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Home My WebLink AboutX2021-2657 - PermitsPO441 City of Newport Beach IIIIIII'II�IIIIIIIIIIIII�IIIIII�l�l II COMB Permit : X2O21 -2657 o� Community Development Department - Building Division X 2 0 2 1 - 2 6 5 7 c100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : 2305-2021 k� Permit Counter Phone: (949) 718-1888 'i Issued Date : 05/26/2022 newportbeachca.gov/civic ,- Combination e - SFP Final Date: T YP Permit Status: Issued Work Class - Addition/Alteration Inspection Area : 5 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION, BUT NO LATER THAN 3 YEARS FROM ORIGINAL ISSUANCE DATE NO CONSTRUCTION RELATED NOISE ON SATURDAY OR SUNDAY IN HIGH DENSITY AREAS AND NO WORK ON SUNDAY AND HOLIDAYS IN ALL AREAS Job Address: 4533 PERHAM RD Legal Desc : N TR 3357 BLK LOT 116 Description: SFR ADDITION 521 SF LIVEABLE/ NEW BASEMENT 1,294 SF/ 55 SF TO (E) GARAGE & REMODEL 3,493 SF Owner: Address Phone: Applicant: Address Phone: Owner/Builder : Address Phone: Code Edition: 2019 Type of Construction : V-B Occupancy Groups: U,R-3 Bldg Height: Contractor: DUGALLY OBERFELD INC Address : 484 S SAN VICENTE BLVD LOS ANGELES, CA 90048 Phone: (310)441-5001 Con State Lic : 862641 Lic Expire: 08/31/2025 Bus Lic: BT30012281 Bus Lic Expire: 11/30/2025 Workers' Compensation Insurance Carrier: STATE FUND Policy No: 9334701 W. C. Expire : 3/12/2026 Fire Sprinklers: Fire Hazard Zone Fire Alarms : No of Units : No of Stories No of Basement: Architect : CHRISTIAN R LIGHT Address: 1401 QUAIL ST #120 NEWPORT BEACH, CA 92660 Phone: (949)851-8345 State Lic : CO22334 Engineer: FARHAD MANSHADI Address : 1800 E 16TH ST., B SANTA ANA, CA 92701 Phone: (657)335-4113 Designer: Address : Phone: YES Construction Valuation : $0.00 NO Added/New/Ti sq. ft. Bldg: 0 NO Alteration sq. ft. Bldg : 0 1 Add/New sq. ft. Garage: 0 1 TOTAL sq. ft.: 0 Building Setbacks : Front: 6, Front: 30, Side: 6, Side: 6 Flood Zone: X Use Zone : R-1-6000 - Single -Unit Residential (6000 indicates minimum lot area) PROCESSED BY: SPECIAL CONDITIONS: I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reasons) 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 1e 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 vofessions Code) or that he or she is exempt from licensors 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 (_) all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, Iusiness 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). I, 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' Stale 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 legal ell a structure that I have built as an owner -builder if it has not been constructed in its entirely 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.leginfo.ca.gov/calaw.htmi. signature of Properly 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. License Class License No Date Contractor Signature COMPENSATION DECLARATION : FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SMALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS 1$100.0001, IN ADDITION TO THE COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 0706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: 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 nrmance 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 ranee carrier and policy number are: Policy Number Date lame of Agent Phone N ]I 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 nor mt. if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply With those provisions. ignatureof Applicant _ _ Date__.. IECLARATiON REGARDING CONSTRUCTION LENDING AGENCY 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). ender's Name Lenders Address y 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 county to enter the above -identified property for inspection purposes. ianature of Prooertv Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name By DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND, RULE PERMIT EXPIRED I I LI I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT EXTENDED . OMD PERMIT FINAL ' j�jl I �r % �Q L-I ASBESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATE OF PROPOSED DEMOLITION OCCUPANCY ISSUED SIGNATURE: Date