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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