HomeMy WebLinkAboutX2020-1140 - PermitsCity of Newport Beach - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
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Inspection Requests Phone (949)644-3255
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Combination Type - SFP ELEC GRAD MECH PLUM
"X2020-1140" COMB Permit: X2020-1140
Project No: 0860-2020
Issued Date: 0112012021
Inspection Area : 1
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0112112024 OR PERMIT WILL BE INVALID
Construction Hours: Monday - Friday 7:00 a.m. to 6:30 p.m. and Saturday from 8:00 a.m. to 6:00 p.m. No work on Sundays or Holidays
Job Address: NEW
W BAY RI ����
Description: NEW 3-STORYY S SFRIGAR 42341853 SF
Legal Desc.: N TR 626 BLK 4 LOT 1
Owner:
WELLS JOHN
Contractor:
GRAYSTONE CUSTOM BLDRS INC
Architect:
SMITH BRADFORD
Address:
3239 COUNTRY CLUB DR
Address:
3419 VIA LIDO STE 455
Address:
425 30TH ST #22
GLENDALE, CA 91208
NEWPORT BEACH CA 92663
NEWPORT BEACH CA 92663
Phone:
818-415-2933
Phone:
949-466-0900
Phone:
949-631-3682 Stale Lic:C014146
Applicant:
SMITH BRADFORD
Con State Lic:
971085
Engineer:
GHOUL] RAID ASAD
Address:
425 30TH ST #22
Lic Expire:
0313112022
Address:
26040 ACERO #100
NEWPORT BEACH CA 92663
Bus Lic:
BT30040057
MISSION VIEJO CA 92691
Phone:
949-631-3682
Lic Exp Date:
03131/2021
Phone:
949-855-2300 State Lic:C-070682
Code Edit:
2019
Type of Construction:
V-B-SPR
Occupancy Group:
R31U
Added /New sq.ft. Bldg:
4234
Added /New sq. ft. Garage:
863
No of Stories:
3
No of Units :
1
Bldg Height:
0
Bldg Sprinklers:
Y
Flood Zone:
X
Construction
Building Permit Fee: $6,416.00
Plan Check Fee: $4,433.50
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management:
$84.00
Energy Compliance:
$303.00
CA Seismic Safety:
$130.00
Disabled Access:
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$40.00
TOTAL FEE: $18,344.79
PROCESSED BY:
r41PII@[e1:1Sg:19IT1.14
GRADING APPROVAL:
Worker's Compensation Insurance
Carrier:
STATE FUND
Policy No:
9216106
Expire:
08116/2021
Building Setbacks
Rear: I
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Front: �'1S rLM1Ko: S
Left: ILlW
Right: I tt t
Designer: /gyp,
N®dC0NSI131JC7.1/t V
Phone:
Special Conditions: HIGH DENSITY}'s
LIQUEFACTION AREA
ONSATURDA
Excise Tax:
$1,068.27
Planning Department -
Additional Fee :
$0.00
Plan check Fee
Grading Bonds Fee:
$0.00
Fair Share
Grading PC Consultant:
$1,016.80
SJH Trans
Grading Permit Fee:
$1,069.00
In -lieu Housing Fee:
Grading PC Fee:
$223.20
Public Works Department -
WQ Insp. Fee:
$0.00
Park Dedication : $0.00
P/W Plan Check: $301.00
Electrical %:
$449.12
San Dist: $0.00
Mechanical %:
$266.64
NMUSD Fee: $1,514.32
Plumbing %:
$577.44
Plan Check Fee
Fire Department
$462.50
Fire Inspection:
$0.00
Fire Plan Rev
$0.00
Demolition Fee
$0.00
Building Dept Adm
General Service
Refund Deposit
Grading Bond:
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$5,440.00 Fee Due at Permit Issuance : $12,904.79
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
APPROVAL TO ISSUE:
OWNER -BUILDER
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
he 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
Irolessions Code) or that he or she Is exempt from Iicensure 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
iot more than five hundred dollars ($500).
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-BuOder will have the burden of proving that A was not built or
nproved for the purpose of sale).
1, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7D44, 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).
7 1 am exempt from Iicensure under the Contractors' Slate License Law for the following reason:
Iy 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 improverfentS cep d by this permit, I cannot legall
ell a structure that I have built as an owner -builder if d has not been contacted in its entirety by licensed centmctors. I understand that a copy of the applicablE law, Section 4 of the Business and
'rofessim-, Code, is available upon request when this application is submitted or at the following Web site:http:/Avww.leginfo.ca.gov/wlaw.html.
:ignatu,e of Property Owner or Authorized Agent Dale
.ICENSED CONTRACTOR'S DECLARATION
hereby cf.`.r.T. under penally of perjury that I am licensed under provisions of Chapter 9 (commencing with Sec' 0) iv'sjop 3 of the Bus)nes nd rofessions Code, y license is in full force
nd effect. License Class License No Contra Ignatu
VORKERS' COMPENSATION DECLARATION OF
'ARNINGr FAILIMF TO SECURE WORKERS COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FWES UP TO ONE HUNDRED THOUSAND DOLLARS tr100,0001, IN ADDITION TO THE
DST OF crI'PENrATION, OAMAGES AS PROVIDED FOR IN SECTION 0709 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES.
hereby affirm under penalty of perjury one of the following declarations:
I I have and grill 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 If
)&pllnana• of the work for which this permit is issued. Policy No.
. nd ",I maintain
orrier and policy
Te of Agent _
certify that, in the pi
, if I should become
lature of Apimlimill
insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers'
Policy Number
Date
!759��
ssued, I shall not employ anyperson in any manner so as to become subject to the workers'compensation laws of Caltfomia, and agre
s of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
IwF � 1 114 1 Z1
N I Nnuvri ArOFNCY
ruby affirm under penalty of perjury that 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
my signature below, I cedlry to each m the folio
I am the property owner or authorized to act o the property owners behalf.
I have read this application and the informali n 1 have provided is c rrect.
I agree to comply with all applicable city and ordina and las to laws relating to building construction.
I authorize representatives of this Gty or cou o enter the abD a bEKd pro�pen-y-'too spection purposes. I ,
ACTION I DATE I IF VY ' I DECLARATION OFCOMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
PERMITCANCELLED
UEPA
PERMIT EMENDED
LJAQMD
PERMIT FINAL
f ��
J
ASBESTOS NOTIFICATION IS NOT APPLICABLE TO
CERTIFIG4TEOF
PROPOSED DEMOLITION
OCCUPANCYISSUED
SIGNATURE: