HomeMy WebLinkAboutXR2023-0478 - PermitsCity of Newport Beach
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Community Development Department- Building Division
100 Civic Center Drive, Newport Beach, CA 92660
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Permit Counter Phone: (949) 644-3288
Inspection Requests Phone: (949) 644-3255
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newportbeachca.gov/inspections
Combination Type - SFP PLUM
Work Class - Demolition
111I��III��111111111111111111111111111111111111111111111111COMB Permit : XR2023-0478
Plan Check No : PC2023-0396
Issued Date : 02/21/2023
Inspection Area : 1
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 ALL AREAS
Job Address : 118 45TH ST Legal Desc : A TR RIVER SECTION BLK 44 LOT 8
Description : SFR DEMO SFR/GARAGE 1814 SF. 4 BEDROOMS. SEWER CAP INCLUDED
Owner: TONY PREMER
Address : 118 45TH ST
NEWPORT BEACH, CA 92663
Phone
Applicant: GRAYSTONE CUSTOM BUILDERS INC
Address : 3419 VIA LIDO, UNIT 455
NEWPORT BEACH, CA 92663
Phone: (949)466-0900
Owner/Builder :
Address :
Phone:
Code Edition : 2022
Type of Construction : V-B
Occupancy Groups: U,R-3
Bldg Height :
Building Setbacks : Front: 10, Side: 3, Side: 3, Rear: 5
Flood Zone : X
Use Zone : R-2 - Two -Unit Residential
PROCESSED BY:
Contractor: GRAYSTONE CUSTOM BLDRS INC
Address : 3419 VIA LIDO STE 455
NEWPORT BEACH, CA 92663
Phone:
(949)466-0900
Con State Lic
: 971085
Lic Expire :
03/31/2024
Bus Lic:
BT30040057
Bus Lic Expire : 03/31/2023
Workers' Compensation Insurance
Carrier : STATE FUND
Policy No: 9216106
W. C. Expire: 8/15/2023
Fire Sprinklers :
NO
Fire Hazard Zone :
NO
No of Units :
1
No of Stories :
2
SPECIAL CONDITIONS: TIGHT QUARTERS TO HAUL DEBRIS
Architect
Address
Phone:
State Lic
Engineer:
Address
Phone :
gner:
�VAddress :
Phone:
Iuction Valuation
(,. ded/New/TI sq. ft. Bldg
'� Alteration sq. ft. Bldg :
Added/New sq. ft. Garage
TOTAL sq. ft. :
$11,000.00
0
0
0
OWNER -BUILDER DECLARATION
I heraby affirm under penally of perjury that I am exempt from the Contractors' Slate License Law tar the reasons) indicated below by the checkmark(s) I have placed next to the applicable items)
Section 7031-5, Business and Professions Code: Any city or county that requires a permit to Construct, altar, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for
1a permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' Stato License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Businoss and
'rofessions 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).
3 1, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044,
,usiness and Professions Code: The Contractors State License Law does not apply to an owner of property who, through employees' or personal effort, braids or improves the property, provided that the
uprovements 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).
11, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' Stale 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),
3 1 am exempt from licensure under the Contractors' State 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 least one year prior to completion of the improvements covered by this permit, I cannot legall,
all 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
'rofesslons Code, is available upon request when this application is submitted or at the following Web site:http:llvnvw.leginfo.ca.gov/calow.html.
ignature of Property Owner or Authorized Agent __e
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that. I am Ilcensed under provisions of Chapter 9 (Commencing with Section 700 .v- 0 3 'en of the Business and Prof s C my license is In frill force
nd effect. License Class License No Da Contractor Signatur
YORKERS' COMPENSATION DECLARATION
ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINE$ UP TO ONE HUNDRED THOUS, O DOLLARS ($10g000), IN ADDITION TO THE
DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 0]09 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES,
hereby affirm underpenalty of perjury one of the following declarations:
3-1 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 th
kformance of the work for which this permit is issued. Policy No.
IJI�}fava 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' comper is
ranee carrier and policy number are:
-arrier Policy Number Expiration Date
dame of Agent Phone #
�I certify that, in the p forma f t e w or which this permit is issued. I Shall not employ any person in any manner so as to become subject to the workers' comparm i n laws of Calromla, and agre
hat, if I should beco a bj t. the ems compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. p�
signature of Apple _ �
)DCLARATI9N RBG mm C $TR. CTION LENDING AGENCY
Hereby affirm under penal o erjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
_enders Name Lender's Address
3y my signature below, I certify each of the following:
I am the property owner or. uthorfzed to act on thApedy, own 's behalf,
I have read this application and the information I hed is orrect.I agree to comply with ail applicable city and counce state laws relating to building construction.
1 authorize representatives of this city or count. toa Live dentified property for inspection purposes. r�.�Z
signature of Property Agent Owner or Authorized Print Propertyp y4(° Owner's or Authorized Agent's Na Date
ACTION DATE BY DEC RA71 OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
RF.G ATIONS PART 61 DF TITLE40 AND AQMD RULE
PERMITEXPIRED _ .i I ISU� 9MITTED A;RE&TGSNOTIFICATIONTJ
PERMIT EXTENDED 7�''tL1,GAQMD
PERMITFINAi y�l Z-� JIFF L,IASBLSTOS OIIr LA10 IS NOTAPPUCABLE TO
CERTIFICATE OF PROPOSED DE, CLI ON C'�