HomeMy WebLinkAboutX2019-3834 - PermitsIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII IICOMB Permit: X2019-3834
x 2 9 1 9 3. 8 3 4 Project No: 1745-2019
Issued Date : 1 210 312 01 9
Inspection Area : 2
PERMITS EXPIRE 980 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: 2532 CRESTVIEW DR NB
Description: DEMO SFR & GARAGE 1391 SF. 2 BEDROOMS. SEWER CAP INCLUDED
Legal Desc.: N TR 1140 LOT 44
Owner:
City of Newport Beach - Building Division
Contractor:
GRAYSTONE CUSTOM BLDRS INC
Architect:
100 Civic Center Drive, Newport Beach, CA 92660
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Permit Counter Phone (949)644-3288
Inspection Requests Phone
3419 VIA LIDO STE 455
(949)644-3255
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Combination Type - BLDG PLUM
IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII IICOMB Permit: X2019-3834
x 2 9 1 9 3. 8 3 4 Project No: 1745-2019
Issued Date : 1 210 312 01 9
Inspection Area : 2
PERMITS EXPIRE 980 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: 2532 CRESTVIEW DR NB
Description: DEMO SFR & GARAGE 1391 SF. 2 BEDROOMS. SEWER CAP INCLUDED
Legal Desc.: N TR 1140 LOT 44
Owner:
PERKINS SCOTT
Contractor:
GRAYSTONE CUSTOM BLDRS INC
Architect:
Address:
3419 VIA LIDO #455
Address:
3419 VIA LIDO STE 455
Address:
Disabled Access:
NEWPORT BEACH, CA 92663
Hazardous Mat
NEWPORT BEACH CA 92663
Building Green Fee :
Phone:
Mechanical %:
Phone:
949-466-0900
Phone: State Lie:
Applicant:
GRAYSTONE CUSTOM BLDRS INC
Con State Lie:
971085
Engineer:
Address:
3419 VIA LIDO STE 455
Lie Expire:
03/31/2020
Address:
NEWPORT BEACH CA 92663
Bus Lic:
BT30040057
$0.00
Phone:
949-466-0900
Lic Exp Date:
03/3112020
Phone: State Lic:
Code Edit: 2016
Type of Construction: V -B
Occupancy Group: R3/U
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: N
Construction Valuation: $10,000.00
Building Permit Fee: $103.00
Plan Check Fee: $0.00
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management :
$0.00
Energy Compliance:
$0.00
CA Seismic Safety:
$0.00
Disabled Access:
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$1.00
TOTAL FEE: $2,041.27
PROCESSED BY:
ZONING APPROVAL:
Worker's Compensation Insurance
Carrier: STATE FUND
Policy No: 9216106-2018
Expire: 08/1512020
Building Setbacks Rear: I
Front: I
Left: /
Right: /
Use Zone: Parkins Sna
Excise Tax:
$0.00
Additional Fee:
$0.00
Grading Bonds Fee:
$0.00
Grading PC Consultant:
$0.00
Grading Permit Fee:
$0.00
Grading PC Fee:
$0.00
WQ Insp. Fee:
$0.00
Electrical %:
$0.00
Mechanical %:
$0.00
Plumbing %:
$9.27
Designer:
Address:
Phone:
Special Conditions: TIGHT QURRtrr@fjty«T A
DEBRIS ��Vv`>v�A�°' L_'Lo ION IV®!SE
Plan Check Fee : $0.00 Fee Due at Permit Issuance : $2,041.27
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opALIC 1R/ORKS APPROVAL:
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PLAN CHECK BY:
GRADING APPROVAL: _ G G G o G G G G .APPROVAL TO ISSUE:
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O O OC C O 03
OL 000 p O GO 00 U00
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Planning Department -
Fire Department
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Plan check Fee :
$0.00
Fire Inspection:
$0.00
Fair Share :
$0.00
Fire Plan Rev
$0.00
SJH Trans :
$0.00
Demolition Fee
In -lieu Housing Fee:
$0.00
Building Dept Adm
$26.00
Public Works Department -
General Service
$210.00
Park Dedication :
$0.00
Refund Deposit
$1,692.00
PAN Plan Check:
$0.00
Grading Bond:
$0.00
San Dist:
$0.00
NMUSD Fee:
$0.00
$0.00
$0.00
Plan Check Fee : $0.00 Fee Due at Permit Issuance : $2,041.27
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opALIC 1R/ORKS APPROVAL:
cG . e c o0
PLAN CHECK BY:
GRADING APPROVAL: _ G G G o G G G G .APPROVAL TO ISSUE:
o v c o
O O OC C O 03
OL 000 p O GO 00 U00
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 items)
(Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, priorto its issuance, also requires the applicant for
the 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
Professions 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
not more than five hundred dollars ($500).
❑ I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or U 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 legal
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.ieginfo.ca.govlcalaw.htmi.
Signature of Property Owner or Authorized Agent Dat
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Di , o of the Business Profs ions Code and m license is in full force
and effect. License Class License No Date S Contract Signature
INORKERS' 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 TH SAND DOLLARS ($100,000), IN ADDITION TO THI
COST 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:
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.
I 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' compensatioi
rs� n IS carrier and policy number are:
r Policy Number Expiration Date
lame of Agent Phone #
]I certify that, in the p rforma rk for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation I WE of California, and agre
iat, if I should becom act to t wo e ' com tion provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. o
✓` �� 3
signature of Appl'
IECLARATIO G CONSTRUCTION LENDING AGENCY
hereby affirm under penalt of perjury 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 I Lender's Address
ly my signature below, I certify to each of the following:
I am the property owner or authorized to acta prop y owner's behalf.
I have read this application and the informati n I have proed lill correct.
I agree to comply with all applicable city and unty nd state laws relating to building construction.
I authorize representatives of this city or co n enter ab prope inspection purposes. /A p/
signature of Property Owner or Authorized nt Print Property Owner's or Authorized Agent's Name' !x �f Date
%CTION DATE DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
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