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Home My WebLink AboutX2020-1667 - Permits�xr City of Newport Beach -Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 y; Inspection Requests Phone (949)644-3255 >a Combination Type -SFP IIIIIII�IIIIIIIIIIII�III�IIINIIIIIIIIIIIIIIIIIgIII OMB PerProject No : mit: ZX �2020-1667 Issued Date : 09/17/2020 Inspection Area : 8 PERMIT E:,PIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST EE COMPLETED BY 09/18/2023 OR PERMIT WILL BE INVALID Cons ruction 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: 2626. BASSWOOD ST NB Description: SFR DELTA 3, RE -FRAME ROOF (REV20-1115) Legal Desc.: N TR 4893 LOT7 Owner: PATI FAMILY TRUST Contractor. OWNER/BLDR Architect: FERGUSON, RICCARDO E Address:. 68 PORTUGUESE BEND ROAD Address: AUTH AGENT: Address: 28255 SPARKLING OAKS TRAIL NEWPORT BEACH, CA 90274 ANGAD GANGAPURAM SAN DIEGO CA 92026 �q Phone: Phone: Phone: 760-845-8278 State Lic:C030820 �J Applicant: FERGUSON, RICCARDO E Con State Lie: Ole Engineer: MOEINI SOHEIL Address: 28255 SPARKLNG OAKS TRAIL Lie Expire: Address: 1836 PARNELL AVE 202 SAN DIEGOCA 92026 Bus Lie: LOS ANGELES, CA 90025 Phone: 760-845-8278 Lie Exp Date: Phone: 310-405-2341 State Lic:C-084000 Code Edit, 2019 Worker's Compensation Insurance Designer: Type of Construction: V-3-SPR Carrier. - Address: Occupancy Group: R?/U Policy No: Added Mew sq.ft. Bldg: 0 Expire: Phone: Added /New sq. ft. Garage: 0 No of Stories: 2 Building Setbacks Rear: I Special Conditions: No of Units: 1 Front: I Bldg Height: 0 Left: / Bldg Sprinklers: Y Right: I Flood Zone: X Use Zone: Parkin S aces: 0 Fire Hazard Zone : N Construction Valuation: $13,000.00 Building Permit Fee: $2,7.00 Excise Tax: $0.00 Planning Department- Fire Department Plan Check Fee: $258.39 Additional Fee: $0.00 Plan check Fee : $46.25 Fire Inspection: $0.00 Overtime Plan OR: $0.00 Grading Bonds Fee: $0.00 Fair Share: $0.00 Fire Plan Rev $0.00 Investigation Fee: .50.00 Grading PC Consultant : $0.00 SJH Trans: $0.00 Demolition Fee Record Management: $12.00 Grading Permit Fee: $0.00 In -lieu Housing Fee : $0.00 Building Dept Adm $0.00 Energy Compliance: $0.00 Grading PC Fee: $0.00 Public Works Department.- General Service $0.00 CA Seismic Safety: 50.00 WQ Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $0.00 Disabled Access: $0.00 _ P1W Plan Check: $0.00 Grading. Bond: $0.00 Hazardous Mat $0.00 Electrical %: $0.00 San Dist: $0.00 Building Green Fee: �1.00 Mechanical %;. $0.00 NMUSD Fee: $0.00 $0.00 Plumbing%: $0.00 $0.00 TOTAL FEE: $614.64 Plan Check Fee: $0.00 Fee Due at Permit Issuance : $614.64 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: -- c WORKS APPROVAL: VPLAN CHECK BY: jArPROVAL TO ISSUE: ocJ com I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License taw for the mason(s) indicated below by the checkmark(s) I have placed next to thew splicable 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, pnorto its issuance, also requires the applicant for e 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 -ofessions 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 appiica ntto a civil penalty of t more than five hundred dollars ($500). 1, as Owner of the property, or my employees with wages as their sole compensation, will do (:Tall of or(, portions of the work, and the structum is not intended or offered for Sal, (Section 7044, usiness and Professions Code: The Contractors' State License Law does not apply to an Omer ofproperty-who, through employees or personal effort, builds or improves the propecy, provided that the iprovements are not intended or offered for sale. If, however, the building or improvement is soldwithin one year of completion, the Owner -Builder will have the burden of proving tb it it was not built or iproved for the purpose of sale). 11, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State Ui ense 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). 1 am exempt from licensum under the Contractors' State License Law for the following reason: y 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 W z permit, I cannot legal all a structure that i have built as an owner-builder"Jd has not been constructed inks entirely by licensed contractors. I understand that a copy of the applicable law, Section �70444 off the Business and rofessions Code; is available upon request wheq�f�is applies :is submitted or a the following Web site:httplhvww.leginfo:ca:govlcalaw.htmi. D _ yO,7 ignature, of Property Owner erAuthorized Agent JCENSED CONTRACTOR'S DECLARAT�N9 hereby affirm under penalty of perjury that am licensed under provisions of Chapter (commencing with Section 7000) of Division 3 of the Business. and. Professions Code, and my license is in full force ndeffect. License Class License No Date. Contractor Signature PORKERS' COMPENSATION DECLARATION �ARNINO, FAILURE TO SECURE WORKERS` COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE. HUNDRED THOUSAND DOLLARS ($1`A000); IN. ADDITION TO TH OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 37M OF THE LABOR CODE, INTEREST, AND ATTORNErS-FEES. hereby affirm under penalty of perjury one Of the following declarations- 7 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 t erformance of the workforwhich 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. Mp workers' compensati, isurance Carrier and policy number are: :arrier _.. Policy Number Expiration Date a of Agent ...... ertfy that, in the performance of the work for which this permit is issued, I.shalt not employ any person in any manner so as to become subject to the workers' compensation law: of California,. and if I should becomes sect to the rkersl compensation provisions of Section 3700 of the: Labor Code, I shall forthwith comply withthose provisions. ,T"�r•�/ /q ature of Applicant"f�/ hereby affirm under natty of perjury that tM1ere is construction lending agencyforthe.performanceofthe worts for which this permit is issued (Section 3097, Civil. o e. enders Name Lender's Address y my signature below, I certify to each of the following: I am the property owner or authorized to act onthe property owners behalf. I have read thisapplication and the information I have providedis correct I agree to comply with all applicable city and county ordinances and state taws relating to building construction - I authorize representatives of this city or couve'enter ab v -identified property for inspection purposes. ^ yL ACTION DAIt Ci var,.v�rwn.........". ,.,,. .._... REGLIMIONSP T610FTITLE 40 AND AQMD RULE 1403. PERMIT EXPIRED ISUSMtTTED ESTOS NOTIFIfA C TO• n• PERM?CANCELLED PA i • • 1T• • ee• • • • • • •• s PERMIT EXTENDED QMD PERMrrnwi- Q a n/� ! ASBESTOS NO IFICAMON IS NOTAPPUCABLE TO CER71FICATEOF I ! PROPOSED DE LITION OCCUPANCYISSUED SIGNATURE: •• •s• s • s •e• a e e e c e e e C C 05 O b O O C C O O O C y'J b q