HomeMy WebLinkAboutX2022-1510 - Permits¢�E�wnoRT
City of Newport Beach
Community Development Department - Building Division
100 Civic Center
F
Drive, Newport Beach, CA 92660
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Permit Counter Phone: (949) 644-3288
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Inspection Requests Phone: (949) 644-3255
newportbeachca.gov/inspections
Combination Type - MFP
Work Class - Alteration
COMB Permit : X2O22-1510
Plan Check No : 1390-2022
Issued Date : 08/16/2022
Inspection Area : 4
_ C
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: 4020 PARK NEWPORT DR Legal Desc : N TR 6947 BLK LOT 8
Description: MFR ALT: FRONT DECK REPAIR OF UNITS 40204050
Owner:
PARK NEWPORT LAND LTD
Contractor : GREYTHON CONSTRUCTION LLC
Architect
Address :
201 FILBERT ST STE700 SAN FRANCISCO, CA
Address.: 31 WATER ST MYSTIC CT 06355, CA `':.
Address
94133
Phone:
Phone: (860),571-4600
(Phone:
Con State Lic : 1032199.
State Lic
Applicant :
GREYTHON CONSTRUCTION LLC
Lic Expire : 10/31/2023
Address :
31 WATER ST MYSTIC CT 06355, CA
Bus Lic; BT30075953
Engineer :
O'CONNELL KEVIN
Phone:
(860) 571-4600
Bus Lic Expire :07/31/2023
Address:
23201 EVALYN AVE
90505
Workers' Compensation Insurance
Phone:
(213) 271-2000
Owner/Builder:
Carrier.:: STATE+COMPENSATION+INSURANCE+FUN
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Address:
Policy No: 9235544
Designer:
Phone:
W. C. Expire: 9/1.5/2022
Address
Phone:
Code Edition :
2019
Fire Sprinklers : " NO
Construction Valuation
Type of Construction :
V-B
Fire Hazard Zone : No
Added/New/TI sq. ft. Bldg
Occupancy Groups :
R-2
No of Units : 4 -
'.Alteration sq. ft. Bldg :
Bldg Height :
No of Stories : 2 "
Added/New sq. ft. Garage:
Building Setbacks
Flood Zone :
X
Use Zone:
PC - Park Newport - UP
1412, UP 1557
PROCESSED BY:
SPECIAL CONDITIONS
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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
is 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
rotessions Code) or that he or she is exempt from licensor* 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
at more than five hundred dollars ($500). I
1, as owner of the property, or my employees with wages as their sole compensation, will do (-) all of or U portions ofithe 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, throughl employees' or personal effort, builds or improves the property, provided that the
oprovements are not Intendedor 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
'proved for the purpose of safe). 1
3 1, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044y Business and Professions Code: The Contractors' State License Law does not
Poly to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed ControlIf pursuant to the Contractors' State License Law).
J I am exempt from licensure under the Contractors' Sate License Law for [fie 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 it it has not beenconstructed 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 fotloWng Web site:http:Uwww.leginfo.ca.govlcalaw.html.
ignature of Property Owner or Authorized Agent Date
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penally of perjury that I am licensed under provisions of Chapter (commencing with Section 7000 bf Division 3 of the Business and P€ofas�sioli nse is in full force
nd effect. License Class License No Date - -22- Contractor Signature
PORKERS
'''
ILLCOMPENSATION DECLARATION
'ARMING: FA% ET6 SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN. EMPLOYER TO CRIMINAL PENA~TIES AND CIVIL PINES UP TO ONE HUNDRED THOUSAND OOLLARs ($100,000), IN ADD[FKKI TO THE
OST OF COMPMRSRRDN, DAMAGES AS PROVIDED FOR IN SECTION 3706 OFTHE IASOR CODE, INTEREST, AND ATTORNEYS FEES.
Ilelby affirm under penalty of perjury one of the following declarations:
11 have alit [fih 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
nuance of the work for which this permit is issued. Policy No.
have argill% jRiMain 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" compensatio
,lance carrier aml policy number are:
•e si of AgaRt•ee
•, � 6eFifty thaOin the performance of the work for
hal;if I shavIld bgnne subleo tOp t. n rs'
•e igleafore of Applicant
• l e.. .,A., .A.•.
Policy Number
Date
this permit is issued, I shall not employ any person in any manned so as to become subject to the workers' compensation laws of California, and agre
shop provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. / ..
Date.G....
nd-T penalty of perjury that there is a construction lending agency forAddress
of the work for which this permit is issued (Section 3097, Civil Cade).
ender's Name Lender's
ly 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 ordinances and state laws relating to building construction.
I authorize representatives of this city or county ent vpv_f�Erljifiad property for inspection purposes. 77 1
Ignature of Property Owner or Authorized Agent �i1i' Print Property Owner's or Authorized Agent's Name
ACTION DATE 6Y DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
I REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
PERMIT
PERMIT
CERTIFICATE OF
OCCUPANCYISSUEO
NOTIFICATION TO
AToAll requi€eId alarms, latches gates and fences which serve as part of a pool/spa barrier, shall
be in place prior to approval to fill pool/spa & shall remain in place & be maintained for the
life of the pool.