HomeMy WebLinkAboutX2019-0953 - PermitsCity of Newport Beach - Building Division
o 100 Civic Center Drive, Newport Beach,. CA 92660
R - Prprmit mounter Phone (949)644-3288
Inspection Requests Phone (949)644-3255
"errtu'a Combination Type - MFP
COMB Permit: X2019-0953
Project No :
Issued Date : 03/2612019
Inspection Area; 2
State Lie:
State Lie:
No of Stories: 2 Building Setbacks. Rear: / - Special Conditions: A01 FLOOD ZONE
No of Units : 2 Front: /
Bldg Height: 0 Left: I
Bldg Sprinklers: Right: I
Construction Valuation: 916.00
-
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION.
Plan Check Fee: $0.00
Construction Hours: Monday - Friday 7:00 a.m. to 6:30 p.m. and Saturday from 6:00 a.m. to 6:00 p.m. No work on
Job Address:
126 PEARL AVE NB .
Investigation Fee:
$0.00
Record Management:
Description:
MFR -REPLACE (10) WINDOWS, (1) SLIDER DOOR & (2). DOORS
$0.00
CA Seismic Safety:
.Legal Desc.:.
BALBOA ISLAND REBUS SEC 1 BILK 7 LOT. 21
$0.00
Hazardous Mat
Owner:
WILLIAMS CRAIG
Contractor:
RENEWAL BY ANDERSEN OF OC
Architect:
Address:
126 PEARL AVE
Address:
22982 ALCALDE DR #100
Address:
General Service
NEWPORT BEACH, CA 92662
Park Dedication :
LAGUNA HILLS CA 92653
Phone:
949-584-0908
Phone:
714-259.5120
Phone:
Applicant:
RENEWAL BY ANDERSEN OF OC
Con State Lie:
990416
Engineer:
Address:
22982 ALCALDE DR #100
Lie Expire: -
02/29/2020
Address:
LAGUNA HILLS CA 92653
Bus Lie:
BT30046925
Phone:
714-259.5120
Lie Exp Date:
0413012019
Phone:
Code Edit :
2016
Worker's Compensation Insurance
Designer:
Type. of Construction:. VB
Carrier:.
EVEREST NATIONAL
Address:
Occupancy Group: R3/U
Policy No:
MWC31415800
Added /New sq.ft. Bldg 0
Expire:.
10/01/2019.
Phone:
Added /New sq. ft. Garage: 0
State Lie:
State Lie:
No of Stories: 2 Building Setbacks. Rear: / - Special Conditions: A01 FLOOD ZONE
No of Units : 2 Front: /
Bldg Height: 0 Left: I
Bldg Sprinklers: Right: I
Construction Valuation: 916.00
Building Permit Fee:
$328.00
Plan Check Fee: $0.00
Fire Department
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management:
$0.00.
Energy Compliance:
$0.00
CA Seismic Safety:
$0.00
Disabled Access:
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$1.00
TOTAL FEE: $329.00
PROCESSED BY:.
Excise Tax:
Additional Fee
Grading Bonds Fee:
Grading PC Consultant
Grading Permit Fee:
Grading PC Fee:
WQ Insp. Fee
Electrical %:
Mechanical %:
Plumbing %:
$0.00
Planning Department -
Fire Department
$0.00
Plan check Fee :.
$0.00.
Fire Inspection:
$0.00
Fair Share :.
:$0.00
Fire Plan Rev
$0.00
SJH Trans :. '
$0.00
Demolition Fee
$0.00
In -lieu Housing Fee:
$0.00
Building Dept Adm
$0.00
Public Works Department-
General Service
$0.00
Park Dedication :
$0.00
Refund Deposit
P/W Plan Check:
$0.00
Grading Bond:
$0.00
San Dist:
$0.00
$0.00
NMUSD Fee:
$0.00
$0.00
E 46
s e E
Eaoe
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Plan Check Fee: $0.00 Fee Due at Permit Issuance : $329.00
PUBLIC WORKS APPROVAL:
ZONING APPROVAL: F / PLAN CHECK BY:
GRADING APPROVAL: APPROVAL TO ISSUE:
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IF
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 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, als. aequl#as the applicant for
ie 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
got more than five hundred dollars ($500).
7 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,
lusiness 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
n roved 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
apply 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).
7 I am exempt from licensure under the Contractors' State License Law for the following reason:
ty 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 legally
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. leginfo.ca.gov/calaw.html.
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 7P0) o Divis.`@n 3 of the Business and Professio e, d/ny license is in full force
nd effect. Lioeneep lass License No Da 3•�(O- 1 \ Contractor Signature /
VORKERSIOEOMPENSATION DECLARATION
1@BFYNG: FAILURE 70 SF�CURE 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 THE
OST or COMPE'�J� TJQN, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
heroby affirm uryJer penalty of perjury one of the following declarations:
It 1 Rave 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 the
eAmlance of the work for which this permit is issued. Policy No.
ti7§Y/have and y4I"fifiigtain 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' compensatior
tlrke carrier a policy number are: 1
Mike? dL) I IJ tiL Policy Number Mme` 3» 1��� Expiration Date �� v 1 t
.cpaijy that, in the pgrform ce 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' compensati n laws of California, and agre
t�iat+iif I should ty�coele.s ibje the orkers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
...+ u
Signature of Applicant D�te/�
DECLARATION REGAROING CONSTRUCTION LENDING AGENCY
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 din n es and state laws relating to building construction. 3 �9
I authorize representatives of this city or county toe the�R v& -�Identified property for inspection purposes. t�
ISignature of Property Owner or Authorized A ant v V v Print Property Owner's or Authorized Agent's Name V�
ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
1403
PERMIT EXPIRED I Ll I SUBMITTED ASBESTOS NOTIFICATION TO
PERMITEXTENDED
PERMIT FINAL
CERTIFICATEOF
OCCUPANCYISSUED
NOTAPPLICABLE TO
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