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Home My WebLink AboutX2018-3018 - Permitsrr City of Newport Beach - Building Division IIIIIIiiIIIIII�IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII Investigation Fee: $0.00 Record Management: $90.00 Energy Compliance: $0.00 CA Seismic Safety: $82.50 Disabled Access: $0.00 COMB Permit: X2018-3018 $0.00 100 Civic Center Drive, Newport Beach, CA 92660 $26.00 X 2 0 1 8 3 0 1 6 Project No : 1155-2018 F �1 'x Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 12o1a Combination Type - SFP ELEC MECH PLUM GRAD Issued Date: e•xlch Inspection Area 1 Area : PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. Ce 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: 2121 SEVILLE AVE NB , Description: NEW SFR W/ATT GARAGE 2,9971502 SIF Legal Desc.: N TR 948 LOT 101 Owner: SEDONA HOMES INC Contractor: GRAYSTONE CUSTOM BLDRS INC Architect: Address: 40101 MONTEREY AVE #B1-214 Address: 3419 VIA LIDO STE 455 Address: RANCHO MIRAGE CA 92270 NEWPORT BEACH CA 92663 Phone: Phone: 949-466-0090 Phone: State Lic: Applicant: HAMPTON CRAIG Con State Lic: 971085 Engineer: FORBES DALE L C eW',) Address: 5500E QUARTERSAWN ST Lic Expire: 03/31/2020 Address: 1800 E 16TH ST #B BOISE ID 83716 Bus Lic: BT30040057 SANTA ANA CA 92701 Phone: 949-209-8883 Lic Exp Date: 03/31/2019 Phone: 714-835-2800 State Lic:C-030407�� Code Edit : 2016 Type of Construction: V -B -SPR Occupancy Group: R31U Added /New sq.ft. Bldg: 2997 Added /New sq. ft. Garage: 0 No of Stories: 3 No of Units : 1 Bldg Height: 0 Bldg Sprinklers: Y Building Permit Fee: $4,866.00 Plan Check Fee: $0.00 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $90.00 Energy Compliance: $0.00 CA Seismic Safety: $82.50 Disabled Access: $0.00 Hazardous Mat $0.00 Building Green Fee : $26.00 Worker's Compensation Insurance Carrier: STATE FUND Policy No: 9216106-2018 Expire: 0 811 512 01 9 Building Setbacks Excise Tax: Additional Fee Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: Electrical W Mechanical %: Plumbing %: Rear: 0 Front: 6 Left: 3 Right: 3 Parking Spar $800.73 $0.00 $0.00 $0.00 $1,165.00 $779.52 $0.00 $340.62 $194.64 $437.94 Designer: HAMPTON CRAIG Address: 5500 E QUARTERSAWN ST $0.00 BOISE ID 83716 Phone: 949-209-8883 Special Conditions Planning Department - Plan check Fee: Fair Share SJH Trans In -lieu Housing Fee Public Works Department - Park Dedication : $0.00 P/W Plan Check : $206.25 San Dist: $0.00 NMUSD Fee: $2,783.92 TOTAL FEE: $11,773.12 Plan Check Fee : $0.00 Fee Due at Permit Issuance c c e m c • PROCESSED BY: `_,`,:_ ` �; �, • 6 c 1311&4JC WORKS APPROVAL: m ZONING APPROVAL: 1A PLAN CHECK BY: GRADING APPROVAL: o`c o`o ccc <" APPROVAL TO ISSUE: c. e v o e Ic m u o c c ueo um oo m c coo eo $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $11,773.12 Fire Department $0.00 Fire Inspection: $0.00 Fire Plan Rev $0.00 Demolition Fee $0.00 Building Dept Adm General Service Refund Deposit Grading Bond: TOTAL FEE: $11,773.12 Plan Check Fee : $0.00 Fee Due at Permit Issuance c c e m c • PROCESSED BY: `_,`,:_ ` �; �, • 6 c 1311&4JC WORKS APPROVAL: m ZONING APPROVAL: 1A PLAN CHECK BY: GRADING APPROVAL: o`c o`o ccc <" APPROVAL TO ISSUE: c. e v o e Ic m u o c c ueo um oo m c coo eo $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $11,773.12 OWNER -BUILDER DECLARATION - 1 . ^-. , ]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 req11 molish, 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 _ M c 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 alltion 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). W_ ❑ 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, 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 im roved 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 legall, 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://Www.leginfo.ca.gov/calaw.htmi. Signature of Property Owner or Authorized Agent LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70 ) o ' ' of the Business and Pr fe Cod an m license is in full force and effect. License Class License No Dale Contractor Signatur NORKERS' COMPENSATION DECLARATION IARNING: 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 ($100,000), IN ADDITION TO THE OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION OTUS OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: 7 I have and will maintain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for IN antamance of the work for which this permit is issued. Policy No. I have and willA w.ntain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensatior isurance carrier n$policy numb r re: arrier Pdriev Number Expiration Date 'ame of Agent LA4W Phone # 11 certify that, in the perfonnan a for whit 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 agree Iat, if I should become subje the w rk provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ignat_ re of Applicant, .... �......... ...... Dat )reby affirm under pAalty of perkry 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 ea.h of the following: I am the property owner or authoted to act on the p arty o ner's behalf. I have read this application and the information I Vepr de is correct. I agree to comply with all applicable city and coua an a laws relating to building construction. I authorize representatives of this city or count ve-identified property for inspection purposes. -,r�../'�.lv. nature of ProDertv Owner or Authorized Aoen Print Prooertv. Owner's or Authorized Agent's Nam `%'/ / ACTION DATE B" -,-I EG RULATIONS OF COMPLI61 OF ANCE TITLE WITH AND DE OF RUDERAL I FOR OFFICE USE ONLY PERMITEXPIRED U I SUBMITTED ASBESTOS NOTIFICARONTO� i PERMITCANCELLED OEPA • PERMIT EXTENDED LIAQVID PERMITFINAL �L3 ASBESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATE OF PROPOSED DEMOLITION •• ••• • • • ••• OCCUPANCY ISSUED SIGNATURE: • • e • i i •• ••• • • •. 0• •••