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Home My WebLink AboutX2020-1925 - PermitsCity of Newport Beach - Building Division 100 Civic Center @rive -Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 sx , Inspection Requests Phone (949)644-3255 Combination Type - BLDG PLUM III IXI02lul0IIu�Ilu�ll�ll5l� II COMB Permit: X2020-1925 Project No: 1539-2020 Issued Date : 12102/2020 Inspection Area : 1 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 1210312023 OR PERMIT WILL 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: 1140 W BAY AVE NB t°a C'� yT�®®��/Le Description: DEMO 3,411 SF (4) BDRM SFR W/ ATTACHED GARAGE ''��!! a9. Y9 8 R d S Legal Desc.: N TR 626 BLK 4 LOT 1 Owner: WELLS JOHN Address: 3239 COUNTRY CLUB DR GLENDALE, CA 91208 Phone: Applicant: SMITH BRAD Address: 425 30TH ST #22 NEWPORT BEACH CA 92663 Phone: 949.631-3682 Code Edit: 2019 Type of Construction: VB Occupancy Group: R3IU Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 2 No of Units : 1 Bldg Height: 0 Bldg Sprinklers: Valuation: $10,000.00 Building Permit Fee: $120.00 Plan Check Fee: $227.50 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $4.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee: $1.00 TOTAL FEE: $2,609.80 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Contractor: GRAYSTONE CUSTOM BLDRS INC Address: 3419 VIA LIDO STE 455 NEWPORT BEACH CA 92663 Phone: 949-466-0900 Con State Lic: 971085 Lic Expire: 03/3112022 Bus Lic: BT30040057 Lic Exp Date: 0313112021 Worker's Compensation Insurance Carrier: STATE FUND Policy No: 9216106 Expire: 08/15/2021 Building Setbacks Use Excise Tax: Additional Fee Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: Electrical %: Mechanical %: Plumbing %: Rear. I Front: I Left: I Right: I larking Spa $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $120.00 $0.00 $0.00 $10.80 Plan Check Fee Architect: SMITH BRADFORD Address: 425 30TH ST #22 NEWPORT BEACH CA 92663 Phone: 949-6313682 State Lic:C014146 Engineer: Address: Phone: State Lic: Designer: Address: Phone: Special Conditions: HAULER;TIGHT QUARTERS Planning Department - Plan check Fee Fair Share SJH Trans In -lieu Housing Fee: Public Works Department - Park Dedication : $0.00 P/W Plan Check: $0.00 San Dist: $0.00 NMUSD Fee: $0.00 Zone: N Fire Department $92.60 Fire Inspection: $0.00 Fire Plan Rev $0.00 Demolition Fee $0.00 Building Dept Adm General Service Refund Deposit Grading Bond: $0.00 $0.00 $26.00 $316.00 $1,692.00 $0.00 $0.00 $0.00 $0.00 Fee Due at Pennit Issuance : $2,609.80 �;OBE.I&ORKS APPROVAL: ir PLAN CHECK BY: o "APPROVAL TO ISSUE: D i 6 G > 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) 1 have placed next to the applicable item(s) action 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 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 �fessions Code) or that he or she is exempt from Iicensure 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 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 U portions ofithe work, and the structure is not intended or offered for sale (Section 7044, siness 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 )rovements 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 )roved for the purpose of sale). J 1, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 70, pply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contra( I am exempt from Iicensure 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 or ell a structure that 1 have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I Irofessions Code, is available upon request when this application is submitted or at the following Web site:hftp:/Avww.le lignature of Property Owner or Authorized Agent .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section OOC end effect. License Class License No Date COMPENSATION DECLARATION rARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. hereby affirm under penalty of perjury one of the following declarations: Director olf Industrial Relations as provided for by Section 3700 of the Labor Code, for for the performance of the work for which this permit is issued. My workers' compensal J I he and will maintain a certificate of consent to self -insure for workers' compensation, issued by the erfoyrhance of the work for which this permit is issued. Policy No. have and will �al�Itarn workers' compensation insurance, as required by Section 3700 of the Labor Code, rance carrier end tarn number al€`. 1 _ Business and Professions Code: The Contractors' State License Law does not pursuant to the Contractors' State License Law). I that a copy of the applicable law, Section 7044 of the Business and v/calaw.html. Da 9 3,of the Business and Prof io de, and In 'ce 'ciR3ul(,force W Contractor Signature r CIVIL PINES UP TO ONE HUNDRED THOUSAN DOLLARS 13700,000), IN ADDITION TO THE :arrier 1 err I Expiration Date Jame of Agent `' Phone # :3I certify that, in the performance If 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 I should become subj t e worke ' mpensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. �1 �t �'7 /� 3ignature of Applicant Dat� �ZIZ I VU l/V )ECLARATION REGA ING CO ST 10 ENDING AGENCY hereby affirm under p alty of perjury that there is a constmction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). -ender's Name - Lender's Address 3y my signature below, I certify to each of the following: I am the property owner or authorized to act on the property off err 'sue alf. I have read this application and the information I have provid is correc 1 agree to comply with all applicable city and county. ordinan an ate WE relating to building construction. I authorize representatives of this city or co ante a above-ide Hi ion purposes. 2 3ignature of Property Owner or Authorized Age Print Prope wner's or Authorized Agent's Nam ( _ ACTION DATE BV DEC RA I N OF COMPL NCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIO PART 61 OF TITLE 40 AND AQMD RULE 1403 • ••• •s• • •w• ••• PERMIT EXPIRED I L.J I SUBM ITTq D ASBESTOS NOTIFliATION"00 PERMITC4NCELLED EPA • ' • • ' • • • + •• - PERMIT EXTENDED QMD PERMITFINAL l Zl \ ASBEST 5 NO ION 15 PPLICA13LE TO CERTIFICATEOF (J PROPOSM D LI •� ••+ • • •'• • • s OCCUPANCYISSUED SIG UR • • • s • e • • • m • e o mo ocm m o oe eo coo