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HomeMy WebLinkAboutX2022-1257 - Permits�aEWPORT City of Newport Beach II III I II I II I III II III II II COMB Permit : X2O22-1257 C p Community Development Department - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : 1151-2022 = Permit Counter Phone: (949) 644-3288 Issued Date : 08/29/2022 Inspection Requests Phone: (949) 644-3255 Inspection Area : 1 Cq<�FppN�P newportbeachca.gov/inspections Combination Type - SFP ELEC MECH PLUM Work Class - New PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION, BUT NO LATER THAN 3 YEARS FROM ORIGINAL ISSUANCE NO CONSTRUCTION RELATED NOISE ON SATURDAY OR SUNDAY IN HIGH DENSITY AREAS AND NO WORK ON SUNDAY AND HOLIDAYrS IN%$ Job Address : 108 27TH ST Description : NEW SFR & GARAGE 1876/401 SF Owner : CHRIS PETROSSIAN Address : 108 27th Street Newport Beach, CA 92663 Phone: (213)283-3703 Applicant : Craig Hampton Address : 5500 E Quartersawn St E Quartersawn St Boise, ID 83716 Phone: (949)209-8883 Owner/Builder Address Phone: 8 Legal Desc : A TR NEWPORT BEACH CITY BILK 26 LOT \40 Contractor: GRAYSTONE CUSTOM BLDRS INC Architect Address : 3419 VIA LIDO STE 455 NEWPORT Address BEACH, CA 92663 Phone: (949)466-0900 Phone: Con State Lie : 971085 State Lie Lie Expire : 03/31/2024 Bus Lie: BT30040057 Engineer: Bus Lie Expire : 03/31/2023 Address Workers' Compensation Insurance Phone: Carrier: STATE FUND Policy No : 9216106 Designer W. C. Expire : B/15/2023 Address Phone: 0 FORBES DALE L 1800 E 16TH ST #B SANTA ANA, CA (714)835-2800 Code Edition : 2019 Fire Sprinklers : YES Construction Valuation : Type of Construction : V-B Fire Hazard Zone : No Added/New/TI sq. ft. Bldg Alteration sq. ft. Bldg : Occupancy Groups : U,R-3 No of Units : 1 No of Stories : 3 Added/New sq. ft. Garage Bldg Height: Building Setbacks : Front: 5, Side: 3, Side: 3, Rear: 5 Flood Zone : X Use Zone: R-1 - Single -Unit Residential PROCESSED BY.. SPECIAL CONDITIONS: $375,000.00 1,876 401 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' Stale License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable items) (Section 7031.5. Business and Professions Code' Any city or County trial requires a permit to COMStrut'f, after. Improve. demolish. or repair any Structure, prior to its issuance, also requires the applicant for fire permit to fife 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 ticensure and the basis for the alleged exemption. Any violation or Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500)13 . I, as owner of the property, or my employees with wages as their soie compensation, will do I_) 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 1mproyo9 the properly, 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 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 roansme under the Contractors' Slate License Law for the following reason: _ ._der....__ ents Covered t I,a ..... 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 httpJ/vww.leginfo.ca.gov/calaw.litml. 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 700? Di Sion 3 of the Business and Profes ns d license is in full force and effect License Class License No De cr 2.z Contractor 53gnature AfORKERS COMPENSATION DECLARATION NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL PINES UP TO ONE HUNDRED THOUSAN DOLLARS IEi06,000i, IN ADDITION TO THE COST OF COMPENSATION. DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LA80R CODE„ INTEREST, AND ATTORNEY'S FEES, hereby affirm under penalty of perjury one of the following declarations: 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 a of the work for which this permit Is issued. Policy No. I 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' and policy number are: to, of agent certify that,. in the performance f the work if I should become subject fh works olure of Applicant tIreby affirm under penalty of 3der's Name. my signature below, I certify Number Date Phone it this permit is issued, I shall not employ any person in any manner so asto become subject to the workers' compens ion laws of California, and agre - yl of Section 3700 of the Labor Code, I shall forthwith comply with those pruvisiona. kG AGENCY ✓ �� there Is a construction l0 ding agency for the performance of the work for which this permit is issued (Sectlon 3097, Civil CD e). .�1 'I Lenders Address 1 am the property owner or authorized tip act on the pn I have read this application and the infohration i have I agree to comply with all applicable city and county or I authorize representatives of this city or county to Sol nature of Property Owner or Authorized Anent ACTION PER1417kXPINED PERMIT CANCEL! EA DATE I BY is s laws ti D building construction. tied pr Try for inspection purposes. Print Property Owner's or Authorized An PLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY OF TITLE 40 AND A(tM0 RUL F NOTI PCRM1TtXtENDCD i AOMD h ER 0I1 F'NAL. I i �AS8FST05 NOTIFICATION 15 NOT APPLICABLE TO CEP, IOLA7E OF pt �� PROPOSED DEMOLITION OCCUPANCYf55UED I �� ` ar-ninrn rPr. Name Date All required alarms, latches gates and fences which serve as part of a pool/spa barrier, shall be In place prior to approval to fill pool/spa & shall remain in place & bemaintained for the life of the pool. �EWP°Rr City of Newport Beach I III I III II I III II III III Permit: X2022-1257 100 Civic Center Drive Plan Check: 1151-2022 u z Newport Beach, CA 92660 �94 Fo aNP Certificate of Occupancy THIS CERTIFICATE ISSUED PURSUANT TO THE REQUIREMENTS OF SECTION 111 OF THE CITY OF NEWPORT BEACH ADMINISTRATIVE CODE ATTESTS THAT AT THE TIME OF ISSUANCE, THIS STRUCTURE WAS IN COMPLIANCE WITH THE VARIOUS ORDINANCES OF THE CITY OF NEWPORT BEACH REGULATING BUILDING CONSTRUCTION OR USE. Owner: CHRIS PETROSSIAN Code Year Edition: 2019 Address: 108 27TH ST, NEWPORT BEACH, CA Number of Stories: 3 Tenant: Construction Type: V-B Use Zone: R-1 - Single -Unit Residential Occupancy: U,R-3 Description of Work: NEW SFR & GARAGE 1876/401 SF Total Occupant Load: 0 Special Conditions: Fire Sprinklered: YES Chief Building Official: Tonee Thai, PE, CASp, CBO Signature: Date: 1/30/2024