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HomeMy WebLinkAboutX2022-1319 - PermitsCity of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2022-1319 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 2 2 1 3 1 9 Project No : 2126-2020 r,�ak Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 is �"� q'^t ^ ; '`�� `""��' I E CT Issued Date :05/09/2022 Combination Type - BLDG PLUM 1 ® V P ` Inspection Area : 1 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 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: 2286 CHANNEL RD NB� Z Description: DEMO SFR 3542 SF (6 BEDROOMS) - Legal Desc.: TR 518 LOT 4 BLK P ALL -INC POR OF LOT M ADJ- ° " ° 0 Owner: VITO ANTOCI Contractor: GRAYSTONE CUSTOM BLDRS INC Architect: KNITTER MICHAEL L b Address: 124 S CLIFFWOOD AVE Address: 3419 VIA LIDO STE 455 Address: 17752 MITCHELL NORTH #C LOS ANGELES CA 90049 NEWPORT BEACH CA 92663 IRVINE CA 92614 Phone: Phone: 949-466-0900 Phone: 949-752-1177 State Lic:C010524 Applicant: LOGAN JEFF Con State Lic: 971085 Engineer: MORRIS KYLE Address: 2618 SAN MIGUEL DR Lic Expire: 0313112024 Address: 1401 DOVE ST #620 NEWPORT BEACH CA 92660 Bus Lic BT30040057 NEWPORT BEACH CA 92660 " W..- Phone: 949-244-9329 Lic Exp Date: 03131/2023 Phone: 949-502-5323 State Lic:C-072911 ° M Code Edit : 2019 Worker's Compensation Insurance Designer: o ° ° M - Type of Construction: Carrier: STATE FUND Address: Occupancy Group: U Policy No: 9216106 M Z Added /New sq.ft. Bldg: 0 Expire: 08/1512022 Phone: z Z. Added /New sq. ft. Garage: 0 No of Stories: 0 Building Setbacks Rear: / Special Conditions: No of Units : 1 Front: / Bldg Height: 0 Left: / m Bldg Sprinklers: Right: / Flood Zone: Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $12,000.00 Building Permit Fee: $122.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $0.00 Additional Fee : $0.00 Plan check Fee: $0.00 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 : $0.00 SJH Trans : $0.00 Demolition Fee Record Management : $0.00 Grading Permit Fee: $0.00 In -lieu Housing Fee : $0.00 Building Dept Adm $27.00 Energy Compliance: $0.00 Grading PC Fee: $0.00 Public Works Department - General Service $265.00 CA Seismic Safety : $0.00 WQ Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $1,692.00 Disabled Access : $0.00 P/W Plan Check : $0.00 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical %: $0.00 San Dist : $0.00 Building Green Fee : $1.00 Mechanical %: $0.00 NMUSD Fee: $0.00 $0.00 Plumbing %: $10.98 $0.00 TOTAL FEE : $2,117.98 I=AZf3=131497:1F Plan Check Fee ZONING APPROVAL: �7 GRADING APPROVAL: to '-� $0.00 Fee Due at Permit Issuance : $2,117.98 PUBLIC WORKS APPROVAL: I�- PLAN CHECK CHECK BY: 'J APPROVAL TO ISSUE: 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 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 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 U 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 puipose of sale). - -1. as owner o. toe 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). T am, exempt from licensure under the Contractors' State License Law for the following reason: By my signature telc�. 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 legally Feria structure fnar 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 704 of the Business and Frofes�ions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. : igettcre of Prcpert, Corner or Authorized Agent +TIHO LICENSED CONTRACTOR'S DECLARATION I+w.eby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 0 �iV�on7 3 of the Business d my license is in full force end effect LiClZiMPENs License No Dat� Contractor Ig Jr/7?I�FRS' COMPENSATION DECLARATION NARNINa; FAILURS,TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PE ALTIES AND CIVIL FINES UP TO ONE HLARS ($100,000), IN ADDITION TO THE COST OF COMPENSAT IDN, DAMAGES AS PROVIDED FOR IN SECTION 0706 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 the )ertormance of the work for which this permit is issued. Policy No. 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' carrier and policy number are: me of Agent Policy Number Expiration Date Phone # I certify that, in the p ormance of he work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers'pompensatio laws of California, and agree It, if I should become bje o orkers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. t�Q(/� (nature of Applican Da 2 +Z ICLARATION REGAREkiNg AMSTRUCTION LENDING AGENCY 1 r areby 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 tgnter er behalf. I have read this application and the information Is orrect. I agree to comply with all applicable city and coua d ting to building construction. authorize representatives of this city or coudtidentified property for inspection purposes. signature of Property Owner or Authorized Agee ACTION I DATE I BY PERMIT EXPIRED SUBN PERMITCANCELLED EPA PERMIT EXTENDED AQp PERMITFINAL CERTIFICATE OF OCCUPANCYISSUED 'f ✓ J� ASBES-�, RO Se SIGNATUF OF COMPLIANCE WITH CODE OF FEDERAL PART 61 OF TITLE 40 AND AQMD RULE ASBESTOS NOTIFICATION TO TO FOR OFFICE USE ONLY C3 - 7 •• fJ P u :n, n37$tYr o ,l l IT Certified Mail Fee �c E#m Services pt & PFees (cM1ackbgx, adtlke • prp"yc�ete) � ❑Retun ReceieNcoPY, $ �IeP�ll�l 0 ❑Return Reuelptleluutmnicl a $0 ill) 0 ❑Cedlfled Mall ReaMcled Ralhery $ $ if 00 I 0 []Adult Signature Reol $ $ - - �AdNtSignetureResNotedCeMery$ aH-r�rtr� Postage r` $ 0 rq Totai Postage and Fgas $ $!'. rrq San r� sir/ lti P' °, .. ra ru Q" Certified Mail Fee n $ '.75 `� Fxtra Services&Fees khecktox, add rea ��^eepp�f�, ppc re) r3 ❑Realm Recapt(M1emcopy) ❑Retum Receipt (alactronlG 3 $11- f ll p ❑ Certified Meil Raetdctetl aelhury O ❑Atlult Signature Required $$6.1*� ❑Adult signature ReeMctetl gelhery $ Postage N $ VMS r3 rq Total Postage and Fgea3, $ S/ ,` 1A7XCV o�nZpz, 9YL/� ZZ1i3 2 114i3 IIR Postmark Hem 114/25/2022 U4"Is II=� Postmark Here n412ji2022 rij ru o New t tit C 42660 I Q' Certified Mail Fee c $3.75 n $ c Extra Services &Fees kM1eGrbox,uw lee a an) ❑ Return Reaelpt(hardl $ , I I l7 ❑ R.W. 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