HomeMy WebLinkAboutX2020-2297 - Permits�bw•ru�,r City of Newport Beach - Building Division
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100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
> Inspection Requests Phone (949)644-3255
Combination Type - SFP ELEC MECH PLUM GRAD
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COMB Permit: X2020-22
Project No : 1839-2020
Issued Date : 05/1312021
Inspection Area : 4
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 05/13/2024 OR PERMIT WILL BE INV)
Construction Hours: Monday - Friday 7:00 a.m. to 6:30 p.m. and Saturday from 8:00 ey.m. to 6:00 p.m. No work on Sundays or Holidays
Job Address: 1973 PORT NELSON PL NB
Description: NEW SFR W/BASEMENT AND ATT GARAGE 6,848 SF/517 SF
Legal Desc.: N TR 7028 LOT 43
Owner: MAYO FAMILY TRUST
Address: 11912 ARROYO AVE
SANTA ANA CA 92705
Phone:
Applicant:
HAMPTON CRAIG
Address:
5500E QUARTERSAWN ST
BOISE ID 83716
Phone:
949-209-8883
Code Edit :
2019
Type of Construction:
V-B-SPR
Occupancy Group:
R3/U
Added /New sq.ft. Bldg:
6848
Added/New sq. ft. Garage:
517
No of Stories:
2
No of Units :
1
Bldg Height:
0
Bldg Sprinklers:
Y
Flood Zone:
X
Construction Valuation: $1,262,320.00
Building Permit Fee: $9,805.00
Plan Check Fee: $6,652.50
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management:
$138.00
Energy Compliance:
$303.00
CA Seismic Safety:
$164.10
Disabled Access :
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$51.00
TOTAL FEE: $34,736.17
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
`GF A
Contractor:
GRISSINGER FINE HOMES
Architect:
Address:
1863 PORT RENWICK PL
Address:
NEWPORT BEACH CA 92660
Phone:
949-225-5755
Phone:
State Lic:
Con State Lic:
807874
Engineer:
FORBES DALE L
Lic Expire:
0513112022
Address:
1800 E 16TH ST #B
Bus Lic:
BT30043274
SANTA ANA CA 92701
Lic Exp Date:
05/31/2021
Phone:
714-835-2800 State Lic:C-030407
Worker's Compensation Insurance
Designer:
HAMPTON CRAIG
Carrier:
WIC EXEMPT
Address:
5500 E QUARTERSAWN ST
Policy No:
(NO EMPLOYEES)
BOISE ID 83716
Expire:
Phone:
949.209-8883
Building Setbacks
Excise Tax:
Additional Fee
Grading Bonds Fee:
Grading PC Consultant
Grading Permit Fee:
Grading PC Fee:
WQ Insp. Fee:
Electrical %:
Mechanical %:
Plumbing %:
Rear: 10'
Front: 23'
Left: 5'
Right: 5'
$1,546.65
$0.00
$0.00
$1,779.40
$1,485.00
$390.60
$120.00
$1,283.47
$733.41
$1,650.18
Special Conditi�r i i 'i.I'
Fire Hazard Zone : N
Planning Department -
Plan check Fee
Fair Share
SJH Trans
In -lieu Housing Fee:
Public Works Department -
Park Dedication : $0.00
PAN Plan Check : $344.00
San Dist: $0.00
NMUSD Fee: $7,827.36
Fire Department
$462.50
Fire Inspection:
$0.00
$0.00
Fire Plan Rev
$0.00
$0.00
Demolition Fee
$0.00
Building Dept Adm
$0.00
General Service
$0.00
Refund Deposit
$0.00
Grading Bond:
$0.00
$0.00
$0.00
Plan Check Fee : $8,448.34 Fee Due at Permit Issuance : $26,287.83
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
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
ie 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
Irofessions 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
of more than five hundred dollars ($500).
7 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,
lusiness 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
nprovements 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
nproved for the purpose of sale).
1 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
pply 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).
I am exempt from licensure 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 one year prior to completion of the improvements covered by this permit, I cannot legally
ell a structure that 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
'rofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html.
signature of Property Owner or Authorized Agent Date
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sectio 7000) o ivis n 3 of the Business and Pr a sions e, and my li ense Is in full force
nd effect. License Class License No t Contractor Signature
VORKERS' COMPENSATION DECLARATION
IARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED S D DOLLARS ($700,000), IN ADDITION TO THE
DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the following declarations:
7 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 thI
erformance of the work for which this permit is issued. Policy No.
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'
rance carrier and policy number are:
Policy Number
of Agent
Date
rtify that, in the performance of t k for whi Is 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 agree
if I should become subj ct to th o ers' pensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
nature of Applicant' Date' l /Z 1
CLARATION REGAPONG RU TION LENDING AGENCY
�reby affirm under penalty pe th t 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
3y my signature below, I certify to kgofl 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 corre .
I agree to comply with all applicable city and county ordinances d s to laws relating to building construction.
I authorize representatives of this city or county to enter the ab e= ntifed roperty for inspection purposes.
Signature of Property Owner or Authorized Age.. Print Property Owner's or Authorized Ag
ACTION DATE BY DECLA OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGU 10 PART 61 OFTITLE 40 AND AQMD RULE
PERMIT EXPIRED U I SUBMITTED ASBESTOS NOTIFICATION TO
PERMITCANCELLED OEPA
PERMIT EXTENDED QMD
PERMITFINAL ( n7 �3 ; ASBESTOS NOTIFICATION IS NOT APPLICABLE TO
CERTIFICATE OF PROPOSED DEMOLITION
OCCUPANCYISSUED SIGNATURE:
FA
EWP°Rr City of Newport Beach II III I II I I II III II III II II Permit: X2020-2297
° 9, 0 100 Civic Center Drive Plan Check: 1839-2020
u� 2 Newport Beach, CA 92660
9[ FOnN
Certificate of Occupancy
THIS CERTIFICATE ISSUED PURSUANT TO THE REQUIREMENTS OF SECTION 111 OF THE CITY OF NEWPORT
BEACH ADMINISTRATIVE CODE ATTESTS THAT AT THE TIME OF ISSUANCE, THIS STRUCTURE WAS IN
COMPLIANCE WITH THE VARIOUS ORDINANCES OF THE CITY OF NEWPORT BEACH REGULATING BUILDING
CONSTRUCTION OR USE.
Owner: MAYO FAMILY TRUST
Code Year Edition:
2019
Address: 1973 PORT NELSON PL, NEWPORT BEACH, CA
Number of Stories:
2
Tenant:
Construction Type:
V-B
Use Zone: PC - Harbor View Hills
Occupancy:
U,R-3
Description of Work: NEW SFR W/BASEMENT AND ATT GARAGE 6,848 SF/517 SF Total Occupant Load:
Special Conditions:
Fire Sprinklered:
YES
Chief Building Official: Tonee Thai, PE, CASp, CBO Signature: %ert¢e —125&el Date: 11/28/2023