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Home My WebLink AboutXR2022-1910 - Permits�gWPO,� City of Newport Beach I II III I I I II I II I III II II I II II COMB PeCfrllt : XR20222-1910 O� @ Community Development Department- Building Division! 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: PC2022-1765 U T Permit Counter Phone: (949) 644-3288 >� Combination Type : SFP mu Inspection Requests Phone: (949) 644-3255 CqC/fORN�P newportbeachca.gov/inspections Work Class : Demolition Issued Date : 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 : 108 27TH ST Legal Desc : A TR NEWPORT BEACH CITY BLK 26 LOT 8 Description: DEMO SFR W/ATT GAR 1004 SF 2 BEDROOMS, Owner: CHRISTOPHER AND MELODY PETROSSIAN'. Contractor: GRAYSTONECUSTOM BLDRSINC Architect: `�'� ®••°• TRUST• ° �•e:°•v Address : 863 BERKSHIRE AVE LA CANADA Address: 3419 VIA LIDO STE 455 NEWPORT Address : s� FLINTRIDGE, CA 91011 BEACH, CA 92663 a.y .° •°• Phone : Phone : (949) 4660900 : Phone J •• ° -: Con State Lie : 971085 State Lie : ...... ° Applicant: GRAYSTONE CUSTOM BLDRS INC ' Lie Expire : 03/31/2024 ° ° ° •• ° Address : 3419 VIA LIDO STE 455 NEWPORT BEACH, Bus Lie: BT30040057 Engineer °••°• CA 92663 Phone: (949) 466-0900 Bus Lie Expire : 03/31/2023 Address : ° • m° ° •• ° Workers'' Compensation insurance Phone: ° Carrier °° • ° Policy No: Designer: W. C. Expire: Address Phone: Code Edition : 2019 Fire Sprinklers : ` NO Construction Valuation : $11,500.00 Type of Construction : Fire Hazard Zone : Y Occupancy Groups : R-Y '. No of Units : - 1 Added/New sq. ft. Bldg : 0 Bldg Height: 7 No of Stories : Added/New sq. ft. Garage: 0 Building Setbacks : Front: 5, Side: 3, Side: 3, Rear: 5 Flood Zone : X Use Zone : R-1 - Single -Unit Residential Processed By: Public Works Approval: Zoning Approval: Plan Check By: Grading Approval: Approval To Issue: SPECIAL CONDITIONS: TIGHT QUARTERS TO HAUL DEBRIS V vvlxcrc-oyr{.uirt 4G4r..f1rt2RriViT. I hereby affirm under penalty of perjury that am exempt from the Contractors' `State License Law for the reasons) indicated below by the checkmark(s) I have placed next to the applicable items) ction 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 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 fossions Code) or that he or she is exempt from ticensum and the: basis for the alleged exemption. Any. violation. of Section 7031.5 by any applicant for a permit subiects the applicant to a civil penalty of more than five hundred dollars ($500). I, as owner of the property„ or my employees with wages asthetr sole compensation, will do (_) all of or L) portions of the work, and the structure Is not intended or offered for sale (Section 7044, ; ,mess 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 rovements 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 roved for the purpose of sa€e)., 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 fy to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contrackirs' State License Law). I am exempt from licensure under the Contactors'. State License Law for the folo4win0 reason: Avla have mill,.I cannot Business and -by aliira net r penalty of perjury that 1 am licensed under provisions Of Chapter $ feommencing with :Section 700 f D "sign 3:of the Business and Profess! ,e, an a is in pill orCe� -act. License Glass License N0 DContractor Signature _ 1KERS':b(A IENSATION DECLARATION NG: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND LLARS ($100.0001. IN ADDn ON TO THE r0 COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3T00 OF THE LABOR CODE, INTEREST. AND ATTOrtNEY'S FEES, zby affiml et: der Penalty of perjury one of the following declarations: 'have and will linta n a certificate. Of consent to self -insure for workers' compensation, issued by: the DirectorofIndustrial: Relations as provided for by Section 700 of the Labor Code, for in �rmance $f fjre Work for which this permit is issued. Policy No, Taveand will maintain workers' compensation insurance, as required by Section 3700:ofi the Labor Code, for the performance :of the work for which this. permit is issued, My workers! compansatiol ance carrieFF and policy number am 4r. , . . . • Policy Number Expiration: Date P of Agent:* ' Phone If „ :ertifythal.lrfthP0 p*of th. wor 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 if I should becomso - ' ns of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. store of Applicant Dat� 3 ZZ tARATiON REGATRUCTION LENDING AGENCY Eby affirm under pthat there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097,. Civil Code).. f am the property owner t I have read this: applicatic i agree to comply with all I authorize representative VARY fit OF TITLE 40 AND C€RTIFICAFEOF purposes. ONLY F F All required alarms, latches gates and fences which serve as part of a pool/spa barrier,. shall be in place priorto approval to fill pool/spa &shall remain in place & be maintained for the TN life of the pool.