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. Recelpt(claclmnlc) $ $0 Idl
p ❑CeNfletl MellfleeMctetl Dalhery $ $0.0 �
p ❑Adult signature Requlretl $�
❑Atlul[Signetum ResMcteE nelhery $
u—' Postage
r- $ i
O $
rq Total Postage and Fees
$ $7.38
N San'
T
r S 4"/�rN°/ or a� Na:
O .� IT
m
171
.n
N -
o Ne p rMj(ILLIITi, 0 92b
I' Cerdfed Mail Fall
_n s ;
,n $ r
Fxha Services &Fees (checkbgK etltllee a 2p Mp--ate)
� ❑Reim Receipt lTaNcoP» $ $il.11ll
1-3 ❑ Realm Recelpt(elecannlc) $ CII1111"
Q ❑ Canieed Mull ReWobad Delivery Il
O ❑Adult$Ignalum Required It
pneua Signature RasMcted nellvey $
O Postage
r` VMS
M $
r-i Total Postage and Fees
r`
$
Sen
ra
o - �--------
oiPZ39oifJJo: Mue
1_1428
as
Postmark
Here
2Zct 0t c
04J25(2022
0423
it
Postmark
Here
04r 2512022