HomeMy WebLinkAboutX2022-1257 - Permits�aEWPORT City of Newport Beach II III I II I II I III II III II II COMB Permit : X2O22-1257
C p Community Development Department - Building Division
100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : 1151-2022
= Permit Counter Phone: (949) 644-3288 Issued Date : 08/29/2022
Inspection Requests Phone: (949) 644-3255 Inspection Area : 1
Cq<�FppN�P newportbeachca.gov/inspections
Combination Type - SFP ELEC MECH PLUM
Work Class - New
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION, BUT NO LATER THAN 3 YEARS FROM ORIGINAL ISSUANCE
NO CONSTRUCTION RELATED NOISE ON SATURDAY OR SUNDAY IN HIGH DENSITY AREAS AND NO WORK ON SUNDAY AND HOLIDAYrS IN%$
Job Address : 108 27TH ST
Description : NEW SFR & GARAGE 1876/401 SF
Owner : CHRIS PETROSSIAN
Address : 108 27th Street Newport Beach, CA 92663
Phone: (213)283-3703
Applicant :
Craig Hampton
Address :
5500 E Quartersawn St E Quartersawn St Boise,
ID 83716
Phone:
(949)209-8883
Owner/Builder
Address
Phone:
8
Legal Desc : A TR NEWPORT BEACH CITY BILK 26 LOT
\40
Contractor: GRAYSTONE CUSTOM BLDRS INC
Architect
Address : 3419 VIA LIDO STE 455 NEWPORT
Address
BEACH, CA 92663
Phone: (949)466-0900
Phone:
Con State Lie : 971085
State Lie
Lie Expire : 03/31/2024
Bus Lie: BT30040057
Engineer:
Bus Lie Expire : 03/31/2023
Address
Workers' Compensation Insurance
Phone:
Carrier: STATE FUND
Policy No : 9216106
Designer
W. C. Expire : B/15/2023
Address
Phone:
0
FORBES DALE L
1800 E 16TH ST #B SANTA ANA, CA
(714)835-2800
Code Edition :
2019
Fire Sprinklers : YES
Construction Valuation :
Type of Construction :
V-B
Fire Hazard Zone : No
Added/New/TI sq. ft. Bldg
Alteration sq. ft. Bldg :
Occupancy Groups :
U,R-3
No of Units : 1
No of Stories : 3
Added/New sq. ft. Garage
Bldg Height:
Building Setbacks :
Front: 5, Side: 3, Side: 3, Rear: 5
Flood Zone :
X
Use Zone:
R-1 - Single -Unit Residential
PROCESSED BY..
SPECIAL CONDITIONS:
$375,000.00
1,876
401
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 the checkmark(s) I have placed next to the applicable items)
(Section 7031.5. Business and Professions Code' Any city or County trial requires a permit to COMStrut'f, after. Improve. demolish. or repair any Structure, prior to its issuance, also requires the applicant for
fire permit to fife 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 ticensure 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)13 .
I, as owner of the property, or my employees with wages as their soie compensation, will do I_) all of or U 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 1mproyo9 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 that it was not built or
Improved for the purpose of sale).
❑ 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
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).
❑ 1 am exempt from roansme under the Contractors' Slate License Law for the following reason: _
._der....__ ents Covered
t I,a .....
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 legall!
sell a 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
Professions Code, Is available upon request when this application Is submitted or at the following web site httpJ/vww.leginfo.ca.gov/calaw.litml.
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 700? Di Sion 3 of the Business and Profes ns d license is in full force
and effect License Class License No De cr 2.z Contractor 53gnature
AfORKERS COMPENSATION DECLARATION
NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL PINES UP TO ONE HUNDRED THOUSAN DOLLARS IEi06,000i, IN ADDITION TO THE
COST OF COMPENSATION. DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LA80R CODE„ INTEREST, AND ATTORNEY'S FEES,
hereby affirm under penalty of perjury one of the following declarations:
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
a of the work for which this permit Is issued. Policy No.
I 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'
and policy number are:
to, of agent
certify that,. in the performance f the work
if I should become subject fh works
olure of Applicant
tIreby affirm under penalty of
3der's Name.
my signature below, I certify
Number
Date
Phone it
this permit is issued, I shall not employ any person in any manner so asto become subject to the workers' compens ion laws of California, and agre
- yl of Section 3700 of the Labor Code, I shall forthwith comply with those pruvisiona.
kG AGENCY ✓ ��
there Is a construction l0 ding agency for the performance of the work for which this permit is issued (Sectlon 3097, Civil CD e).
.�1 'I Lenders Address
1 am the property owner or authorized tip act on the pn
I have read this application and the infohration i have
I agree to comply with all applicable city and county or
I authorize representatives of this city or county to Sol
nature of Property Owner or Authorized Anent
ACTION
PER1417kXPINED
PERMIT CANCEL! EA
DATE I BY
is
s laws ti D building construction.
tied pr Try for inspection purposes.
Print Property Owner's or Authorized An
PLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY
OF TITLE 40 AND A(tM0 RUL F
NOTI
PCRM1TtXtENDCD i AOMD
h ER 0I1 F'NAL. I i �AS8FST05 NOTIFICATION 15 NOT APPLICABLE TO
CEP, IOLA7E OF pt �� PROPOSED DEMOLITION
OCCUPANCYf55UED I �� ` ar-ninrn rPr.
Name
Date
All required 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 & bemaintained for the
life of the pool.
�EWP°Rr City of Newport Beach I III I III II I III II III III Permit: X2022-1257
100 Civic Center Drive Plan Check: 1151-2022
u z Newport Beach, CA 92660
�94 Fo aNP
Certificate of Occupancy
THIS CERTIFICATE ISSUED PURSUANT TO THE REQUIREMENTS OF SECTION 111 OF THE CITY OF NEWPORT
BEACH ADMINISTRATIVE CODE ATTESTS THAT AT THE TIME OF ISSUANCE, THIS STRUCTURE WAS IN
COMPLIANCE WITH THE VARIOUS ORDINANCES OF THE CITY OF NEWPORT BEACH REGULATING BUILDING
CONSTRUCTION OR USE.
Owner: CHRIS PETROSSIAN
Code Year Edition:
2019
Address: 108 27TH ST, NEWPORT BEACH, CA
Number of Stories:
3
Tenant:
Construction Type:
V-B
Use Zone: R-1 - Single -Unit Residential
Occupancy:
U,R-3
Description of Work: NEW SFR & GARAGE 1876/401 SF
Total Occupant Load:
0
Special Conditions:
Fire Sprinklered:
YES
Chief Building Official: Tonee Thai, PE, CASp, CBO Signature: Date: 1/30/2024