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Home My WebLink AboutX2021-1669 - Permitsne, City of Newport Beach - Building Division *X2021-1669* COMB Permit: X2021-1669 100 Civic Center Drive, Newport Beach, CA 92660 Project No : 1455-2021 Permit Counter Phone (949)644-3288 �_j� Inspection Requests Phone (949)644-3255 Combination Type - BLDG PLUM Issued Date : 06/28/2021 Inspection Area : 2 PERMIT EXPIRES 160 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 06/28/2024 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: 209 CRYSTAL AVE NB Description: DEMO SFR 740 SF (2 BEDROOMS) Legal Desc.: BALBOA ISLAND SEC 5 BLK 6 LOT 24 Owner: SAILHOUSE CRYSTALL LLC Address: 209 CRYSTAL AVE NEWPORT BEACH, CA 92662 Phone Applicant: SAILHOUSE HOMES INC Address: 170 NEWPORT CENTER DR #260 NEWPORT BEACH CA 92660 Phone: 949-281-6045 Code Edit : 2019 Type of Construction: Occupancy Group: R3 Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 0 No of Units : 1 Bldg Height: 0 Bldg Sprinklers: Construction Valuation: $10 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: $2,392.80 PROCESSED BY: ZONING APPROVAL: Contractor: SAILHOUSE HOMES INC Address: 170 NEWPORT CENTER DR 9260 NEWPORT BEACH CA 92660 Phone: 949-281-6045 Con State Lic: 1007531 Lic Expire: 09/30/2021 Bus Lic: BT30036603 Lic Exp Date: 0613012021 Architect: OLSON DAVID ROLF Address: 470 WALD IRVINE, CA 92618 _ Phone: 949-450-0093 State Lic:C019424 -. Engineer: Address: ' Phone: State Lic: Worker's Compensation Insurance Designer: Carrier: INSURANCE COMPANY OF THE WEST Address: Policy No: Expire: Building Setbacks Use Zone: Excise Tax: Additional Fee Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: Electrical %: Mechanical %: Plumbing %: WSD505264401 12/29/2021 Rear: / Front: / Left: / Right: I Phone: Special Conditions: Zone NO CONSTRUCTION: ti QiSE ON SATURDAYS $0.00 Planning Department- Fire Department $0.00 Plan check Fee : $92.50 Fire Inspection: $0.00 $0.00 Fair Share : $0.00 Fire Plan Rev $0.00 $0.00 SJH Trans : $0.00 Demolition Fee $0.00 In -lieu Housing Fee : $0.00 Building Dept Adm $26.00 $0.00 Public Works Department- General Service $219.00 $0.00 Park Dedication: $0.00 Refund Deposit $1,692.00 - PM Plan Check : $0.00 Grading Bond: $0.00 $0.00 San Dist : $0.00 $0.00 NMUSD Fee: $0.00 $0.00 $10.80 $0.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $2,392.80 PUBLIC WORKS APPROVAL: PLAN CHECK BY: GRADING APPROVAL: 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 L) all of or L) 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, providedthat 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 purpose of sale). 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 apply to an ovmer of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). I rm exempt from licensure under the Contractors' State License Law for the following reason: 3y n,y signature oelo:v 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 sell a structure thde 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 Professions Codes, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. Signature of Prrpert7 Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION 'lI he. affirm I-nde, penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sectio 7 00) of Division 3 of the Business and Proles ons C ,a license fin full force II-rl effect. License Llass License No Date /LY Z. t Contractor Signature IV13RKERS' COMPENSATION DECLARATION J.A. MA,: FAILURE TO E-r'URE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDR D TH USAND DOLLARS I$100,0001, IN ADDITION TO THE ,COST OF COMPEr'SATI)N, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. affirm under penalty of perjury one of the following declarations: have and wiJ 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 mance of the work for which this permit is issued. Policy No. I have 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' urance carrier and policy number are: Policy Number of Agent Date I certify that, in the performance of the work 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 agre It, if I should become /yubject too the /w/y s' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ;nature of ApplicarttI� /9' Date( �o �2 Y/z iCLARATION REGI' RDIN CONSTRUCTION LENDING AGENCY 1` ereby affirm under penalty of perjury that there is construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civi Code). Eder'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 have provided is correct. I agree to comply with all applicable city and county ordinancesAnd state laws relating to building construction. I authorize representatives of this city or cof{ptJ to a fh bo -identified property for inspection purposes. r /A mature of Prooertv Owner or Authorized ADe t .>!/ Print Property Owner's or Authorized ADent's Nam ob r'b n DatA/ 6I/Z g-lZf ACTION DATE BY I/ DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE PERMIT EXPIRED I SUBMITTED ASBESTOS NOTIFICATION TO PERMITCANCELLED EPA PERMITEXTENDED AQMD PERMITFINAL ASBEST S NOTIFICATION IS NOTAPPLICABLE TO CERTIFICATE OF OCCUPANCY ISSUED ��11�.� PROPOSE,yL, E� 6LIT SIGNATUR'e:\/