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Home My WebLink AboutX2021-2155 - PermitsCity of Newport Beach - Building Division 'X2021-2155' COMB Permit: X2021-2155 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 �. �E Project No : 1868-2021 1 1 w• ? Inspection Requests Phone (949)644-3255 Issued Date : 01/11/2022 Combination Type - SFP MECH ELEC PLUM GRAD Inspection Area : 4 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 01/11/2025 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: 2636 BASSWOOD ST NB Description: SFR NEW DETACHED A.D.U. 305 SF W/ ATT DECK & PERGOLA 262 SF Legal Desc.: N TR 4893 LOT 5 Owner: KOST KURT Contractor: LMN DESIGN & BUILD Architect: Address: 2636 BASSWOOD ST Address: 1904 NEWPORT BLVD #350 Address: NEWPORT BEACH, CA 92660 COSTA MESA CA 92627 „ Phone: Phone: 917-434-1788 Phone: State Lic: Applicant: NGUYEN LIEM Address: 18385 SANTA YOLANDA CIR FOUNTAIN VALLEY CA 92708 Phone: 567-801-7777 Code Edit : 2019 Type of Construction: V-B Occupancy Group: R3 Added /New sq.ft. Bldg: 305 Added /New sq. ft. Garage: 0 No of Stories: 1 No of Units : 1 Bldg Height: 0 Bldg Sprinklers: N Valuation: Building Permit Fee: $1,328.00 Plan Check Fee: $980.00 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $20.00 Energy Compliance: $0.00 CA Seismic Safety: $7.80 Disabled Access : $0.0c Hazardous Mat $0.0c Building Green Fee : $3.0( TOTAL FEE: $645.55 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Con State Lic: 1084047 Lic Expire: 11/30/2023 Bus Lic: BT30077661 Lic Exp Date: 01/31/2023 Worker's Compensation Insurance Carrier: CLEAR SPRING Policy No: CWC0024420 Expire: 10/20/2022 Building Setbacks Rear: Front: Left: Right: Use Zone: R-1-6000 Parkir Excise Tax: $0.00 Additional Fee : ($3,288.35) Grading Bonds Fee: $0.00 Grading PC Consultant : $0.00 Grading Permit Fee: $237.00 Grading PC Fee: $199.00 WQ Insp. Fee: $0.00 Electrical W $92.96 Mechanical W $53.12 Plumbing %: $119.52 0 6' 6' 6' 6' Engineer: PHAN BEN Address: 10822 WOODWARD LN GARDEN GROVE CA 92840 Phone: 714-251-4537 State Lic:C-057550 Designer: NGUYEN LIEM Address: 18385 SANTA YOLANDA CIR FOUNTAIN VALLEY CA 92708 Phone: 567-801.7777 Special Conditions: ADU FEES WAIVED Fire Planning Department - Plan check Fee Fair Share SJH Trans In -lieu Housing Fee Public Works Department - Park Dedication : $0.00 PAN Plan Check: $50.75 San Dist: $634.75 NMUSD Fee: $0.00 Plan Check Fee : $0.00 Fire Department $208.00 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 Fee Due at Permit Issuance : $645.55 PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: OWNER -BUILDER 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 Rem(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 he 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 orshe is exempt from ticensure 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 Iat more than five hundred dollars (S500). 1, 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, 3usiness and Professions Code: The Contractors' State License Lawdoes not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the Movements 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 reproved for the purpose of sale), 1, as owner or 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 Ipply 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 licensure under the Contactors' Slate License Law for the followinc 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 legail; 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:/Avww.leginfo.ca.gov/calaw.htmL U9113ture of Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of Perri that I am licensed under provisions of Chapter 9 (commencing with Sectia)1! 0) f Division 3 of the Business and Pro Ions Code, and my license is in full force and effect License Class Q License No _ ��gG� 1L�_ j Date Contractor Signature PORKERS' COMPENSATION DECLARATION IARNl4G: FAILURE TO SECURE WORKERS COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($t00,000J, IN ADDITION TO THE 'OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNErS FEES. hereby affirm under penalty of perjury one of the followng declarations: 7 1 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 erformarica 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 permi. is issued. My workers' lance carder and policy number are, Tier �l�ny� jflU Policy Number C,\,,IC 00 a44 LCKi Expiration Date V0 �020 � ,w?-2- me of Agent 1' �S Phone # Q 14 fi - S4c - 622-0 certify that, in the performance of the ork 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 agre t. if 1 should becom s ecl to the workers' compen ation provisions of Section 3700 of the Labor Code, I shall forthwith Comply with those provisions, nature of Applicant ) f Date of 'I i CLARATION REGARD G CONSTRUCTION LENDING AGENCY veby affirm under penalty o1 perjury, that there is a Construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code), Neva Name Lenders Address my signature below. I certify to each of the following: I am the property Comer or authorized to act an 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 ordinances and state laws relating to building construction. I authorize representatives of this city or courJy`J enter the abovejdnntiE5�1_property for inspection purposes. ACTION I DATE I BY PERMIT EXPIRED PERMIT FINAL CERTIFICATE OF OF COMPLIANCE WITH CODE OF FEDEF PART 61 OF TITLE 40 AND AQMD RULE SUBMITTED ASBESTOS NOTIFICATION 15 NOT APPLIS pj TO FOR OFFICE USE ONLY VEllA L f 1. 40