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HomeMy WebLinkAboutX2021-3298 - PermitsCity of Newport Beach - Building Division `X2021-3298` COMB Permit: X2021-3298 100 Civic Center Drive, Newport Beach, CA 92660 Project No : 2855-2021 Permit Counter Phone (949)644-3288 a fi. Inspection Requests Phone(949)644-3255 ��E'T® Issued Date Combination Type - MFP Inspection Area : 4 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 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: 1 PARK NEWPORT DR NS St: 1 FI: 1 B Description: MFR REPLACE GUARDRAILS AND HANDRAILS AT EXT COURTYARD Legal Desc.: N TR 6947 LOT 8 Owner: PARK NEWPORT LAND LTD Contractor: GREYTHON CONSTRUCTION LLC Architect: GRISAFE MARK Address: 201 FILBERT ST #700 Address: 31 WATER ST Address: 5618 E. CONANT ST SAN FRANCISCO, CA 94133 MYSTIC CT 06355 LONG BEACH CA 90808 •.. Phone: 415-659-1619 Phone: 860-571-4600 Phone: 562-480-1035 State Lic:CO28845 °•.•.. Applicant: DIAZJAMES Address: 1 PARK NEWPORT DR NEWPORT BEACH, CA 92660 Phone: 949-734-2374 Code Edit : 2019 Type of Construction: V-A Occupancy Group: R21U Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 4 No of Units : 1 Bldg Height: 0 Bldg Sprinklers: N Flood Zone: X Construction Valuation: $8i Building Permit Fee: $1,049.00 Plan Check Fee: $912.63 Overtime Plan Ck: $0.00 Investigation Fee: - $0.00 Record Management: $16.00 Energy Compliance: $0.00 CA Seismic Safety: $22.40 Disabled Access, $0.00 Hazardous Mat $0.00 Building Green Fee : $4.00 PROCESSED BY: TOTAL FEE: $2,056.03 5 ZONING APPROVAL: MSw GRADING APPROVAL: Con State Lic: 1032199 Lic Expire: 1013112023 Bus Lic: BT30075953 Lic Exp Date: 07/31/2022 Worker's Compensation Insurance Carrier: STATE COMPENSATION INS FUND Policy No: 9235544 Expire: 0911512022 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: I Front: / Left: / Right: / 3arking Spaces $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Plan Check Fee 0 Engineer: TERZIC UGLJESA Address: 8051 E BYNUM ST LONG BEACH CA 90804 Phone: 562-420-1035 State Lic:S-006245 Designer: Address: Phone: Special Conditions: BLDG 11B WATER QUALITY ZONE FIRE HAZ REDUCTION ZONE Fire Hazard Zane : N 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 Fire Department $52.00 Fire Inspection: $0.00 Fire Plan Rev $0.00 Demolition Fee $0.00 Building Dept Adm General Service Refund Deposit Grading Bond: •s • .• $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $964.63 Fee Due at Permit Issuance : $1,091.40 PUBLIC WORKS APPROVAL: PLAN CHECK BY: 7 •' V_ APPROVAL TO ISSUE: 0 wm 00 0 00 ccoa• coo o 0 0 �coeof 0000 us•u OWNER -BUILDER DECLARATION _ 1 hereby affirm under penalty of perjurythat 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 dem(s) (Section 7031;5, Business and Professions Code: Any city orcountythat requires a: permitto construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the permitto file a signed statement that he or she is licensed pursuant to.the provisions of the Contractors' State License Law (Chapter g (commencing with Section MOO) of Division 3 of the Businessand Professions Code) or that he or she is exempt from licensure and the basis for the alleged exemption. Any violation of Section7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500).. 111. as owner of the property, or my employees with wages as their sole compensation, wlll do U all of or U portions of the work,. and the structure is not intended or offered for sale (Section 7D44, 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 itwas not built or improved for the purpose of sale). ❑ I, as owner of the property, am exclusively contmating 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 I'Icensure under the Contractors' State License Law for the following reason: 3y my signature.below I acknowledge that, except for my personal residence in which I must have resided for at least one year prior tocompletion 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 licansed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and -r9Ms-0m; Code, is available upon request when this application is submitted or at the following Web site:hdp:1/www Ieginfo.ca.gov/mIaw.htmI. Property Owner or Authorized Agent Date -ICENSEE CONTRACTOR'S DECLARATION hereby afar , under penalty of perury that I am licensed under provisions of Chapter 1 (commencing with Section 700) of Division 3 of the Business and Professions Code, an m Jjaeme is in full force mtl effect. License Class '� License No 103a1D1 Date Contractor Sfgnature.,l IVORKEF,S' COMPENSATION DECLARATION I'7CAf1Tr0.0 s 4 c. �xp. ►o�3f I aoa3 YAIMINMFAILURE TO SECUREWORKERS'{OMPENSATONCOVERAGE IS UNLAWFUL, AND SNALLSUWECTANEMPLOYER TO CRIMINAL IENALnESANDCMLF1NEe UP TOONE HUNDRED THOUSA DDOLLARS('100,000I, IN ADDITION TO THE :OSYOF COMPENSATION, DAMAGES AS PROVIDED FOR W SECTION 3106 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES herebyy 2frrm under penalty of perjury oneofthe following declarations: I have 2nd will maintain a certificate of consent to self -insure for workers' compensation, issued by the Dire iprnlanm of the work for which thispermitis issued. Policy No. itsgnd will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for Ileoce oerfer and policy number are: rierSAIM CgmolrnMr Qn WIS.fiMn� Polley Number ao13554U- a`10a1 LJI certify that, in the performance of the work for which this permit is issued, I shall not e?hplo - :person in any r that, if I should become sub'ect to the workers' compensation provisions of Se n 370 or Goda. I shall Signature of Applicant --'"' DECLARATION REGARDING CONSTRUCTION LENDING AGENCY i I hereby affirm under penalty of perjury that there is a construction lending envy for the perfo anceof the work f Lender's Name Lender's dress By my signature below, I certify to each of the following: I am the property owner or authorized to act on the property ownefs(behalf. ! 1 have read this application and the information I have provided is correct. ,(f 1 agree to comply with all applicable city and county ordinances and stale I .ivs r mg L wnbuilding. construction. I authorize representatives of this city or county to enter the ab pr e" for inspection purposes. Signature of Property Omer or Authorized Agent f' Print Property Owner' ACTION I DATE BY DECLARATI NOFCOMPUANCE TH CODEOFFEDERAL FOR REGULATI NS PART 610710OANDAOMDRULE 1403 PERMlTEKPIRED i ISU MITTED ASBESTOS NOTIFICATION TO PfAMITCANCELLED I cDA PERMITFINAL CERTIFICATEOF OCCUPANCY ISSUED NOTIFICATION IS NOT APPLICABLE TO of Industrial Relations as provided for by Section 3700 of the Labor Code, for performance of the work for which this permit is issued. My workers' so as to become subject to the workers' compensation laws of California, and t comply with those provisions: 01 /21 /2022 this permit is issued (Section 3097, Civil Code). Name , Frank Gomez