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Home My WebLink AboutX2021-3012 - PermitsCity of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 4 n... Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Combination Type - BLDG PLUM 111111111111�11111111p1111111111111111111111111111111COMB Permit: X2021-3012 Project No : 1737-2021 Issued Date : Inspection Area : 5 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE 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: 307 GOLDENROD AVE NB Description: DEMO (E) SFR 1,069 SF (2 BEDROOMS) Legal Desc.: CORONA DEL MAR BLK 233 LOT 3 Owner: 307 GOLDENROD PARTNERS LLC Contractor: BUILDING WORX INC Architect: ELENES CARLOS Address: 307 GOLDENROD AVE Address: 130 GLENDORA AVE Address: 17871 MITCHELL N #150 `7 CORONA DEL MAR, CA 92625 GLENDORA, CA 91741 IRVINE CA 92614 Phone: Phone: 909-373-7461 Phone: 949-955-3282 State Lic:C017463 Applicant: BUILDING WORX INC Con State Lie: 901795 Engineer: BURICA MICHAEL JEROME � (, Address: 130 GLENDORA AVE Lie Expire: 08/31/2022 Address: 9283 RESEARCH DR i 3� GLENDORA, CA 91741 Bus Lie: BT30040115 IRVINE CA 92618 Phone: 909-373-7461 Lie Exp Date: 0713112022 Phone: 714-547-1115 State Lic:C-057151 _ Code Edit : 2019 Worker's Compensation Insurance Designer: Type of Construction: VB Carrier: INS COMPANY OF THE WEST Address: Occupancy Group: R3/U Policy No: WVE505581500 � !w l Added /New sq.ft. Bldg: 0 Expire: 06/01/2022 Phone: Di Added /New sq. ft. Garage: 0 No of Stories: 2 Building Setbacks Rear: / Special Conditions: HAULER: JD DEMO - No of Units : 1 Front: / (1) CITY TREE ON SITE ..-. Bldg Height: 0 Left: / HIGH DENSITY AREA Bldg Sprinklers: Right: / Flood Zone: X Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $10,000.00 Building Permit Fee: $122.00 Excise Tax: $0.00 Planning Department- Fire Department Plan Check Fee: $0.00 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 $27.00 Energy Compliance: $0.00 Grading PC Fee: $0.00 Public Works Department- General Service $265.00 CA Seismic Safety: $0.00 WO Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $1,692.00 Disabled Access: $0.00 PAN Plan Check: $0.00 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical W $0..00 San Dist: $0.00 Building Green Fee : $1.00 Mechanical %: $0.00 NMUSD Fee: $0.00 $0.00 Plumbing %: $10.90 $0.00 TOTAL FEE: $2,117.98 Ia:uzyx.leaaan ZONING APPROVAL: Plan Check Fee: $0.00 Fee Due at Permit Issuance : $2,117.98 PJBLI(' N,OP':S APPROVAL: PLAN CHECK BY: GRADING APPROVAL: 1P41RIWAL 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 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 fora 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 L) all of or L) 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 Iegall� 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 Section 7 0) oD Div ion 3 of the Business and Pro ns C galse is in full force and effect. License Class License No Dat 2 Contractor Signatu NORKERS' 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 THOUSAND DOLLARS IE100,0001, 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: ❑ 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 th 3eprmance of thework for which this permit is issued. Policy No. have and 41 malptain 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' compensatiol rance carrier nd licy number ier N - is r Expiration Date ie of Agent Phone # certify that, in the performance oft work for which this pe it is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre if I should become s fact to th on provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. lature of Applicant C & h / , wnwTl/�AI D I!� !�/�AICTOII TI/lAI I CAI�IIAI/� wI�CAIl�V hereby affirm unde(penalty of perjury 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. I have read this application and the information I have provided is correct. I agree to comply with all applicable city and count ordinances and state laws relating to building construction. I authorize representatives of this city or co my t nt p operty for inspection purposes. 'kmature of Prcoerty Owner or Authorized ADent� ./6 / '% � Print Property Owner's or Authorized Agent's NaniX ACTION I DATE I BY 1403 PERMITEXPIRED PERMIT EXTENDED PERMITFINAL Z- I-QZ CERTIFICATEOF OCCUPANCY ISSUED ec.; OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY PART61OFTITLE40AND, DRULE IS NOTAPPLICABLE TO � m ~w : '& [! _Pi\ƒt / \ (% ! • ,..,.. Efr / sl m ;�• i|/!\$ # . ! 7 ` _•� ; | 3\a3/!\ |l=,. 2.! § B L992 5!!6 oeoa OS60 l20?- 0nail!» Goo 096012W