HomeMy WebLinkAboutXR2024-5222 - PermitsCity of Newport Beach
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Community Development Department - Building Division
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Civic Center Drive, Newport Beach, CA 92660
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Permit Counter Phone: (949) 718-1888
newportbeachca.gov/civic
Combination Type - SFP
Work Class - ADDITION/ALTERATION MAIN
IIIIIIIIIIIIIII IIIII IIIIIIIII IIIIII IIIIIIIIII11111111 jj COMB Permit : XR2024-5222
Plan Check No:
p Issued Date : 07/02/2024
rinal Date:
Permit Status: Issued
Inspection Area : 4
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSOECTION,1319T NO LATER THEN 3 YEARS FROM ORIGINAL ISSUANCE DATE
NO CONSTRUCTION RELATED NOISE ON SATURDAY OR SUNDAY IN HIGH DENSIYY AREAS ANU NO WORK ON SUNDAY AND HOLIDAYS IN ALL AREAS
Job Address : 2655 BASSWOOD ST
Description: SFR - (N) PERGOLA 240 SF
Owner: RYAN TR OGRADY
Address : 2655 BASSWOOD ST
NEWPORT BEACH, CA 92660
Phone : (949) 244-7277
Applicant: JIN OGRADY
Address : 2655 BASSWOOD ST
NEWPORT BEACH, CA 92660
Phone : (949) 244-7277
Owner/Builder : RYAN TR OGRADY
Address : 2655 BASSWOOD ST
NEWPORT BEACH, CA 92660
Phone : (949) 244-7277
Legal Desc : N TR 4892 BLK LOT 2
Contractor: OWNER/BUILDER
Address :
Phone :
Con State Lic : OWNER/BUILDER
Lic Expire
Bus Lic :
Bus Lic Expire
Workers' Compensation Insurance
Carrier: EXEMPT
Policy No: 0000
W. C. Expire:
Architect
Address
Phone :
State Lic
Engineer:
GUH TIEN-JIN JEFF
Address :
705 SAN VICENTE BLVD
SANTA MONICA, CA 90402
Phone :
(310) 699-3112
Designer
Address
Phone :
Code Edition :
2022
Fire Sprinklers : NO
Construction Valuation :
$45,000.00
Type of Construction :
V-B
Fire Hazard Zone : NO
Added/New/TI sq. ft. Bldg :
0
Occupancy Groups :
U
No of Units : 1
Alteration sq. ft. Bldg :
0
Bldg Height :
No of Stories : 1
Add/New sq. ft. Garage :
0
TOTAL sq. ft.
0
Building Setbacks :
Front: 6, Side:
6, Side: 6, Rear: 6
Flood Zone :
X
Use Zone :
R-1-6000
- Single -Unit Residential (6000 indicates minimum lot area)
PROCESSED BY:
K2/ (
t .1 °v g�:s` J L: Via ., 3 +a.a^ 5 $
SPECIAL CONDITIONS: -
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the ContMcaes State License Lawlor the feason(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 reaui. as 6 pen nit ,o construi-L Bills,, 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 tke provisions of the Cont-aclom' 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 allegeo 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).
11. as owner of the property, or my employees with wages as their sole compensation, Will do () all of or f ) portions of the work, and the structure is not intended or offered for sale (Section 7044,
Business and Professions Code: The ContractorsState License Law does not : pp,y to au owner vl property wao,-through employees' or personal effort.. builds or improves the property, provided that the
vements are not intended or offered for sale. If, however, the bui!dirg c- improvement is Bold within ore er of completion, the Owner -Builder will have the burden of proving that it was not built or
n for the purpose of sale).
Ytola,
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
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).
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 ownerbulder H it has been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 70" of the Business and
'rofessions Code, is available upon request when apr2isAubmirttor at the following Web site:http://www.leginfo.ca.govlralaw.html.
signature of Property Owner or Authorized Agent Date
.ICENSED CONTRACTOR'S DECLARATIqN
hereby affmn under penalty of perjury that I am li ensed und& 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. License Class License No Date Contractor Signature
WERS' COMPENSATION DECLARATION
ING: 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$100,000), IN ADDrION TO THE
OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 17M 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' compensa
Trance carrier and policy number are:
Policy Number
of Agent
Date
11 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
tat, if I should become subjec/t�jlhe w_orkerss'' compensation provisions of Section 3700 of the labor Code, I shall forthwith comply with those provisions.
signature of Applicant 7 iYE /v Date JC [ 1 4�% _.
IECLARATION REGAF[DIN� ucnON LENDING AGENCY T T-
hereby affirm under penalty of p qury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097
Ender's Name Lender's Address
1y 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 ordinances and state laws relating to building construction.
I authorize representatives of this city or coul�y to t the above -identified property for inspection purposes. f
signature of PmDertv Owner or Authorized Agent^ Print Property Owner s or Authorized Agent's Nam "Fly) 1
ACTION I DATE BY DE(VARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AOMD RULE
PERMIT EXPIRED
PERMIT CANCELLED
PERMIT EXTENDED
PERMIT FINAL
CERTIFICATE OF
OCCUPANCY ISSUED
15 NOT APPLICABLE TO
Civil Code).