The URL can be used to link to this page

Home My WebLink AboutX2019-0393 - Permitswi City of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 _ Permit Counter Phone (949)644-3288 v Inspection Requests Phone (949)644-3255 e'rcrsl,r`' Combination Type - SFP ELEC MECH PLUM PERMITS EXPIRE 180 DAYS AFTER ISSUAN Construction Hours: Monday - Friday 7:00 a.m. to 6:30 p-m-Jnd7S3iOMa- Job Address: 2626 BASSWOOD ST NB Description: SFR ADD 275 SF AND REMODEL 3000 SF. ATTACHED OPEN TRELLIS Legal Desc.: N TR 4893 LOT 7 Owner: PAT[ FAMILY TRUST Contractor. OWNERIBLDR Address: 2626 BASSWOOD ST Address: AUTH AGENT: NEWPORT BEACH, CA 92660 ANGAD GANGAPURAM Phone: Phone: Applicant: PAT] FAMILY TRUST Address: Phone Code Edit: 2016 Type of Construction: V-S Occupancy Group: R3IU Added /New sq.ft. Bldg: 275 Added /New sq. ft. Garage: 0 No of Stories: 2 No of Units : 1 Bldg Height: 0 Bldg Sprinklers: - Y Flood Zone: X Building Permit Fee: $3,263.00 Plan Check Fee: $2,657.96 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $68.00 Energy Compliance: $203.00 CA Seismic Safety: $37.70 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee : $12.00 TOTALFEE: PROCESSED BY: ZONING APPROVAL: Con State Lie: O/B Lie Expire: Bus Lie: Lie Exp Date: Workers Compensation Insurance Carrier: Policy No: Expire: Building Setbacks Zone: Excise Tax: Additional Fee Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: Electrical %: Mechanical %: Plumbing %: Rear: 6' Front: 6' Left: 6' Right: 6' larking Spac $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $228.41 $130.52 $293.67 COMB Permit: X2019-0393 Project No: 0271-2019 Issued Date : 05130/2019 Inspection Area : * T .:11L=. r p.m. No work on Sundays or Holidays Architect: FERGUSON, RICCARDO E Address: 28255 SPARKLING OAKS TRAIL SAN DIEGO CA 92026 Phone: 760-845-8278 State Lie C030820 Engineer: MOEINI SOHEIL Address: 1836 PARNELL AVE 202 LOS ANGELES, CA 90025 Phone: 310405-2341 State Lic:C-084000 Designer: - Address: Phone: Special Conditions: O/B FORM ATTACHED ^ TRUST ATTACHED INS®EB V_�� CR&R TO HAUL 1 Planning Department - Plan check Fee Fair Share : SJH Trans, In -lieu Housing Fee Public Works Department - Park Dedication : $0.00 PAN Plan Check: $206,25 San Dist: $0.00 NMUSD Fee: $0.00 Plan Check Fee : $8,045.51 Fire Department $160.00 Fire Inspection: $0.00 $0.00 Fire Plan Rev $0.00 $0.00 Demolition Fee $0.00 Building Dept Adm $24.00 General Service $197.00 Refund Deposit $564.00 Grading Bond: $0.00 $0.00 $0.00 Fee Due at Permit Issuance : $0.00 ° POBLM WDRKS APPROVAL: PLAN CHECK BY: GRADING APPROVAL: ,APPROVALotO ISSUE: OWNER -BUILDER DECLARATION a - I hereby affiml under penalty of perjury that I am exempt from the Wtrg - t � Li s� fg�t r - on(sl r?disated below by the checkmark(s) I have placed next to the applicable item(s) iection 7031.5, Business and Professions Code: Any city or county th�aat�` ui s 1' oRs ctM ova lemohsh=or regaiEanystructure, prior to its issuance, also requires the applicant for _ le permit to file a signed statement that he or she is licensed pursuant to the provi-slone I h C'o a a U66rfse Law (Ciaptere9 (cbmdtencing 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 '.Ta7Ie00 y 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 (_) all of or O Corti era of tlee work, and the osbuclura is not intended or offered for sale (Section 7044, usiness and Professions Code: The Contractors' State License, Law does. not apply to an_owner of propertymt4lo, th%ougft eslp±oyees' oar person& e4ort, 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 on@ year cRcompl'eti6h, 4he Owner Ruilaar twill have the burden of proving that it was not built or nproved for the purpose of sale). 1, 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: y my signature below I acknowledge that, except for my personal residence in which 1 must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legal) all 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:fAvww.leginfo.ca.gov/calaw.html. signature of Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION /J 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 �q,; _and my license is in full force nd effect. License Class License No Date OSI� ( t R Contractor Signatur IIORKERS' COMPENSATION DECLARATION LAI- 'ARMING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SU&IECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS 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 IN erformance of the work for which 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. My workers' compensatio Isurance carrier and policy number are: Policy Number of Agent Date ce Ify 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 agree t, if I should become subject t th�orkers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ure of Applicant rX �4^""`^ DatS 1 c�01 tdC CLARATION REGA DR I G CONSTRUCTION LENDING AGENCY ((J� Ireby 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). 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. I have read this application and the information I have provided is correct. I agree to comply with all applicable city and county ordina es and state laws relating to building construction. I authorize representatives of this city or county to ante th above -identified property for inspection purposes. r,, f omn , n,.,nor.,r A. lfhnFlod AncnYll Print Pronertv Owner's or Authorized ADent's Name AfiY?PA GaA�AQ OY'a. Date 0�13& 11 DATE BY j DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 - III. PERMIT EXPIRED ± 't•r' LJ I SUBMITTED ASBESTj,9S NOTIFICATION TO PERMITC4NCELLED -` � EPA . . .• • • " PERMITFINAL q /7 WASBESTOS NOTIFICAn(* IS NOT APPLICABLE TO CERTIFICATE OF PROPOSEDn OLITjONd ••• • . • .. s " OCCUPANCYISSUED SIGNATURE: • coo oe oe