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Home My WebLink AboutX2019-0264 - Permitsv City of NewpOrt Beach - Building Division�IIIIIIII�III�III��I�IIIIIIIIIIIIIIIIIIIIIIIIIII COMB Permit: X2019-0264 100 Civic Center Drive, Newport Beach, CA 92660 X Project No :0195-2019 H Permit Counter Phone (949)644-3288 13 $ Inspection Requests Phone (949)644.3255MSPONNUM - - �. - aIssued Date : 2!2019 Combination Type - SFP ELEC GRAD MECH PLUM _ Inspection Area : 1 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: 2132 SEVILLE AVE NB - Description; NEW SFR& GAR 30691639 SF - Legal Desc,: N TR 948 LOT 95 Owner:. GORE TOMMY & KIM Contractor: GRAYSTONE CUSTOM BLDRS INC Architect: Address: 2128 MIRAMAR DR Address: 3419 VIA LIDO STE 455 Address: - - NEWPORT BEACH, CA 92661 NEWPORT BEACH CA 92663 Phone: Applicant: HAMPTON CRAIG Address: 5500 E QUARTERSAWN ST. BOISE ID 83716 Phone:. Code Edit 2016 Type of Construction: - V -B -SPR Occupancy Group: R31U Added /New sq.ft. Bldg: 3069 Added /New sq. ft. Garage: 539 No of Stories: 3 No of Units : 1 Bldg Height: 0 Bldg Sprinklers: Y Flood Zone: 0.2% 11 Construction Valuation: $! Building Permit Fee: $4,866.00 Plan Check Fee: $3,086,00 gvertime Plan Ck; $0.00 Engineer: $0.00 °lnv°e$(igationFBFI�° fi�'dbVd Managa;neni;': $86.60 Fneryy Con pllance„ $268.00 10;A ff,'elsmie SsVdtt l - $0.00 6Dinabled Accegs : $0.00 IHazardous Mit $0.00 Phone:. 949466-0900 Phone: Con State Lie: 971085 Engineer: Lie Expire: 03/31/2020 Address: Bus Lie: BT30040067 Right: 4 - Lie Exp Date: 0313112020 Phone: Worker's Compensation Insurance Designer: Carrier: STATE FUND - Address: Policy No: 9216106-2018 .Expire: 0 811 612 01 9 Building Setbacks. Rear: 0 Grading Bonds Fee: Front: 6 Left: 4 $774.08 Right: 4 - Use Zone: R-1 Parkina Snares: 0. Excise Tax: $757.68 Additional Fee; $0.00 Grading Bonds Fee: $0.00 Grading PC Consultant : $774.08 Grading Permit Fee: $875.00 Grading PC Fee:. $169.92 WQ Insp. Fee: $108.00 Electrical %:. rRuildmg GrVn(Fen E $24.00 Mechanical W Plumbing %: 6664l ° TOTALFEE: $16,855.44 .. 106 I i 11 P'ROCESSEDIBMa U0U41: ZONING ARR$,6VAL: _ $340.62 $194.64 $437.94 State Lie FORBES DALE L 1800 E 16TH ST #B SANTA ANA CA 92701 714-835.2800 State Lic:C-030407 Phone: 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 : $330.00 San Dist: $874.00 NMUSD Fee: $3,236.56 Plan Check Fee : $4,428.00 $417.00 $0.00 $0.00 $0.00 Fire Department Fire Inspection: Fire Plan Rev Demolition Fee Building Dept Adm General Service Refund Deposit Grading Bond: Fee Due at Permit PUBLIC WORKS APPROVAL: PLAN CHECK BY: GRADING APPROVAL: APPROVAL APPROVAL TO ISSUE: $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $12,427.44 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for thereason(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 reemolish, 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 tot a se 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 al ti anon 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). El 1, 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 Improved 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 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). ❑ I 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.govtcalaw.html. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION 1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Divi io 3o the Business and Professio od and y license is in full force and effect. License Class License No DaltotContractor Signatur WORKERS' COMPENSATION DECLARATION NARNING: 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 COST 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: ❑ 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 th f ormance 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' compensatioal 'ns ante carrier and policy number are: Carrier Policy Number Expiration Date Re of Agent rnoriv n certify that, in the performanc of t 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 I, if I should Deco a subject kers' mpensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applican DaV 01 CLARATION REGARDING RU TION LENDING AGENCY ueby affirm under penalty of pert 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. • a. I have read this application and the information I have provided is correct. - :••• ° •••• I agree to comply with ail applicable city and county ordina ce nd state laws relating to building construction. • ••� I authorize representatives of this city or county to an r h a d�ntified property for inspection purposes. 1 , •• • °a• ..�f— ,.f Drn ,, nu,n.r nr Authnrivad Anent _� / Print Property Owner's or Authorized Agent's Name N M i Ckl(AQ� 'TFAIN A � 7 __ •1 ACTION DATE BY DECLARA�J[Y1N OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY ' REGULATIONS PART 61 OFTITLE 40AND ADMIT RULE •„•• a • - •, 1403 PERMITEXPIRED 0 I SUBMITTED ASBESTOS NOTIFICATION TO ••: �••• ••� ••a.•• PERMITCANCELLED EPA PERMIT EXTENDED QMD PERMITFINAL '/q/ASBESTOS NOTIFICATION IS NOT APPLICABLE TO �l” CERTIFICATE OF 1� L� PROPOSED DEMOLITION OCCUPANCY ISSUED SIGNATURE: I'...-