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Home My WebLink AboutX2022-0307 - PermitsCity 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 - SLOG PLUM IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit : X2022-0307 x 2 0 2 2 0 3 0 7 Project No : 1591-2020 Issued Date: 02/03/2022 Inspection Area : 4 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0210312025 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: 1814 PORT CHARLES PL NB Description: DEMO SFR & GARAGE. 2485 SF. 5 BEDROOMS. SEWER CAP INCLUDED Legal Desc.: N TR 6622 LOT 8 Owner: BLACKBURN TIM & COURTNEY Address: 1814 PORT CHARLES PL NEWPORT BEACH, CA 92660 Phone: Applicant: HAMPTON CRAIG Address: 5500 E QUARTERSAWN ST BOISE ID 83716 Phone: 949-209-8883 Code Edit : 2019 Type of Construction: Occupancy Group: R3/U Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 0 No of Units : 1 Bldg Height: 0 Bldg Sprinklers: Valuation: 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: $1,704.98 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: 05/31/2022 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: / Left: / Right: / 'arking Spa $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $152.00 $0.00 $0.00 $10.98 Architect Address: Phone: State Lic Engineer: FORBES DALE L Address: 1800 E 16TH ST #B SANTA ANA CA 92701 Phone: 714-835-2800 State Lic:C-030407 Designer: Address: Phone Special Conditions: TIGHT QUARTERS TO HAUL DEBRIS 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 $0.00 Fire Plan Rev $0.00 $0.00 Demolition Fee $0.00 Building Dept Adm $27.00 General Service $265.00 Refund Deposit $1,127.00 Grading Bond: $0.00 $0.00 $0.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $1,704.98 - Gaa c 14113n a® IC1NOiKS ARFII10ya' • •• '• a as o m a a a a a c sa • a•^ �•.. °a a•.a PLAN CHECK BY: ° GRADING APPROVAL: APPROV4670 ISSUE: a. •.a • a e«e °�� cam- o 0 0� o° eaa • ° .. ,,o � � -e we °Wa o ae 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 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). ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do U 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. ❑ 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 licensure under the Contractors' State License Law for the following reason: I 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:http://w .leginfo.ca.gov/calaw.htmi. 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 7000) of "visi 3 of the Business and Professi s Co d m ense is in full force and effect. License Class License No Dat Contractor Signatur NORKERS' COMPENSATION DECLARATION NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED T USAN LLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby 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 th )erformance 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' compensatiol nsurance carrier and policy number are: mer Policy Number Expiration Date Va of Agent Phone # ce ify that, in the performance of the 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 ogre :hat, if I should become subject to the rs' compensation provisions of Section 370D of the Labor Code, I shall forthwith comply with those provisions. Si re of Applicant Datte� DECLARATION REG DhIG R TION LENDING AGENCY I ereby affirm under penalt)M perjl(rry that there is a construction lending agency for the performance of the work for Ider's Name Lender's Address 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 county ordinances state laws relating to building construction. i. I authorize representatives of this city or county to enter e a-Qectified plTfparty for inspection purposes. nature of Prooertv Owner or Authorized Aaent 0 Print Prooertv Owner's ACTION DATE BY DE RATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFF ULATIONS PART 61 OF TITLE 40 AND AC MD RULE • • • 1443 PERMIT EXPIRED • IbUBMI°rTEDnEST4NDTIfICATION76• • �+ ••• PERMITCANCELLED • • • -• .EPA. . ° � � • ° • • • ° •• PERMIT EXTENDED QMD • •• •• •••I PERMITFINAL e OASBE5TOSNOTIFICATION!,TAPPLICA.BLE TO CERTIFICATE OF aPR�O40SBPDEMCKITI0 OCCUPANCYISSUED •51®NATI.•tt • • •°• ' • • •e ss s• • •e• °e• s e °p se • e ° • •ss % this permit is issued (Section 3097, Civil Code). USE ONLY Name