HomeMy WebLinkAboutX2021-1202 - PermitsCity of Newport Beach - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
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Inspection Requests Phone (949)644-3255
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Combination Type - BLDG PLUM
Il►►iiiiii►iiiiiiiiiiiii►iiiiiiii►iiiii►►iiiii►iiiii II COMB Permit: X2021-1202
x 2 0 2 1 1 2 9 2 Project No : 1839-2020
Issued Date : 0511312021
Inspection Area : 4
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 05/13/2024 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: 1973 PORT NELSON PL NB
Description: DEMO SFR 8. GARAGE. 2594 SF, 5 BEDROOMS. SEWER CAP INCLUDED
Legal Desc.: N TR 7028 LOT 43
Owner:
MAYO FAMILY TRUST
Address:
11912 ARROYO AVE
SANTA ANA CA 92705
Phone:
Applicant:
HAMPTON CRAIG
Address:
5500E QUARTERSAWN ST
BOISE ID 83716
Phone:
949-209-8883
Code Edit:
Type of Construction:
Occupancy Group:
Added /New sq.ft. Bldg:
Added/New sq. ft. Garage:
No of Stories: 2
No of Units : 1
Bldg Height: 0
Bldg Sprinklers:
Flood Zone:
11 Construction Valuation:
Building Permit Fee:
Plan Check Fee: $0.00
Overtime Plan Ck:
Investigation Fee:
Record Management:
Energy Compliance:
CA Seismic Safety:
Disabled Access
Hazardous Mat
Building Green Fee
PROCESSED BY:
Contractor:
GRISSINGER FINE HOMES
Address:
1863 PORT RENWICK PL
NEWPORT BEACH CA 92660
Phone:
949-225-5755
Con State Lic:
807874
Lic Expire:
05/3112022
Bus Lic:
BT30043274
Lic Exp Date:
05/3112021
2019 Worker's Compensation Insurance
V-B Carrier: W/C EXEMPT
R3/U Policy No: (NO EMPLOYEES)
0 Expire:
0
Building Setbacks Rear: /
Front: /
Left: I
Right: I
Use Zone: Parkina Spaces: 0
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
$0.00
Excise Tax:
$0.00
Planning Department -
Additional Fee :
$0.00
Plan check Fee
$0.00
Grading Bonds Fee:
$0.00
Fair Share:
$0.00
Grading PC Consultant :
$0.00
SJH Trans :
$0.00
Grading Permit Fee:
$0.00
In -lieu Housing Fee
$0.00
Grading PC Fee:
$0.00
Public Works Department -
$0.00
WQ Insp. Fee:
$120.00
Park Dedication :
$0.00
$0.00
PAN Plan Check:
$0.00
$0.00
Electrical %:
$0.00
San Dist:
$0.00
$1.00
Mechanical %:
$0.00
NMUSD Fee:
$0.00
Plumbing %:
$0.00
TOTAL FEE: $2,058.00
ZONING APPROVAL:
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:
$0.00
$0.00
$26.00
$219.00
$1,692.00
$0.00
$0.00
$0.00
Plan Check Fee : $0.00 Fee Due at Permit Issuance : $2,058.00
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
GRADING APPROVAL: _ _ __ APPROVAL TO ISSUE:
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
ie 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
'rofessions Cade) 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
of more than five hundred dollars ($500).
7 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,
lusiness 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
nprovements 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
n roved 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
pply 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 licensure under the Contractors' State License Law for the following reason:
ly 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
ell 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
'rofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi.
signature of Property Owner or Authorized Agent Date=
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of visio 3 of the Business and Pr fessions , de, and my sic a is in full force
nd effect. License Class License No Date Contractor Signature
VORKERS' COMPENSATION DECLARATION
FARMING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRE SAND DOLLARS ($100,000), IN ADDITION TO THE
OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 37D6 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 the
erformance 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'
"ante carrier and policy number are:
Policy Number
Agent
Date
I y at, 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 agree
sat, if hould become subject to thew ' compens rovisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
' ature of Applicant Da��7�/
IECLARATION REGARD NG CO CTION LENDING AGENCY
hereby affirm under penalty e0ury ha here 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 certify to each of the following:
I am the property owner or authorized to act on the property own is behalf.
I have read this application and the information I have provide Is correct.
I agree to comply with all applicable city and county ordin s and Ste a0s relating to building construction.
I authorize representatives of this city or co ty
ed to enter bo ' entified property for inspection purposes. Zi,
ionature of Propertv Owner or AuthorizADenMX Print Property Owner's or Authorized Apent's Nar j� f, d
7?
ACTION
DATE
BY
ATIO OF COMPLIANCE WITH CODE OF FEDERAL
FOR OFFICE USE ONLY
REG LAT S PART 61 OFTITLE 40 AND AQMD RULE
1403
't 4
PERMIT EXPIRED
I SUBMITTED ASBESTOS NOTIFICATION TO
PERMIT CANCELLED
EPA
PERMIT EXTENDED
QMD
PERMIT FINAL
q JC Q
ASBESTOS NOTIFICATION IS NOT APPLICABLE TO
CERTIFICATE OF
PROPOSED DEMOLITION
OCCUPANCY ISSUED
CIr NATI IRV1