HomeMy WebLinkAboutX2022-1512 - Permits�tiWPORr
City of Newport Beach II ICI I II I II I III II ICI II I II
Community Development Department - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
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Permit Counter Phone: (949) 644-3288
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Inspection Requests Phone: (949) 644-3255
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newportbeachca.gov/inspections
Combination Type - MFP
Work Class - Alteration
COMB Permit : X2O22-1512
Plan Check No : 1390-2022
Issued Date : 08/16/2022
Inspection Area : 4 TO
H 3 d" N Brvr'� 3
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION, BUT NO LATER THAN 3 YEARS FROM ORIGINAL ISSUANCE DATE
NO CONSTRUCTION RELATED NOISE ON SATURDAY OR SUNDAY IN HIGH DENSITY AREAS AND NO WORK ON SUNDAY AND HOLIDAYS IN ALL AREAS
Job Address : 1050 PARK NEWPORT DR Legal. Desc : N TR 6947 BLK LOT 8
Description: MFR ALT: FRONT DECK REPAIR OF UNITS 1050-1100
Owner:
PARK NEWPORT LAND LTD
.Contractor: °GREYTHON CONSTRUCTION LLC
Architect:
Address:
201 FILBERT ST STE700 SAN FRANCISCO, CA
Address.: 31 WATER ST MYSTIC CT p6355, CA
Address
94133
Phone:
Phone:- (860),571-4600
.Phone:
Con State Lie : 1032199 =
c. State Lie
Applicant :
GREYTHON CONSTRUCTION LLC
Lie Expire : 10/31/2023
Address :
31 WATER ST MYSTIC CT 06355, CA
Bus Lie i BT30075953
Engineer:
O'CONNELL KEVIN
Phone:
(860) 571-4600
Bus Lie Expire :.07131/2023
- Address:
23201 EVALYN AVE
90505
-
Workers' Compensation Insurance
Phone:
(213) 271-2000
Owner/Builder:
Carrier`.-STATE+COMPENSATION+INSURANCE+FUN.
D
Address:
Policy No: 9235544
Designer:
Phone:
W.-C'. Expire: 9/1512022
:Address
Phone:
Code Edition :
2019
Fire Sprinklers : NO
Construction Valuation
Type of Construction :
V-B
Fire Hazard Zone : No
Added/New/TI sq. ft. Bldg:
Occupancy Groups :
R-2
No of Units : 6
-Alteration sq. ft. Bldg :
Bldg Height :
No of Stories : 2 f'
Added/New sq. ft. Garage
Building Setbacks
Flood Zone:
X
Use Zone:
PC - Park Newport
- UP 1412, UP 1557 / o
PROCESSED BY
SPECIAL CONDITIONS:
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v' a
TOPRANCE, . t
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$2,000.0
0
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t 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 applicableitem(s)
ction 7031.6, 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
fassions 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
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 of the work, and the structure is not intended or offered for sale (Section 7044,
mess 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). I
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
ty to an owner of property who builds or improves thereon, and who Contracts for the projects with a licensed Contractor pursuant to the Contactors' State License Law).
€J I am exempt from licensors under the Contractors' Slate 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 or
sell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I
Professions Code, is available upon request when this application is submitted or at the following web sim:httpJhvww.Ie
Signature of Property Owner or Authorized Agent
LICENSED CONTRACTOR'S DECLARATION
I hereby effrm under penalty of perjury that I am licensed under provisions of Chapter (commencing with Section 700C
and effect. License Class License No Date/
COMPENSATION DECLARATION
that a copy of the applicable law. Section 7044 of the Business and
3 of the Business and ProfessionsQpd is in full force
Contractor Signature
T
iNG: FAILURE TO WCURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRaaNAL PENALTIES AND CML FINES UP TO ONE HUNDRED THOUSAND DOLLARS [$190,030), IN ADDITION TO THE
OF COMPGROAMIDN. DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEM
!by affirm under penalty of perjury one of the following declarations:
• •
have and t411? maintain a certificate of consent to self -insure for workers' compensation, issued by the Director bf Industrial Relations as provided for by Section 3700 of the Labor Code, for th
"once oRhe work for which this permit is issued. Policy No. i
aro*.Va g>bintain 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'
carrier and policy number are:
• •c a ...' --""'•`— r"
ilRlana of AnaM• •
Policy Number
,. I certify thaLln the performance of the work for which this permit is issued, I shall not employ any person in any
1 bola( I shoyie bgeclire subeeut h/P�nrk Is'>r�t mpensation provisions of Section 3700 of the Labor Code, I shall
• . gtmture of
�. IECLARATJ
ireby affirrit mndet penalty of perjury that theca is a construction lending agency for the performance of the work!
Ider's Name Lender's Address
my signature below, I certify to each of the following:
I amthe property owner or authorized to act on the property owner's behalf.
I have read this application and the information I have providedis correct,
I agree to comply with all applicable City and county ordinances and state laws relating to building construction.
1 authorize representatives of this city or county Je entes�y ve-S jagr iRed property for inspection purposes.
ACTION DATE BY REGULATIONS PART fil OTION OF F TITLE 40 ANDANCE WITH OAQMD RULDE OF E AL FOR
Date
so as to become subject to the workers' compensation laws of California, and agre
I comply with those provisions.
Date/ R-/6-2 -L—
this permit is issued (Section 3097, Civil Code).
�ra(I• ryrptS 4vj
PERMITEXPIRED _ ! U l SUBMITTED ASBESTOS NOTIFICATION TO
PERMITCANCECLED EPA All required alarms, latches gates and fences which serve as part of a poollspa barrier, shall
u __
PERMIT EXTENDED a„tM.p be in place prior to approval to fill pool/spa & shall remain in place & be maintained for the
PERMIT F1NAf �. 13.. LSBE5T05 NOTIFICATION IS NOT APPLICABLE 70 hie of the pool.
CERTIFICATE OF OPOSED DEMOLITION X/
OCCUPANCY ISSUED SIGNATUREt Y