV Contractor: RBU INVESTMENTS LLC Architect : MARK TEALE CDM, CA 92625 Address : 1110 VALLECITO ROAD Address : 2900 BRISTOL ST BLDG A203 COSTA Phone CARPINTERIA CA 93013, CA 93013 MESA, CA 92626 Phone: (805) 881-8912 Phone : (949) 975-0123 - Con State Lie : 1020655 State Lie Applicant : MARK TEALE Lie Expire : 11/30/2024 Address : 2900 BRISTOL ST BLDG A203 Bus Lie : BT30072726 Engineer : DEIHIMI AMIR COSTA MESA, CA 92626 Bus Lie Expire : 08/31/2023 Address : 4400 CAMPUS DR Phone: (949) 975-0123 NEWPORT BEACH, CA 3266o Workers' Compensation Insurance Phone: (949) 752-1612 Owner/Builder: Carrier: NO EMPLOYEES Address : Policy No: EXEMPT Designer W. C. Expire: Address Phone: Phone: Code Edition : 2019 Type of Construction ; V-B Fire Sprinklers : YES Construction Valuation : $900,000.00 Occupancy Groups : U,R-3 Fire Hazard Zone : NO No Units Added/New/TI sq. ft. Bldg : 3,112 Bldg Height: of : 2 No of Stories : 3 Alteration s Added/New sq. ft. Garage: 415 Building Setbacks : Front: 15, Side: 3, Side: 3, Rear: 5 TOTAL sq. ft. 3,527 Flood Zone: X Use Zone : R-2 - Two -Unit Residential PROCESSED BY: `� SPECIAL CONDITIONS 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 trequires the he applicable item(s) uIt Section 7031.5, Business and professions Code: As lice or contyItto the Ipro provres a isions otftthe Contractoo construct, rs' Slater. rLice License Laws (Chapter 9 (commeh, or repair any ncing with Section 7000) of Diure, prior to its issuance, vision on 3 of the Business lf and he permit to file a signed statement that he pursuant yrofesskms Code) or that he or she is exempt from licensors 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 iot more than five hundred dollars ($500). I, as owner of the property, or my employees with %Vegas as their sole compensation, will do L) all of or (_) portions of the work; and the structure is not intended or offered for sale (Section 7044, 3usiness 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 properly, provided that the mprovements 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 mprovedfor the purpose of sale). 1 1, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and. Professions Coda: The Contractors' Stale License Law does not apply to an owner of property who builds or improvesthereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors State License Law), I am exempt from I scan under the Contractors State License Law for the follohick Img reason: _ ,_ -- By my signature below I acknowledge that, except for my personal residence ha which 1 must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legs soli a structure that I have built as an owner if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of t siness and Professions Code, is available upon request when this application is submitted or at the following Web sitafittpahvww.ieginfo.ca.govlcalaw:html. Dot Sus Signature of Property Owner or Authorized Agent LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter!) (commencing with Se ion of Divisiort,3 of the na ore ode, d y license is In full once and effect. License Class License No L�� ' WORKERS' COMPENSATION DECLARATION $YARNING: FAILURE TG SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL PINES UP TO ONE NUN D THOU i000 a tSt00.000), IN ADDITION TO THE Cn5T OF COMPENRAT irK; 7AMAOVS AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'$ F€ES. I nerauiy affirm ureter �nnalty of perjury one of the following declarations: l hove and evil♦ maintain a certificate of consent to sell -insure for workers' compensation, Issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Cade, for the performance of the work for which this permit is issued, Policy No. .a and Wit rrintain 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' compensatior L isumrca carrier and policy number are: Expiration Dale CLrJcr, _ icy Number Phone # ralf��ttatt in the perfo - work Id Ich this permit is issued, I shall not employ any persomin any manner so as to became subject to the worke compansation laws of California, and agre should �ecc ubj ` to I rkers pernetion provisions of Section 3700 of the Labor Code; I shall forthwith comply with those provisions. y/ le� dignalu. a of ACPlica,10 - DECLARATION Re. DING T ENDING AGENCY I hereby affirm under p nal f pert at ere is a construction lending agency for the performance of the work for whichthis,permit is issued (Section 3097, Civil Code). Lender's Name Lender's Address 8y my signature below, 10 ify to ach of tee following: I am The property owner or authorized to act on the property owner's eh' . i have reetl This application and the intormatIon I have prov' e r t. I agree to comply with all applicable city an My o I noes ate laws relating to building construction. 1 authorize representatives of IN 'ly y r e identified property for Inspection purposes. ' _ f� e� $I nature of Pro art Owner or Authors - ❑n- t prop Owner's or Authorized Agent's N ie ACTION DATE RV N F COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY R GI I N PART 61 OF TITLE AO AND ACLIA RULE PERMITFINAL y �(3_ �❑ ASBESTOS NOTIFICATION I5 NOTAPPLICARLE TO CERt1FICAIT OFPROPOSED DEMOLITION OCCUPANCYISSUEDSIGNATURE' City of Newport Beach 1111 IIpIII111111111111111111111111p111p111p1111111p1111jj Permit: XR2022-3311 100 Civic Center Drive n x R z a z z - a s r i plan Check: PC2022-3192 G rr► r Newport Beach, CA 92660 C94 FORNP Certificate of Occupancy THIS CERTIFICATE ISSUED PURSUANT TO THE REQUIREMENTS OF SECTION 111 OF THE CITY OF NEWPORT BEACH ADMINISTRATIVE CODE ATTESTS THAT AT THE TIME OF ISSUANCE, THIS STRUCTURE WAS IN COMPLIANCE WITH THE VARIOUS ORDINANCES OF THE CITY OF NEWPORT BEACH REGULATING BUILDING CONSTRUCTION OR USE. Owner: 419 GOLDENROD LLC Address: 419 GOLDENROD AVE, NEWPORT BEACH, CA 92625 Tenant: Use Zone: R-2 - Two -Unit Residential Description of Work: NEW DUPLEX/GARAGES - 3112/415 sf Special Conditions: Code Year Edition: 2019 Number of Stories: 3 Construction Type: V-B Occupancy: U,R-3 Total Occupant Load: Fire Sprinklered: YES Chief Building Official: Tonee Thai, PE, CASp, CBO Signature: %eraee //%LGe, Date: 3/2612025