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Home My WebLink AboutX2021-2292 - Permitsat$a•nok7 City of Newport Beach - Building Division s' 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 :,. Inspection Requests Phone (949)644-3255 Combination Type - BLDG PLUM IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2021-2292 Project No : 1984-2021 Issued Date : 0812712021 Inspection Area (99 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST 8E COMPLETED BY 0812712024 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: 1027 GOLDENROD AVE NB Description: DEMO (E) SFR W/ATT GARAGE 3,214 SF (3 BEDROOMS) Legal Desc.: N TR 2202 LOT 48 Owner: CALDERSOIJASKOVIE Address: 1027 GOLDEN AVE NEWPORT BEACH CA 92625 Phone: Applicant: ROBINSON JONATHAN Address: 2505 W COAST HWY #202 NEWPORT BEACH CA 92663 Phone: 949-910-3047 Code Edit: 2019 Type of Construction: VB Occupancy Group: R3/U Added /New sq.ft. Bldg: Added /New sq. ft. Garage: No of Stories: 1 No of Units : 1 Bldg Height: 0 Bldg Sprinklers: N Building Permit Fee: $122.00 Plan Check Fee: $223.00 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management : $0.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee : $1.00 TOTAL FEE: $2,596.98 PROCESSED BY: ZONING APPROVAL: Contractor: ROBINSON REESE LP Architect: Address: 2505 W COAST HWY #202 Address: NEWPORT BEACH CA 92663 Phone: 949-910-3047 Phone: State Lie: Con State Lie: 1053055 Engineer: Lie Expire: 0513112023 Address: Bus Lie: BT30071636 Lie Exp Date: 04/30/2022 Phone: State Lie: Worker's Compensation Insurance Carrier: EXEMPT Policy No: NO EMPLOYEES Expire: Building Setbacks Excise Tax: Additional Fee Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee : Electrical °/ : Mechanical %: Plumbing %: Rear: / Front: / Left: / Right: / larking Spaces $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $152.00 $0.00 $0.00 $10.98 Plan Check Fee Designer: Address: Phone: Special Conditions: 2 CITY TREES ON SITE HAULOER: JD DEMO Hazard Planning Department - Plan check Fee: Fair Share SJH Trans In -lieu Housing Fee Public Works Department - Park Dedication : $0.00 PNJ Plan Check: $0.00 San Dist : $0.00 NMUSD Fee: $0.00 Fire Department $104.00 Fire Inspection: $0.00 Fire Plan Rev $0.00 Demolition Fee $0.00 Building Dept Adm General Service Refund Deposit Grading Bond: $0.00 $0.00 $27.00 $265.00 $1,692.00 $0.00 $0.00 $0.00 $0.00 Fee Due at Permit Issuance : $2,596.98 PUBLIC WORKS APPROVAL: PLAN 3HECK CY: GRADING APPROVAL: - 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 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 requii&s 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 (_) 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). ❑ 1 am exempt from licensure 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 legall) 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.html. 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 Section 700 o Ivlsio 3 of the Business and Pro ssi C de, and my license is in full force and effect. License Class License No Date 1- 2f Contractor Signature WORKERS' COMPENSATION DECLARATION NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAN11 DOLLARS ($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. hereby affirm under penalty of perjury one of the following declarations: 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 rrmance of the work for which this permit is issued. Policy No. have and will maintain 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' compensa rance carrier and policy number are: Policy Number of Agent Date ]I certify that, in the performance t e work forwhich this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and I if I should become su ct to a r/ker^s' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. �1 rig nature of Applicant v v D— Z l Zl IECLARATION REGA CONSI RUCTION LENDING AGENCY hereby affirm under p6nalty of perju that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). ender's Name Lender's Address ly 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. 1 have read this application and the information I have provided is correct. I agree to comply with all applicable city and county ordinAces and state laws relating to building construction. I authorize representatives of this city or countgv y/{�enter a a�ovr//e%�tifie�d property for inspection purposes. lionature of Prooertv Owner or Authorized ADent Y �� `� Print Prooertv Owner's or Authorized Aqent's Na i ACTION DATE BY I RE R%INS OF COMPLIANCET 61 TITLE 40AN ODE OF FEDERAL FOR OFFICE USE ONLY PERMIT EXPIRED PERMIT CANCELLED PERMIT EXTENDED PERMITFINAL V t �v L�( LJASBEST CERTIFICATEOF I PROPOSED OCCUPANCYISSUED SIGNATUR ASBESTOS NOTIFICATION TO NOTIFICATION G NDT APPLICABLE TO l� ■ Complete items 1, 2, and 3. ■ Print your name and address on the reverse so that we can return the card to you. ■ Attach this card to the back of the mailpiece, or on the front if space permits. 1. Ardcis Addressed to: 'C� }utSKD l�u�h0 �pa� (r�IC�YII'Dd i�-e- C�-�l'1G�-1�e� oaon aan9 R74R 1074 3069 63 �JyY 2 Article Numbl O 3 n ; 70181'03 r Z �� 3 0 PS: PS Form 351- ZI N MM— o y rn= A. Signature x � M- B. Received bye ❑ Called on ❑ Collect on r\Eil 5 y In re l7 c m ❑ Agent ❑ Addre C. Date of Del' �? ❑Yes ❑ No J(1N 2 4 2071 a dD81Werf ❑ flegisten;d Ma11 nesmc[ei Delivery Delivery ❑ Signature ConfirrnallonT"^ ❑ Signature Continnatlon .Domestic Return Receipt . m m O O O w � 3 3 � m" �w m m w m a a +n a O � O~ 3 � 3 � m V. m n N m mEEO N O o o � V,� 0to i m v� d.�a 0 � R m m ?Fs m p� � waN= IJl' j o �2 o, �� Ci�� mm Qm nmv 2.