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Home My WebLink AboutX2019-0741 - Permitsn City of Newport Beach - Building Division IIIIIIIII�IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII� COMB Permit: X2019-0741 100 Civic Center Drive, Newport Beach, CA 92660 X 2 9 1 9 6 7 4 1 Project No: 0497-2019 H s Permit Counter Phone (949)644-3286 Inspection Requests Phone (949)644-3255 fl'�4Aenv.�' .'' Combination Type - BLDG PLUM Issued Date : 0 310 612 01 9 0 Inspection Area : 2 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: 625 ST JAMES RD NB Description: DEMO SFR & GARAGE 1470 SF 3 BEDROOMS. SEWER CAP INCLUDED Legal Dese.: N TR 1218 LOT 5 Owner:.. COLLINS BRIDGET Address: 625 ST JAMES RD NEWPORT BEACH, CA 92663 Phone: Applicant:. GRAYSTONE CUSTOM BUILDERS Address: 3419 VIA LIDO #455 NEWPORT BEACH CA 92663 Phone:. Code Edit: 2016 :Type of Construction: V-8 Occupancy Group: R31U Added /New sq.ft. Bldg:.. 0 Added /New. sq. ft. Garage: 0 No of Stories: 1 No of Units : 1 Bldg Height: 0 Bldg Sprinklers: Building Permutitaree:W' o $103.00 iia°n'Check Fee:,; $200.00 Mli time Plan Ck,, $0.00 WAStigation Fes:e - $0.00 Reeard Management: $0.00 €nergy Compliance`, $0.00 CA,$eismic SaYdtq r $0.00 ,o9s4bfed Access: $0.00 HazaOous NK o - =o $0.00 -abil Iioig Green Fee.: $1.00 . San Dist: o oe oo TOTAL FEE: $1,774.27 PROCESSED BY: ZONING APPROVAL: Contractor: GRAYSTONE CUSTOM BLDRS INC Address: 3419 VIA LIDO STE 455 NEWPORT BEACH CA 92663 Phone: 949.466-0900 Con State Lie: 971085 Lie Expire: 03/31/2020 Bus Lie: BT30040057 Lie Exp Date: 03/31/2019 Worker's Compensation Insurance Carrier: STATE FUND Policy No: 9216106-2018 Expire: 08/1512019 Building Setbacks Use Zone: 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: I Right: I $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $9.27 Plan Check Fee: Architect Address: Phone: State Lie: Engineer: Address: Phone: State Lie: Designer: Address: Phone: Special Conditions: TIGHT QUPtIj,,TE)�S TOT 3rds ;,aPIMIN HAUL DEBRI i d d 0 Fire Hazard Zone : N Planning Department - Plan check Fee : $90.00 Fair Share: Fire Plan Rev $0.00 SJH Trans : $0.00 In -lieu Housing Fee: General Service $0.00 Public Works Department- $1,127.00 Park Dedication : $0.00 PM Plan Check : $0.00 $0.00 San Dist: $0.00 NMUSD Fee: $0.00 Fire Department Fire Inspection:. $0.00 Fire Plan Rev $0.00 Demolition Fee Building Dept Adm $26.00 General Service $210.00 Refund Deposit. $1,127.00 Grading Bond: $0.00 $0.00 $0.00 $0.00 Fee Due at Permit Issuance : $1,774.27 PUBLIC WORKS 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) lection 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 1e permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' Stale License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and 'rofessions 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 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, lusiness 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 nprovements 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 nproved 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 poly 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). 7 1 am exempt from licensure under the Contractors' State License Law for the following reason: ;y 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) ell 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 'rofessions 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 .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70OMMIM of the Business and Pra 10429nd icense is in full force nd effect. License Class License No Dat Contractor Signature YORKERS' COMPENSATION DECLARATION 'ARNING: 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 ($100,0001, IN ADDITION TO THE OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3705 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: kI 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 e mance of the work for which this permit is issued. Policy No. ve 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' compensatiol is rice carrier and policy number are: Policy Number Date lame of Agent Friona s 71 certify that, in the performan f 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 acre iat, if I should become subje h w rs' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nT 000 ° ° signature of Applicant IECLARATION REG IN STRUCTION LENDING AGENCY • ° ° ° ° hereby affirm under penalty of p fury 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 county Ana sand�5tefe laws relating to building construction.I authorize representatives of this city or coun`t�/ toieb Identified property for inspection purposes.onwTM ••licnature of Prooertv Owner or Authorized AGent V l_ __ Print Property Owner's or Authorized Agent's NamPj'1% Date ° ACTION DATEI BY ' I DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY . • REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE TION TO PERMIT CANCELLED PERMIT EXTENDED QMD PERMITFINAL / LfAsBOSTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATEOF PROPOSED DEMOLITION OCCUPANCY ISSUED -/ SIGNATbld: