HomeMy WebLinkAboutX2021-2053 - PermitsI�
City of Newport Beach - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255
Combination Type - BLDG PLUM
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COMB Permit: X2021-2053
Project No: 1081-2021
Issued Date : 08104/2021
Inspection Area : 3
PERMIT EXPIRES 160 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0810412024 OR PERMIT WILL BE INV,
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: 1411 LINCOLN LN NB
Description: DEMO (E) SFR W/ GARAGE 1,974 SF (4 BEDROOMS)
Legal Desc.: N TR 3851 LOT 23
Owner:
OLSON NICHOLAS
Address:
1411 LINCOLN LN
NEWPORT BEACH, CA 92660
Phone:
9496420857
Applicant:
GRISSINGER FINE HOMES
Address:
11912 ARROYO AVE
SANTA ANA CA 92705
Phone:
949-225-5755
Code Edit :
2019
Type of Construction:
VB
Occupancy Group:
R3/U
Added /New sq.ft. Bldg:
0
Added /New sq. ft. Garage: 0
No of Stories:
2
No of Units :
1
Bldg Height:
0
Bldg Sprinklers:
N
Flood Zone:
X
Construction Valuation:
$1.
Building Permit Fee: $122.00
Plan Check Fee: $0.00
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management:
$0.00
Energy Compliance:
$0.00
CA Seismic Safety:
$0.00
Disabled Access :
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$1.00
TOTAL FEE: $2,117.98
PROCESSED BY:
ZONING APPROVAL:
Contractor:
GRISSINGER FINE HOMES
Address:
11912 ARROYO AVE
SANTA ANA CA 92705
Phone:
949-225-5755
Con State Lic:
807874
Lic Expire:
05/31/2022
Bus Lic:
BT30043274
Lic Exp Date:
05/3112022
Worker's Compensation Insurance
Carrier: WIC EXEMPT
Policy No: (NO EMPLOYEES)
Expire:
Building Setbacks
Zone:
Excise Tax:
Additional Fee
Grading Bonds Fee:
Grading PC Consultant
Grading Permit Fee:
Grading PC Fee:
WQ Insp. Fee:
Electrical %:
Mechanical %:
Plumbing %:
Rear: /(91
Front: /� t
Left: I
Right: /
01
'arking Space,
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$10.98
Plan Check Fee
Architect:
Address:
Phone:
Engineer:
Address:
Phone:
Designer:
Address:
Phone:
State Lic:
State Lic:
Special Conditions: HAULER: BC HAULING
N90 CITY TREES ON SITE
Planning Department -
Plan check Fee
Fair Share:
SJH Trans:
In -lieu Housing Fee
Public Works Department -
Park Dedication :
$0.00
PAN Plan Check:
$0.00
San Dist:
$0.00
NMUSD Fee:
$0.00
Zone:N
Fire Department
$0.00
Fire Inspection:
$0.00
Fire Plan Rev
$0.00
Demolition Fee
$0.00
Building Dept Adm
General Service
Refund Deposit
Grading Band:
$0.00
$0.00
$27.00
$265.00
$1,692.00
$0.00
$0.00
$0.00
$0.00 Fee Due at Permit Issuance : $2,117.98
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
GRADING APPROVAL: APPROVAL TO ISSUE:
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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, priorto its issuance, also requires the applicant for
the 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).
❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do `) 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 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 pl�trg 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 owrI r ofooperty who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).
Q Jan exempt frprp licensure under the Contractors' State License Law for the following reason:
By mySignatute 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)
9 11 a stmcture laifhave 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
Prro>astions Coddl, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi.
§igniture of PJCM" Owner or Authorized Agent Date
LICi LASED CEN16T-RA.CTOR'S DECLARATION
I hereby affirm, mrder penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000 i ion 3 of the Business and Professions C d nd my ',erase is in full force
andefkct. Licepy4Class License No Date Contractor Signature
WORKERS' COMPENSATION DECLARATION
NARNING: FAILURE TO SWURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED TH SAI DOLLARS ($100,000), IN ADDITION TO THE
COST dF COMPLNS ATOM DAMAGES AS PROVIDED FOR IN SECTION 37DG OF THE LABOR CODE, INTEREST, AND ATTORNEY'$ FEES.
I'M2reiv affirm finder Penalty of perjury one of the following declarations:
® I*have and wIITmaintain 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 thi
performance of the work for which this permit is issued. Policy No.
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'
rance carrier and policy number are:
of Agent
rtify that, in the p
I should become
of Applicant
Policy Number
Date
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
'ors' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
Date f�J
DECLARATION REGA NSTRUCTION LENDING AGENCY
hereby affirm under en y p jury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
Ender's Name Lender's Address
y my signature below, I certiV to each of the following:
I am the property owner or authorized to act on the property
I have read this application and the information I have proud
I agree to comply with all applicable city and county or ' ap
I authorize representatives of this city or county toe er
Ps behalf.
correct.
rate laws relating to building construction.
r-identified property for inspection purposes.
ACTION DATE I BY /,i�E;ULATIONS PART 61 OF TITLE 40AND AQMD RULE
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