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Home My WebLink AboutX2021-0074 - PermitsCity of Newport Beach - Building Division - 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 cx - Inspection Requests Phone (949)644-3255 fi apt _ Combination Type - SFP COMB Permit: X2021-0074 III'X 2 02 1 0 0 7 4�� II Project No: 0271-2019 Issued Date : 04/0912021 Inspection Area : 4 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0410912024 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: 2626 BASSWOOD ST NB Description: SFR (ADD'L SCOPE), REMOVE DRYWALL & STRUCTURAL CHANGES ' I ECT® Legal Desc.: N TR 4893 LOT 7 ; "� Owner: PAT[ FAMILY TRUST Contractor: OWNERIBLDR Address: 68 PORTUGUESE BEND ROAD Address: ANGAD GANGAPURAM NEWPORT BEACH, CA 90274 Phone: Phone: Applicant: FERGUSON, RICCARDO E Con State Lie: O/B Address: 28255 SPARKLING OAKS TRAIL Lie Expire: SAN DIEGO CA 92026 Bus Lie: Phone: 760-845-0278 Lie Exp Date: Code Edit: 2019 Worker's Compensation Insurance Type of Construction: VB Cartier. Occupancy Group: R3/U Policy No: Added /New sq.ft. Bldg: 0 xpire: Added /New sq. ft. Garage: 0 No of Stories: 2 Building Setbacks Rear: / No of Units: 1 Front: / Bldg Height: 0 Left: / Bldg Sprinklers: N Right: / Building Permit Fee: $246.00 Plan Check Fee: $214.02 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $34.00 Energy Compliance: $61.00 CA Seismic Safety: $0.00 Disabled Access: $0.00 Hazardous Mat $0.00 Building Green Fee : $1.00 TOTAL FEE: $919.52 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Architect: FERGUSON, RICCARDO E Address: 28255 SPARKLING OAKS TRAIL SAN DIEGO CA 92026 Phone: 760-845.8278 State Lic:C030820 .... • • - •... Engineer: MOEINI SOHEIL Address: 1836 PARNELL AVE 20\ .... LOS ANGELES, CA 90025 �, o Phone: 310-405-2341 State Lic:C-084000 .... Designer: .... Address: ° Phone: Special Conditions: REV20-1940 Excise Tax: $0.00 Planning Department - Additional Fee: $0.00 Plan check Fee: Grading Bonds Fee: $0.00 Fair Share : Grading PC Consultant : $0.00 SJH Trans : Grading Permit Fee: $0.00 In -lieu Housing Fee: Grading PC Fee: $0.00 Public Works Department - WQ Insp. Fee: $0.00 Park Dedication : - $0.00 PAN Plan Check: $86.00 Electrical %: $0.00 San Dist: $0.00 Mechanical %: $0.00 NMUSD Fee: $0.00 Plumbing %: $0.00 Plan Check Fee Fire Department $277.50 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 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Fee Due at Permit Issuance : $919.52 PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: - . . o.ae•: Doom. ommoo mm•om. m o mmmeo• ome• 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 is 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 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 ore than five hundred dollars ($500). Cl;.�f the property, or my employees with wages as their sole compensation, will do L) all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044, !;amass 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 nproved 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 Contractor ' 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) 7 I am exempt from licensure under the Contractors' State License Law for the following reason: y my signature below I acknowledge that, except for my perso al residence in which I must have resided for at least one year prior to completion of the improvements c ered by this permit, I cannot Iegall, ell a structure that It have built as an owner -builder If it h of been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Se lion 7044 of the Business and 'rofessions Code,.ie available upon reques hen t ' pplic is b i ed or at the following Web site:http://www.leginfo.ca.gov/calaw.html. 1z2 bpa"af Prop".Owner or Authorized Ag 10ENSED CONTUCTOR'S DEC O U ftbf gifinn undej penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force Ird effect. License Class License No Date Contractor Signature I0VKVS' COVP,gNSATION DECLARATION IARNI". 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 ($100,000), IN ADDITION TO THE Q,%Tf�FOMPENS4110% D44AGUS As PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTOnNEY'S FEES. he"W.ftrm undbf (5dr alty of perjury one of the following declarations: 1014w,e 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 a'rformapce of t1dwerthr which this permit is issued. Policy No. 31•rcauz1and will insint%in 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' compensatio carrierelmd 13oky number are: Policy Number Date me ant Phone # erti that, in the performanc a work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the works ' compensation laws of California, and agree t, if I shout d bees o th compens_ ation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions - 'Om �/ .nature f A nt �- h//.`--,�C`J Da CLARA REG ING C � U TION LENDING AGENCY areby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 309 , Civil ode). 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. 1 have read this application and the information 1 have provided is correct. I agree to comply with all applicable city and county ordinan and slate laws relating to building construction. I authorize representatives of this clt o enter abo i rfied property for inspection pn ur oses. n ...�_ -_ �"3 Drnr Drnn, rlwnnr'c nr A„lhnri�nrYAncnf'a ACTION DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE AlD REGULATIONS PART 61 OF TITLE 40 AND RULE 1403 PERMIT EXPIRED I SUBMITTED ASBESTOS PERMIT CANCELLED EPA PERMITEXTENDED NOTIFICATION IS NOT APPLICABLE TO CERTIFICATE OF OCCUPANCY ISSUED