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Home My WebLink AboutX2021-2054 - Permitswry? City of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 w Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 raasu Combination Type - BLDG II �X 2 0 2 I2 0 5 4�1 Jill INSPECTOR COMB Permit: X2021-2054 Project No: 1081-2021 Issued Date: 08/0412021 Inspection Area : 3 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0810412024 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: 1411 LINCOLN LN NB Description: DEMO DET. GARAGE 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: U Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 0 No of Units : 0 Bldg Height: 0 Bldg Sprinklers: Flood Zone: X 11 Construction Valuation: $ Building Permit Fee: $110.00 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 : $111.00 PROCESSED BY: ZONING APPROVAL: GRADING 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: 05/31/2022 Worker's Compensation Insurance Carrier: WIC EXEMPT Policy No: (NO EMPLOYEES) Expire: Building Setbacks Excise Tax: Additional Fee Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: Electrical %: Mechanical %: Plumbing %: Rear: / Front: I Left: I Right: / $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Architect: Address: Phone: State Lic: Engineer: Address: Phone: State Lic: Designer: Address: Phone: Special Conditions: Fire Hazard Zone : N Planning Department - Plan check Fee Fair Share SJH Trans In -lieu Housing Fee Public Works Department - Park Dedication : $0.00 P/W Plan Check: $0.00 San Dist: $0.00 NMUSD Fee: $0.00 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 Bond: Plan Check Fee : $0.00 Fee Due at Permit Issuance PUBLIC WORKS APPROVAL: V PLAN CHECK BY: APPROVAL TO ISSUE: o . 6G0° �y Va Q -q�3V�30 0o a ooao a o �Qa �� ° eae• YQ V o. �,gyoeaco ao a p o 0 . . a oa °ova° ao�aeao ►u $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $111.00 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) :coon 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 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 Ifessions 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 more than five hundred dollars ($500). I, 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, siness 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 )rovements 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 )roved for the purpose of sale). I, as owner oftbegroperty, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not )ly to an own%gf pjCperty who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). Jdav:exempt ¢owJicensure under the Contractors' State License Law for the following reason: my sRUnatun?t Mow f 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 legalli I a structure that[ 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 ,6al'ons Code, Is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. natyre of Prg(hf %Nner or Authorized Agent Date ,%WSED CONTRACTOR'S DECLARATION ;fgby affirm ertlee� penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 0) f Ivis n 3 of the Business and Pro sions C � , and license is in full force 1 ef&ct. Licens46lass License No Date Contractor Signature 1&K RVCOMPENSATION DECLARATION =AILURE •O SNJURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED Yii)<,�SAND DOLLARS ($100,000), IN ADDITION TO THE )MPENS9TjdiJ, QAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. //%/ ffirm under pgnalty of perjury one of the following declarations: 4 .••• a•.nd 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 th Ice of the work for which this permit is issued. Policy No. 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' compensatiol carrier and policy number are: Policy Number Expiration Date of Agent c rtify that, in the pert rmance of the work for wh" h 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 t 1 should becom s jact to the workers' ensati visions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.- natureofApplicant Dattv—�L CLARATION REGA DING ONSTRU LENDING AGENCY neby affirm under penalty of perjury is a construction lending agency for the performance of the work for which this permit is issued (Section 3097. Civil Code). Iders Name Lender's Address my signature below, I certify to ach of the following: I am the property owner or authorized to act on the property owners behalf. I have read this application and the information I have provided is correct. agree to comply with all applicable city and co my ordinances and .aante laws relating to building construction. I authorize representatives of this city or cor fj4y�j tto enter the abq�'}yAfied property for inspection purposes. ACTION I DATE I BY PERMIT EXPIRED PERMITCANCELLED PERMITFINAL I CERTIFICATE OF`G�)/r OCCUPANCY ISSUED 7 -1 61 OF TITLE 40 AND AQMD RULE ITTED ASBESTOS APPLICABLE TO Owner's or Authorized Aa I FOR OFFICE USE ONLY