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Home My WebLink AboutX2020-0272 - Permits (2)p try City of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 N ' Permit Counter Phone (949)644-3288 'rr Inspection Requests Phone (949)644-3255 e"rrar.�YrT�`� Combination Type - BLDG PLUM COMB Permit: X2020-0272 IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII Project No: 2185-2019 Issued Date : 07/06/2020 Inspection Area : 4 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0710712023 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: 304 GOLDENROD AVE NB Description: DEMO (E) DET. GARAGE & APT ABOVE 721 SF, 1 BEDROOM. SEWER CAP INCLUDED Legal Desc.: CORONA DEL MAR LOT 4 BLK 234 NELY 20 FT(AND SWLY 20 FT LOT 6 BLK 2 34 Owner: 304 GOLDENROD LLC Address: 304 GOLDENROD AVE CORONA DEL MAR, CA 92625 Phone: Applicant: GLASS NANCY Address: Phone Code Edit : Type of Construction: Occupancy Group: Added /New sq.ft. Bldg: Added/New sq. ft. Garage: No of Stories: 1 No of Units : 0 Bldg Height: 0 Bldg Sprinklers: Construction Valuation: Contractor: NICHOLSON CONSTRUCTION CO Architect: Address: 1 CORPORATE PLZ #110 Address: NEWPORT BEACH CA 92660 Phone: 949.872.6637 Phone: Slate Lic: Con State Lic: 660295 NO C( eeee NOISE 'eee.• Lic Expire: e�TRUCT'ON 12/31/2020 �(�� Bus Lic: BT98032860 • D Lic Exp Date: 0413012021 Phone: State Lic: e m 2019 Worker's Compensation Insurance VB Carrier: STATE FUND U Policy No: 9074255 0 Expire: 10/01/2020 0 Building Setbacks Rear: I Front: I Left: I Right: I Building Permit Fee: $114.00 Plan Check Fee: $0.00 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: $1 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: ORTSA 1 V R IDA S D D D D D m DDDD Doco Phone: • ° DD D Special Conditions: HIGH DENSITY ° HAULER: JD DEMO Fire Hazard Znne : N o 0 o D Excise Tax: $0.00 Planning Department - Additional Fee : $0.00 Plan check Fee Grading Bonds Fee: $0.00 Fair Share Grading PC Consultant: $0.00 SJH Trans Grading Permit Fee: $0.00 In -lieu Housing Fee Grading PC Fee: $0.00 Public Works Department - WQ Insp. Fee: $0.00 Park Dedication : $0.00 PAN Plan Check: $0.00 Electrical %: $0.00 San Dist: $0.00 Mechanical %: $0.00 NMUSD Fee: $0.00 Plumbing %: $10.26 Fire Department $0.00 Fire Inspection: $0.00 $0.00 Fire Plan Rev $0.00 $0.00 Demolition Fee $0.00 Building Dept Adm $0.00 General Service $0.00 Refund Deposit $0.00 Grading Bond: $0.00 $0.00 $0.00 Plan Check Fee: $0.00 Fee Due at Permit Issuance : $125.26 PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: Doueo ommoo e0000 oeemoo ° ° o m o coe•oo • oeeo 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 (_) 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 legal) 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:L/www.leginfo.ca.gov/calaw.htmi. Signature of ProgggyOwner or Authorized Agent Date LICENSED OgglLRACTOR'S DECLARATION 1 hereby t. Lk under of perjury that I am licensed under provisions of Chapter 9 (commencing with Sectigp 7 00) of ivision 3 of the Business and Prof�evss�np-Cod> y license is l force $R8 �Rr;ct. Liran4e Class License No D to\J � Contractor Si natur WORKERS' COMPENSATION DECLARATION WAW4rM: 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 (E100,000), IN ADDITION TO THE COST OF COMPEN4AACW,, QAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. . hhgrWaffirm ultdbT penalty of perjury one of the following declarations: d"ve and m% 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 ance oflhe M,k for which this permit is issued. Policy No. • e and will mairLtain 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' compensatio ulSO noe carriar_an41 policy number are: is • • • Policy Number Expiration Date am* of Agent + • Phone# I certify that, in the performance of the work for which 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 agre that, if I should become sp�bjj ct tq`�he w^orker_s' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ,+Y�// Signature of Applicant I /� b LIDO Q Y7 Date DECLARATION REGARDIN OCGONNSTRUCTION LENDING AGENCY I 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). Lender's Name Lender's Address By 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 coun to ter the abov - entified property for inspection purposes. /^ y Si nature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name Date ACTION DATE BYV DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PA T 61 OF TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED ISUBMI D ASBESTOS NOTIFICATION TO PERMIT CANCELLED PERMIT EXTENDED MD PERMIT FINAL UASBESTOS NOTIFICATION IS NOTAPPLICABLE TO CERTIFICATEOF 6 PROPOSED DEM LITION OCCUPANCY ISSUED SIGNATURE