HomeMy WebLinkAboutX2017-4078 - PermitsCity of Newport Beach - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
v Permit Counter Phone (949)644-3288
sr 4 Inspection Requests Phone (949)644-3255
ww�xn Combination Type - SFP ELEC MECH PLUM
IIIIII�II��IIII�IIIII�IIIIIIIIIIIIIII II COMB Permit: X2017-4078
x 2 0 1 7 4 0 7 6 Project No : 2872-2017
Issued Date : 04/02/2018
Inspection Area : 1
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION.
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: 128 VIA YELLA NB h
Description: SFR -ADD 126 SF/REMODEL 1036 SF, REMODEL GARAGE 448 SF
Legal Desc.: N TR 907 LOT 399
Owner: BROYLES JAMES P & PAT
Address: 4170 WEBSTER RANCH RD
CORONA CA 92881
Phone: 949-675-6157
Applicant: GOLDEN EDGE CONST
Address: 15581 PRODUCT LN, UNIT C-14
HUNTINGTON BEACH CA 92649
Phone: 714-897-0971
Code Edit: 2016
Type of Construction: V -B -SPR
Occupancy Group: R31U
Added /New sq.ft. Bldg: 126
Added /New sq. ft. Garage: 0
No of Stories: 2
No of Units : 1
Bldg Height: 0
Bldg Sprinklers: Y
Construction Valuation: $110.000.00
Building Permit Fee: $1,697.00
Plan Check Fee: $1,405.07
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management:
$48.00
Energy Compliance:
$77.00
CA Seismic Safety:
$14.30
Disabled Access:
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$5.00
TOTAL FEE: $3,735.77
PROCESSED BY:
ZONING APPROVAL:
Contractor:
GOLDEN EDGE CONSTRUCTION INC Architect:
REZA[ FARHAD
Address:
15581 PRODUCT LN, C-14
Address:
10231 SLATER AVE #201
$0.00
HUNTINGTON BEACH CA 92649
$0.00
FOUNTIAN VALLEY CA 92708
Phone:
714-897.0971
Phone:
714-593-0337 State Lic:S-003970
Con State Lie:
800077
Engineer:
Demolition Fee
Lie Expire:
10/31/2019
Address:
$0.00
Bus Lie:
BT30062718
Public Works Department-
Lie Exp Date:
0413012019
Phone:
State Lic:
Worker's Compensation Insurance
Designer:
$0.00
Carrier:
STATE COMP
Address:
Grading Bond:
Policy No:
9083411
$0.00
Expire:
01/01/2019 _
Phone:
-
Building Setbacks
Rear: /
Special Conditions:
LIQUEFACTION AREA
Front: I
Left: I
Right: I
Excise Tax:
Additional Fee
Grading Bonds Fee:
Grading PC Consultant
Grading Permit Fee:
Grading PC Fee:
WQ Insp. Fee:
Electrical %:
Mechanical %:
Plumbing %:
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$118.79
$67.88
$152.73
0 Fire Hazard Zone : N
Planning Department -
Fire Department
v
Plan check Fee :
$0.00
Fire Inspection:
$0.00
Fair Share:
$0.00
Fire Plan Rev
$0.00
SJH Trans :
$0.00
Demolition Fee
In -lieu Housing Fee:
$0.00
Building Dept Adm
$0.00
Public Works Department-
General Service
$0.00
Park Dedication :
$0.00
Refund Deposit
$0.00
P/W Plan Check:
$0.00
Grading Bond:
$0.00
San Dist:
$0.00
NMUSD Fee:
$0.00
$0.00
$0.00
Plan Check Fee: $1,632.07 Fee Due at Permit Issuance: $2,103.70
FJBI`]Q'VVORKS APPROVAL:
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PLAN CHECK BY: a
GRADING APPROVAL: AP�PgQVAL TO ISSUE: \ x/
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FJBI`]Q'VVORKS APPROVAL:
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PLAN CHECK BY: a
GRADING APPROVAL: AP�PgQVAL TO ISSUE: \ x/
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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)
action 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
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
ifessions 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
more than five hundred dollars ($500).
I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044,
:iness 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
rovements 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
(roved 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
Ay 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 licensure under the Contractors' State License Law for the following reason:
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 legally
astructure 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
ifessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi.
nature of Property Owner or Authorized Agent Date
TENSED CONTRACTOR'S DECLARATION
Ireby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 700) of i 3 of the Business and Pro s ions Code, and y4lGen a is in full force
I effect. License Class License No Date / Contractor Signature
)RKERS' COMPENSATION DECLARATION e
INING: 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 (E'IOO,000t, IN ADDITI N TO THE
IT OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 5705 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
ireby affirm under penalty of perjury one of the following declarations:
I 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
Ormance of therwork for which this permit is issued. Policy No.
have and will ai fain 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'
rppce Garr ier an p�licy number�St�: j'.
ier n/_. II nl r f Expiration Date
Te of Agent.�y certifythat, in the performance of the work for which this I
, if I should become subject to the workers' compensation
iature of ADDIICan ) /(
issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree
ns of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
hereby affirm under 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 I Lender's Address
3y 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. C LS C ,
I agree to comply with all applicable city and count ordinances and state aws relating to building construction.
I authorize representatives oft ' ' y t enter the above-identi ed property for inspection purposes. tiJ�
3i nature of Property Owner or Authorized Age Print PropertyOwner's or Authorized Ag nit's Nam ( ' L
ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
PERMIT EXPIRED
PERMIT CANCELLED
CERTIFICATE OF
OCCUPANCY ISSUED
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