The URL can be used to link to this page

Home My WebLink AboutX2022-0920 - Permits"�4 City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2022-0920 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 2 2 0 9 2 0 Project No : 2185-2019 t: n, Permit Counter Phone (949)644-3288 i� Inspection Requests Phone (949)644-3255 r'�<tesu.'''' Combination Type - MFP ELEC MECH PLUM GRAD Issued Date 9 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: 304 GOLDENROD AVE NB Job ...... Description: DESCRIPTION CHANGE (DUPLEX TO CONDO) & Legal Desc.: CORONA DEL MAR LOT 4 BLK 234 NELY 20 FT(AND SWLY 20 FT LOT 6 BILK 2 34 Nh �••f Owner: 304 GOLDENROD LLC Contractor: NICHOLSON CONSTRUCTION CO Architect: TEALE MARK �� o Address: 304 GOLDENROD AVE Address: 1 CORPORATE PLZ #110 Address: 2900 BRISTOL ST BLDGA203 • • + m e CORONA DEL MAR, CA 92625 NEWPORT BEACH CA 92660 COSTA MESA CA 92626 m+ • m e • o oe o Phone: Phone: 949-872-6637 Phone: 949-975-0123 State Lic:CO22162 .Oei s •m•n amaun • Applicant: TEALE MARK Con State Lic: 660295 Engineer: HAKIM FADY „ °f•om Address: 2900 BRISTOL ST BLDG A203 Lic Expire: 12/31/2022 Address: 124 PEONY memmoo COSTA MESA CA 92626 Bus Lic: BT98032850 IRVINE CA 92618 ma m • e m m c o 0 Phone: 949-975-0123 Lic Exp Date: 04130/2022 Phone: 310-422-1536 State Lic: C-075736 m e • so • m m e . m m Code Edit: 2016 Worker's Compensation Insurance Designer: m m • • �• o c •mac Type of Construction: V-B-SPR Carrier: STATE FUND Address: Occupancy Group: R31U Policy No: 9074266 Added /New sq.ft. Bldg: 4512 Expire: 10/01/2022 Phone: Added /New sq. ft. Garage: 476 No of Stories: 3 Building Setbacks Rear: 5 Special Conditions: HIGH DENSITY No of Units: 2 Front: 15 Bldg Height: 0 Left: 3 Bldg Sprinklers: Y Right: 3 Flood Zone: X Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $0.00 Building Permit Fee: $0.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $0.00 Additional Fee : $38.00 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 $0.00 Energy Compliance: $0.00 Grading PC Fee: $0.00 Public Works Department - General Service $0.00 CA Seismic Safety: $0.00 WQ Insp. Fee : $0.00 Park Dedication : $0.00 Refund Deposit $0.00 Disabled Access : $0.00 PNJ Plan Check : $0.00 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical %: $0.00 San Dist: $0.00 Building Green Fee : $0.00 Mechanical %: $0.00 NMUSD Fee: $0.00 $0.00 Plumbing %: $0.00 $0.00 TOTAL FEE : $38.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $38.00 PROCESSED BY: PUBLIC WORKS APPROVAL: ZONING APPROVAL: / PLAN CHECK BY: 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 requires the applicant for :he 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 lot 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 L) portions of the work, and the structure is not intended or offered for sale (Section 7044, Business and Pr ofeisions 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 mprovementsare notintended 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 mprov.ed for the "rbose of sale). '1,'3's ownes oLtht property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not 1pply toan ovJbtr bf'property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). 0 J pIn exempt lrom licensure under the Contractors' State License Law for the following reason: Bey my signature;,elc% 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) aeil a etructurethaPl•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 Codelisavailable upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. 3i§IT2't4re of Pfgpejty bwner or Authorized Agent Date L•ICeNSED CONTRACTOR'S DECLARATION 4re" affirm Lulder.Renalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 0 of Division 3 of the Business and Prof 6si ns Code, d license is in full force and effect. Lie ense Olass License No Date — ntractor Signatur fflV4MERS' CAMP jNSATION DECLARATION MAR IXG: FAILURE T05E¢UBE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 0706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby 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, forth )erformance 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' rance carrier and policy number are: Policy Number of Agent Date 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 t, if I should become ubject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. [nature of Applicant. 7Date�7 �� CLARATION REGA NG CONSTRUCTION LENDIN aRENCY areby 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). ider's Name Lender's Address 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 cou t ordinances and state laws relating to building construction. I authorize representatives of this city or county tognty,Cthee above-i tifi property for inspection purposes. �� nnrnro of crnnee., n,.,nar nr A„rhnr170H Anenf I �i�) �o a � t n Print Pronertv Owner's or Authorized ADent's Name X 't'� �'` '�'�1� Date ACTION PERMIT EXPIRED PERMITCANCELLED PERMIT EXTENDED PERMIT FINAL CERTIFICATEOF OCCUPANCYISSUED DATE BY DECLARATION OF II REGULATIONS PART0MPLIANCE WITH CODE OF 61 OF TITLE 40 AND ACMD RULE AL FOR OFFICE USE ONLY W I SUBMITTED ASBESTOS EPA SIGNATURE: IS NOTAPPLICABLE TO