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Home My WebLink AboutX2019-3493 - Permitsypr, City of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92060 r. t Permit Counter Phone (949)644-3288 s1 Inspection Requests Phone (949)644-3255 Combination Type - SFP ELEC GRAD MECH PLUM *X2019-3493* FEMA ELEVATIn,Nf CERTIFICATE REQUIRED FOR FINAL COMB Permit: X2019-3493 Project No : 2414-2019 Issued Date : 06/19/2020 Inspection Area : 1 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 06/20/2023 OR PERMIT 6VILL BE INVALID 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: 417 EDGEWATER PL NB Description: NEW SFR & GARAGE 2560/380 SF (3-STORY) Legal Desc.: Owner: WALSH JOHN Contractor: GRAYSTONE CUSTOM BLDRS INC Architect: SMITH BRADFOR9 Address: 21731 VENTURE BLVD #205 Address: 3419 VIA LIDO STE 455 Address: 425 30TH ST #22 v V�� WOODLAND HILLS CA 91364 NEWPORT BEACH CA 92663 NEWPORT BEACH CA 92663 Phone: 818-427-9890 Phone: 949-466-0900 Phone: 949-631-3682 State Lic:C014146 Applicant: SMITH BRADFORD Con State Lie: 971085 Engineer: GHOULI RAID ASAD .... Address: 425 30TH ST #22 Lie Expire: 0313112022 Address: 26040 ACERO #100 NEWPORT BEACH CA 92663 Bus Lie: BT30040057 MISSION VIEJO CA 92691 moo• Phone: 949-631-3682 Lie Exp Date: 0313112021 Phone: 949-855-2300 State LiaC-070882 ...... mm o Code Edit: 2016 Worker's Compensation Insurance Designer: Type of Construction: V-B-SPR Carrier: STATE FUND Address: Occupancy Group: R3IU Policy No: 9216106-2018 ...... Added/New sq.ft. Bldg: 2560 Expire: 0811512020 NO CONSTMCTION NOISE Added /New sq. ft. Garage: 380 m mm m m No of Stories: 3 Building Setbacks Rear: 5 Special Conditions: LIQUEFACTION V aco No of Units : 1 Front: 7 HIGH DENSITY Bldg Height: 0 Left: 3 °O Bldg Sprinklers: Y Right: 3 �n��/ o m om Flood Zone: AO1 Use Zone: Parkin S aces: 0 ON BP ° m m m Construction Valuation: $650,000.00 .... Building Permit Fee: $5,028.00 Excise Tax: $617.40 Planning Department - Fire Department Plan Check Fee: $3,198.00 Additional Fee : $0.00 Plan check Fee: $432.00 Fire Inspection: $0.00 Overtime Plan Ck: $0.00 Grading Bonds Fee: $0.00 Fair Share : $0.00 Fire Plan Rev $0.00 Investigation Fee: $0.00 Grading PC Consultant: $1,257.88 SJH Trans, $0.00 Demolition Fee Record Management: $72.00 Grading Permit Fee: $1,182.00 In -lieu Housing Fee : $0.00 Building Dept Adm $0.00 Energy Compliance: $294.00 Grading PC Fee: $276.12 Public Works Department- General Service $0.00 CA Seismic Safety: $84.50 WQ Insp. Fee: $108.00 Park Dedication : $0.00 Refund Deposit $0.00 Disabled Access: $0.00 PNV Plan Check : $340.00 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical %: $361.96 San Dist: $874.00 Building Green Fee : $26.00 Mechanical %: $201.12 NMUSD Fee: $1,122.40 $0.00 Plumbing %:. $452.52 - $0.00 TOTAL FEE : $15,917.90 Plan Check Fee: $4,428.00 Fee Due at Permit Issuance : $11,489.90 PROCESSED BY: PUBLIC WORKS APPROVAL: ZONING APPROVAL: PLAN CHECK BY: GRADING APPROVAL: APPROVAL TO ISSUE: oom • om••• 0 oom•• mom•m• 0 0 0 m ommmmm m m OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that 1 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 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 devil-p@natty of of more than five hundred dollars ($500). I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044, ',usiness 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 nproved for the purpose of sale). 1 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 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). 7 I am exempt from licensure under the Contractors' State License Law for the following reason: sy 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 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://v .leginfo.ca.gov/c-alaw.html. signature of Property Owner or Authorized Agent .ICENSED COVIMCTOR'S DECLARATION hereby affirm and er eaalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7 OO oQ iv' 'o of the Busine 'and P as ns Code d nse is in full force ad effect. LicensHlass License No Contra Signature PORKERS' COMPENSATION DECLARATION It IARNINW. 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 (E100,000), IN ADDITION TO THI ;)s?QF dbMPENSAT16N, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. reby affirm uplegr pe;alty of perjury one of the following declarations: I have and will maintain a certificate of consent to self -insure for workers' �rpyance of fbc twrlVor which this permit is issued. Policy No. • •••• 2Ve 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' �4enee erer,Iapd of numb are: s rier � IULT �.�.yyx Policy Number �LI Y/��r(J Expiration Date 1 rs r. 4-Ancnt Phone # compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for ce ify that, in 4"perfor o ork 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 . if I should becomes iect the work ' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of AP.Want �e CLARATIO REGARDING ONSTRUCTI LENDING AGENCY •,reby affirm under penalty 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). 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. I have read this application and the information I he prove d is correct. I agree to comply with all applicable city and co ordin0bakand state laws relating to building construction. I authorize representatives of th crf or coun11 to nter the a e-I opea•,Lfor inspection purposes. DATE I BY PERMIT EXPIRED PERMIT EMENDED PERMIT FINAL CERTIFICATE OF OCCUPANCYISSUED REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE TO NOTIFICATION IS NOT APPLICABLE TO PROPOSED DEMOLITION SIGNATURE: IS�]:Z�ltltl[�]q