HomeMy WebLinkAboutX2022-1504 - PermitsCity of Newport Beach II II I II I II I III I II III
Community Development Department- Building Division
�.r .�. 100 Civic Center Drive, Newport Beach, CA 92660
i�- Permit Counter Phone: (949) 644-3288
Inspection Requests Phone: (949) 644-3255
q oaN`. newportbeachca.govlinspectlons
Combination Type - MFP
Work Class - Alteration
COMB Permit X2022-1504
Plan Check No : 1390-2022
Issued Date : OB11612022
Inspection Area : 4 �'1 .1
,p R
4 I a^• � 10
5 N L`.3
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 : 4570 PARK NEWPORT DR
Legal Deed : N TR 6947 BLK LOT 8
Description: MFR ALT: FRONT DECK REPAIR OF UNITS 45704640
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 Lie : 1032199
State Lie
Applicant : GREYTHON CONSTRUCTION LLC
Lie Expire: 10/31/2023
,
Address : 31 WATER ST MYSTIC CT 06355, CA
Bus Lie : BT30075953
Engineer : O'CONNELL KEVIN
Phone: (860) 571-4600
Bus Lie Expire : 07/31/2023
Address : 23201 EVALYN AVE TO Rt ANCE, ,. -CA
90505
Workers' Compensation Insurance
Phone: (213) 271-2000 „
Owner/Builder:
Carrier: STATE+COMPENSATION+INSURANCE+FUN
D
Address :
Policy No : 9235544
Designer
Phone:
W. C. Expire: 9/15/2022
Address : -
Phone:
Code Edition : 2019
Fire Sprinklers : NO
Construction Valuation: $8,000.1%
Type of Construction : V-B
Fire Hazard Zone : No
Added/New/Ti sq. ft. Bldg: 0 -
Occupancy Groups : R-2
No of Units : 8
Alteration sq. ft. Bldg
Bldg Height :
No of Stories : 2
Added/New sq. ft. Garage: 0
Building Setbacks
Flood Zone : X
Use Zone: PC - Park Newport - UP 1412, UP 1557
PROCESSED BY:
SPECIAL CONDITIONS:
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors Stale License Law for the reason(s) indicated below by file 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, alter, improve, demolish, or repair any structure, prior to Its issuance, also requires the applicant for
the pormit to Bla 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 licensors and the basis for the alleged exemption. Any violation or Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of
not more than five hundred dollars ($500).
❑ Las owner Oahe property, or my employees With wages as their sole compensation, will do U all of or(—) portions of the work, and the structure is not intended or 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 properly, 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 trial it was not built or
improved for the purpose of sale).
❑ I, as owner of die property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not
apply to an owner of properly who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).
❑ I am exempt from licensors under the Contractors' State License Law for the following reason ,,,,,,, .----- _ .._ _ _....._ .. __......
...._._.
By 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 leti
sell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractor;. 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:lfwww.leginfo.ca,govlcalaw.html.
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 Section 7 of Division 3 of the Business and Press�tian license is in full force
and effect. License Class License No Date ^ �e-22 Contractor Signature,(
v
WORKERS' COMPENSATION DECLARATION
✓YARN)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 DOLLARS (i100,000), IN ADOPTION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 370S OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm undo- penalty of perjury one of the following declarations:
7 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 the
5agfrrrmancE of the -:York for which this permit is Issued. Policy No.
have andwill maintain Workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permil is issued My workers' compensatior
.,,surance carrier and policy number are:
Carrier Policy Number Expiration Date
Dome of Agent _ Phone It
ul ^orlffy InPt in the performance of the work 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 agree
IDc1, if I should become subject to or compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
Sigl.ature of ^,ppV, nt......_.__�.�.____ Date �� _(O_ Z2-- ..�...__.
DECLARAIn"IN AE,'GARDLNG CONSTR CTION LENDING AGENCY
hereby affirm under penalty of perjury that there is a construction lending ageneyfor the performance of the work forwhich this permit is Issued (Section 3097, Civil Code).
Lender's NEme _ Lender's Address
By my signature below, I certify to each of the following:
I am the properly 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 [ enter he bo. - enfllied properly for inspection purposes. r�
Si nature of Property O',vnor or Authorized A ant Print Pro ert Owner's or Authorized A ent's Name Y2Cl /{!"jr'lJ?"✓d/t pate 8'%(fl'ZZ
ACTION DATE i BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
I REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
1403
PERMITENPIRED _ _ _ I SUBMITTED ASBESTOS NOTIFICATION TO
PERMITCANCELLED _ EPA T� All required alarms, latches gates and fences which serve as part of a pool/spa barrier, shall
PERMIT ERTENDED MD be in place prior to approval to fill pool/spa & shall remain in place & he maintained for the
PLRyvrFINAL SRESTO5 NOTIFICATION IS NOT APPLICABLE TO life of the pool.
CERTIFICATEOF ` OP05EU DEMOLITIO �(/��
OCCUPANCY I55UEO SIGNATURE: X / '