HomeMy WebLinkAboutF2021-0144 - Permits (2)vary City of Newport Beach - Building Division
° 100 Civic Center Drive, Newport Beach, CA 92660
w v Permit Counter Phone (949)644-3288
Job Address: 2626 BASSWOOD ST NB
Inspector Area: 4
Owner:
PATIF FAMILY TR
Address:
2626 BASSWOOD ST
NEWPORT BEACH, CA 92660
Phone:
Applicant:
CAPINCHIO FRANK
Address:
2445 W 237 PL
TORRANCE CA 90501
Phone:
3101953-5547
Code Edit: 2019
Type of Construction:
V-B-SPR
Occupancy Group:
R3/U
Added /New sq.ft. Bldg:
0
Added /New sq. ft. Garage:
0
No of Stories:
2
No of Units :
0
Flood Zone:
Bldg Sprinklers:
Y
FIRE Permit: F2021-0144
Project No : 0841-2021
Inspection Requests Phone (949)644-3255
Description: SFR - FIRE SPRINKLERS (33HEADS) X2019-0393
Legal Description:
N TR 4893 LOT 7
Contractor:
CITYCO FIRE PROTECTION
Architect:
Address:
2445 W 237TH PL
Address:
TORRANCE CA 90501
Phone:
310/453-5597
Phone: State Lie:
Con State Lic:
Lic Expire:
686042
04/30120� q '619 5
Engineer:
Address:
Bus Lic:
BT30070969
Lic Exp Date:
02/28/2022
Phone: State Lic:
Worker's Compensation
Insurance
Designer:
Carrier:
FALLS LAKE FIRE
Address:
Policy No:
FLA015035
Expire:
08/14/2021
Phone:
Issued Date: 04/19/2021
Special Conditions:
Setback- Front:
Rear:
Left:
Right:
FEES
Construction Valuation:
$1,500.00
Building PC Fee:
$217.00
Fire Residential Alarm PC Fee :
$0.00 Records Management:
$4.00
Building Overtime PC Fee:
$0.00
Planning Counter Review:
$0.00
Building Extention Fee :
$0.00
Planning Zoning PC Fee :
$0.00
Building Investigation Fee:
$0.00
$0.00
Fire Plan Check Fee:
$0.00
Public Works PC Fee:
$0.00
$0.00
Fire Permit Fee :
$0.00
Public Works Traffic Plan Check Fee;
$0.00
Building Permit Fee:
$263.00
TOTAL FEE :
$484.00
Plan Check Fee :
$484.00 Fee Due at Permit Issuance :
$0.00
PROCESSED BY:
ZONING APPROVAL:
FIRE APPROVAL:
OTHER DEPARTMENT:
PLAN CHECKED BY::
APPROVAL TO ISSUE:
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION
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 items)
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
re 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
of more than five hundred dollars ($500).
I, as owner of the property, or my employees with wages as their sole compensation, will do U 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 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 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 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. leg info.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 Division 3 of the Business and Professions Code, and my license is in full force
nd effect.
icense Class License No Date Contractor Signature
COMPENSATION DECLARATION
IARNING: 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
DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 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
'ormance 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' compens<
trance carrier and policy number are:
Policy Number Expiratic
of Agent Phone #
Date
certify that, in the performance of the work 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
if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
Iature of Applicant Date
I hereby 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 3097, Civil Code).
Lender's Name Lender's Address
By my signature below, I certify to each of the following:
I am the property owner or authorized to act on the property owners behalf.
I have read this application and the information I have provided is correct.
I agree to comply with all applicable city and county ordinances and state laws relating to building construction.
I authorize representatives of this city or county to enter the above -identified property for inspection purposes.
Signature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name Date
ACTION
DATE
BY
DECLARATION OF COMPLIANCE WTH CODE OF
FOR OFFICE USE ONLY
FEDERAL REGULA TIONS PART &'I OF T17LE40AND
AQMD RULE 1401
PERMIT EXPIRED
❑ I SUBMITTED ASBESTOS NORFICATIOIY TO:.
❑ EPA
❑ AQMD
PERMIT CANCELLED
PERMITEXTENOED
❑ ASBESTOS N077FICA770MIS NOT APPLICABLE TO
PROPOSED DEMOLITION.
PERMIT FINAL
2 �
CERTIRC-4TEOF
SIGNATURE:
OCCUPANCYISSUEO