HomeMy WebLinkAboutX2019-0742 - PermitsIrryfi City of Newport Beach - Building Division
off, i 100 Civic Center Drive; Newport Beach, CA 92660 -
E.Permit Counter Phone (949)644-3288
-. Inspection Requests Phone (949)644-3255
Combination Type - BLDG
X 2 0 1 9 0 7 4 2�� II
COMB Permit: X2079-0742
Project No: 0497-2019
Issued Date: 03/0612019
Inspection Area : 2
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
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
OvertimeLPlan CIY:oO°.°o
$0.00
Description:. DEMO POOL USING CITY STANDARD.
METHOD'B'
$0.00
$0.00
R6Ed'r6 ti:janagement
.Legal Desc:i N TR 1218 LOT 6
Fire Department
Energy ComplianneF E
$0.00
$0.00
Owner: COLLINS BRIDGET
Contractor:.
GRAYSTONE CUSTOM BLDRS INC
Architect:.
$0.00
Address: :625 ST JAMES RD
Address:
3419 VIA LIDO STE 455
Address:
BL'tlding,Green Fee°
NEWPORT BEACH, CA 92663
$0.00
NEWPORT BEACH CA 92663.
$0.00
Demolition Fee
Phone:
Phone:
949-466-0900
Phone:
State Lic:.
Applicant: GRAYSTONE CUSTOM BUILDERS
Con State Lic:
971085
Engineer
Public Works Department-
Address: 3419 VIA LIDO #455
Lic Expire:.
03131/2020
Address:
$0.00
NEWPORT BEACH CA 92663
Bus Lic:
BT30040057
$0.00
Phone:.
Lic Exp Date:
03131/2019
Phone:
State Lic:
Code Edit: 2016
Worker's Compensation
Insurance
Designer:
Type of Construction: V-13
Carrier:
STATE FUND
Address:
Occupancy Group:-. U
Policy No:
9216106-2018
$0.00...
Added /New sq.ft. Bldg:. 0
Expire:
08/1512019
:Phone:.
Plan Check Fee:
Added /New sq. ft. Garage: 0
Due at Permit Issuance :
$225.40
No of Stories: 0 -
Building Setbacks
-Rear: /
Special Conditions:
No of Units : 0
Front:
Bldg Height: 0
PLAN CHECK BY:
Left: /
Bldg Sprinklers:
Right I
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Construction Valuation: .$3,000.00.
bcoo
Bdildineq permit Fec:- x$120.00
Plan Check Fee: $104.40
OvertimeLPlan CIY:oO°.°o
$0.00
In`ves` tition Fee: . -.
$0.00
$0.00
R6Ed'r6 ti:janagement
$0.00
Fire Department
Energy ComplianneF E
$0.00
$0.00
CA Sasmic Safety :` ` °
$0.00
Fire Inspection:.
Disagled`Access,:.,,
$0.00
$0.00
Hnzardeus Mat ....
$0.00
Fire Plan Rev.
BL'tlding,Green Fee°
$1.00
$0.00
00 ..
$0.00
Demolition Fee
cc000c o
Grading Permit Fee.
$0.00
0 0
FEE: $225.40
$0.00
a70T-AL
$0.00
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Excise Tax:
$0.00
Planning Department - -
Fire Department
Additional Fee :
$0.00
Plan check Fee ::
$0.00
Fire Inspection:.
$0.00
Grading Bonds Fee:
$0.00
Fair Share :
$0.00-
Fire Plan Rev.
$0.00
Grading PC Consultant:
$0.00
SJH Trans: -
$0.00
Demolition Fee
Grading Permit Fee.
$0.00
In -lieu Housing Fee.:
$0.00
Building Dept Adm
$0.00
Grading PC Fee:
$0.00
Public Works Department-
General Service
$0.00
WQ Insp. Fee:
$0.00
Park Dedication : $0.00
Refund Deposit
$0.00
PAN Plan Check: $0.00
Grading Bond:
$0.00
Electrical %:
$0.00
San Dist: $0.00
Mechanical %:
$0.00
NMUSD Fee: $0.00
$0.00
Plumbing %:
$0.00...
$0.00
Plan Check Fee:
$0.00 Fee
Due at Permit Issuance :
$225.40
PUBLIC WORKS APPROVAL:
6�10.
PLAN CHECK BY:
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)
Rection 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
is 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
'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).
7 I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044,
Iusiness 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
n roved for the purpose of sale).
1, 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
pply 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:
ly 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 legaill
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.htmi.
'ignature 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 7000 f i i ' of the Business and Professis C a my license is in full force
nd effect. License Class License No Date Contractor Signatur
I/ORKERS' COMPENSATION DECLARATION 1-f IV
ARMING: 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 ($100,000), IN ADDITION TO THE
OST 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 the
Rmvance of the work for which this permit is issued. Policy No.
e 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
ns ra ce carrier and policy number are:
r Policy Number Expiration Date
Jame of Agent Phone #
:1I certify that, in the performance offhework 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
hat, if 1 should become subject to e e ' ompensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
....
• •o00
Signature of Applica Date
•• ' ,._�
)ECLARATION REG NG CO RUCTION LENDING AGENCY
�,,,,• • o
hereby affirm under penalty of perj that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
. . • ° °
° °
Name Lender's Address
• • ° °
-ender's
3 m signature below, I certify to each of the following:
Y Y 9 fY
•• •
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 orcin a and BE a laws relating to building construction.
• • ' °
•••.
I authorize representatives of this city or county to e t e v entified property for inspection purposes.
•o °
° °
°Date �
signature of Property Owner or Authorized AgepA Print Property Owner's or Authorized A enfs Name
• °
ACTION
DATE
BY'
DECLAh&TION OF COMPLIANCE WITH CODE OF FEDERAL
FOR OFFICE USE ONLY
•, °'� ie°o°o
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE•
u•
1403
PERMIT EXPIREDI
SUBMITTED ASBESTOS NOTIFICATION TO
PERMITCANCELLED
_ EPA
CERTIFICATEOF In
NOTIFICATION IS NOTAPPLICABLE TO
PROPOSED DEMOLITION