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Home My WebLink AboutU2024-5057 - PermitsEwNogr., City of Newport Beach IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit : U2024-5057 C� m' Community Development Department - Building Division U 2 0 2 4 - 5 0 5 7 rn 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : n Permit Counter Phone: (949) 718-1888 Issued Date : 06/10/2024 .�'' newportbeachca.gov/civic Final Date: +iconA`P Combination Type - Permit Status: Issued Work Class - New Inspection Area : 4 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 ALb-AREAS Job Address : 1927 PORT CARDIFF PL Legal Desc : N TR 6623 BILK LOT 40Description: SFR- 5 LF X 6'H BLOCK WALL, INSIDE THE P/L **CITY STD** Owner: LETOURNEAU ERIC TR BLUE WATER Contractor: GRISSINGER FINE HOMES Architect CAPITAL TR Address : 1927 PORT CARDIFF PL Address : 11912 ARROYO AV Address _ NEWPORT BEACH, CA 92660 SANTA ANA, CA 92705 Phone : Phone : (949) 922-5755 Phone Con State Lie : 807874 State Lie Lie Expire 05/31/2026 Applicant : GRISSINGER FINE HOMES Bus Lie : BT30043274 Engineer Address : 11912 ARROYO AV Bus Lie Expire : 05/31/2025 Address SANTA ANA, CA 92705 Phone: (949) 922-5755 Workers' Compensation Insurance Phone: Carrier: NO EMPLOYEES „ ' Owner/Builder : Policy No: EXEMPT Designer : „ • ° e ° Address : W. C. Expire: Address Phone: Phone Code Edition : 2022 Fire Sprinklers : NO Construction Valuation : $3,000.00 Fire Hazard Zone : NO Added/NewlTl sq. ft. Bldg : 0 Type of Construction : No of Units : Alteration sq. ft. Bldg : 0 Occupancy Groups : U No of Stories : Add/New sq. ft. Garage: 0 Bldg Height : TOTAL sq. ft. 0 Building Setbacks : Front: 21, Side: 5, Side: 5, Rear: 10 Flood Zone : X Use Zone : PC - Harbor View Hills PROCESSED BY: SPECIAL CONDITIONS: MARKERS ON SITE OWNER -BUILDER DECLARATION I hereby affirm under penally of perjury that I am exempt from the Contractors' Slate 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 fora permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) of the work, the is intended or portions and structure not 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 purpose of sale). ❑ I, as owner of the property, am exclusively contracting with licensed Contractors ID 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' Slate License Law). ❑ 1 am exempt from licensure under the Contractors' Stale License Law for the following reason: —- _- —. y my signature below I acknowledge that, except for my personal residence in which I must have resided for at leass t one year_prior to completion of the improvements covered by this permit, I cannot legal) sell 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 Professions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi, Signature of Property Owner or Authorized Agent _ Date LICENSED CONTRACTOR'S DECLARATION — _-- I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sec n0) oaf D�i�y'sion 3 Di the B sand s my license is In full force and effect. Llcanse Cass License No D Contra Signa ' ?ure 'NORIFERS' COMPENSATION DECLARATION—� '.YARNING: FAILURE TU SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO E HUNHOUSAND DOLLARS 15100,0001, IN ADDITION TO THE cnST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 0706 OF THE LABOR CODE, INTEREST, AND ATTORNEf'S FEES. I hernhy affirm under penalty of perjury one of the following declarations: I have and 6d. ,na.ntain a certificate of consent to for self -insure workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for IN of the work for which this permit is issued. Policy No. OF 3 F 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' compensatiol,ce P-1 carrier and policy number are: ..r, I., _ - Policy Number Expiration Date 'Jam f Agent _ - _ Phone # erti'y that, !n the performance of the Work for which t�' Tilt 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 ii I should becoms ubjecl to t se r�alion provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. / Signature of AppII _ __ _RUENDING AGENCY DECLARATIO ARDI-- ale i l v t Z-EN N�_— ____.____.___—_...—________—._.X3O I hereby affirm under pen o erjury that there is a construction lending agency for the performance of the work for which this permit is issued (Sectio 7,Civil Code). Lenders Name _ Lender's Address By my signature below. certify to each of the following: I am the property owner or authorized to act on the property owners behalf. I have read this application and the information I have provided is correct. I agree to comply with all applicable city and county ordin ces and state laws relatincl to building construction. I authorize representatives of this city or county to ante abov = ied property for inspection purposes. Signature of Property Owner or Authoriz Ent Print Pro a Owner's or Authorized Age-s Name ate /� r ACTION DATE BY CLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED EPA PERMITEXTENDED PERMITFINAL 5716121 (r�� M TOv` ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO CERTIFICATE OF I PROPOSED DEMOLITION OCCUPANCY ISSUED K K SIGNATURE: PERMIT FEE DETAILS FOR PERMIT U2024-5057 Fee Name Fee Amount Fee Paid Amount Transaction Date Payment Method Trans. Paid Amount Paid By Building Building Permit Fee - Valuation $137.15 $0.00 Green Building Fee $1.00 $0.00 Hourly Plan Check Fee - Planning $53.75 $0.00 GRAND TOTAL: $191.90