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Home My WebLink AboutX2021-1669 - Permits (2)wavy City of Newport Beach - Building Division `X2021-1669" COMB Permit: X2021-1669 M� 100 Civic Center Drive, Newport Beach, CA 92660 Project No : 1455-2021 ,, y r T , r Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 ^,z, * Combination Type - BLDG PLUM a� f�@� �'L r� a 9 1➢ '� e� r io i q� Issued Date : 06/28/2021 r Inspection Area : 2 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 06/28/2024 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: 209 CRYSTAL AVE NB Description: DEMO SFR 740 SF (2 BEDROOMS) Legal Desc.: BALBOA ISLAND SEC 5 BILK 6 LOT 24 Owner: SAILHOUSE CRYSTALL LLC Contractor: SAILHOUSE HOMES INC Architect: OLSON DAVID ROLF Address: 209 CRYSTAL AVE Address: 170 NEWPORT CENTER DR #260 Address: 470 WALD ' NEWPORT BEACH, CA 92662 NEWPORT BEACH CA 92660 IRVINE, CA 92618 Phone: Phone: 949-281-6045 Phone: 949-450-0093 State Lic:C019424 Applicant: SAILHOUSE HOMES INC Con State Lie: 1007531 Engineer: ' Address: 170 NEWPORT CENTER DR 9260 Lie Expire: 09/30/2021 Address: , NEWPORT BEACH CA 92660 Bus Lie: BT30036603 ' Phone: 949-281-6045 Lie Exp Date: 0613012021 Phone: State Lie: Code Edit : 2019 Worker's Compensation Insurance Designer: Type of Construction: Carrier: INSURANCE COMPANY OF THE WEST Address: ., . Occupancy Group: R3 Policy No: WSD505264401 t�' CONSTRUCTION n �, C N® NOISE Added INew sq.ft. Bldg: 0 Expire: 1212912021 Phone: Added /New sq. ft. Garage: 0 No of Stories: 0 Building Setbacks Rear: / Special Conditions: No of Units : 1 Front: I Bldg Height: 0 Left: I ON SATURDAYS Bldg Sprinklers: Right: I Flood Zone: Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $10,000.00 Building Permit Fee: $120.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check. Fee: $227.50 Additional Fee : $0.00 Plan check Fee : $92.50 Fire Inspection: $0.00 Overtime Plan Ck: $0.00 Grading Bonds Fee: $0.00 Fair Share : $0.00 Fire Plan Rev $0.00 Investigation Fee: $0.00 Grading PC Consultant : $0.00 SJH Trans : $0.00 Demolition Fee Record Management: $4.00 Grading Permit Fee: $0.00 In -lieu Housing Fee : $0.00 Building Dept Adm $26.00 Energy Compliance: $0.00 Grading PC Fee: $0.00 Public Works Department - General Service $219.00 CA Seismic Safety: $0.00 WQ Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $1,692.00 Disabled Access : $0.00 PAN Plan Check : $0.00 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical W $0.00 San Dist : $0.00 Building Green Fee : $1.00 Mechanical %: $0.00 NMUSD Fee: $0.00 $0.00 Plumbing %: $10.80 $0.00 TOTAL FEE : $23392.80 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $2,392.80 PROCESSED BY: PUBLIC WORKS APPROVAL: n ZONING APPROVAL:/oL. PLAN CHECK BY: GRADING APPROVAL: APPROVAL TO ISSUE: �- OWNER -BUILDER DECLARATION 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 Professions 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 not 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 (_) 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 property, 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 that it was not built or improved for the purpose of sale). I, as owner, of 'he 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 property 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 licensure under the Contractors' State License Law for the following reason: By my signature jelow 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 legally cell P 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 P, ofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. Signature of Property Owner or Authorized Agent Date LICENSED COATRACTOR'S DECLARATION I hereby affirm cnd�. penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section of Division 3 of the Business and Profes s de my license is in full force and effect. Licensi Class License No Date to/i 7-1 Contractor Signature - vVORKERS' COMPENSATION DECLARATION NARNINr: FAILURE TO S��URE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMIN L PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THO SAND DOLLARS ($100,000), IN ADDITION TO THE ,OST OF COMPEKSATIUN, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. ']cr3l)g affirm under penalty of perjury one of the following declarations: ' 'I'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 3erformance of the work for which this permit is issued. Policy No. I have 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' 4rance carrier and policy number are: Policy Number of Agent Date I certify that, 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 agre hat, if I should become suubje/¢t to the worker ' mpensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. signature of Applicant I Y L� K^— 16, AC/Zt )ECLARATION REGAR NSTRUCTION LENDING AGENCY hereby affirm under pen Ity of pequ that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3 7, "vil Code). -ender's Name Lender's Address 3y 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 cc t ordinances and state laws relating to building construction. I authorize representatives of this city or county t nter a ab identified property for inspection purposes. 9 Signature of Property Owner or Authorized Agent .�-�� Print Property Owner's or Authorized Agent's Name /J b .-'v w� Date Z33/zf ACTION DATE BY DEC ION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE _ 1403 PERMIT EXPIRED PERMITCANCELLED PERMIT EXTENDED PERMIT FINAL CERTIFICATEOF OCCUPANCYISSUED EPA NOTIFICATION TO IS NOTAPPLICABLE TO