HomeMy WebLinkAboutX2018-1274 - PermitsCity of Newport Beach - Building Division IIIIIII IIIIIIII IIIIIIIIIIIIIIIIIIIII IIIIIII II Cowpa"t'tgit: U'@'18a1�74
100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 1 8 1 2 7 4 Project No : ° ° • ° • 9 ° °
Permit Counter Phone (949)644-3288
,+ inspection Requests Phone (949)644-3255 • ••
Orr ta�c* " Combination Type - SFP oss®edDpte0aAf)IV1§
9nSpecteon Arpa;: 8-
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION.
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: 900 SPRING TIDE DR NB
Description: SFR -C/O 22 WINDOWS, LIKE FOR LIKE
Legal Desc.: N TR 15243 LOT 29
Owner: LIM CHI Contractor: RENEWAL BY ANDERSEN OF OC Architect:
Address: 900 SPRING TIDE DR Address: 22982 ALCALDE DR #100 Address:
NEWPORT BEACH, CA 92660 LAGUNA HILLS CA 92653
Phone: Phone: 714-259-5120 Phone: State Lie:
Applicant: RENEWAL BY ANDERSEN OF OC Con State Lie: 990416 Engineer: 1
Address: 22982 ALCALDE DR #100 Lie Expire: Address:
LAGUNA HILLS CA 92653 Bus Lie: BT30046925
Phone: 714-259-5120 Lie Exp Date: 04/30/2018 Phone: State Lie:
Code Edit: 2016 Worker's Compensation Insurance Designer:
Type of Construction: V -B Carrier: EVEREST NATIONAL Address:
Occupancy Group: R3/U Policy No: CA10002426-181
Added /New sq.ft. Bldg: 0 Expire: 01/01/2019 Phone:
Added /New sq. ft. Garage: 0
No of Stories: 2 Building Setbacks Rear: / Special Conditions:
No of Units: 1 Front: /
Bldg Height: 0 Left: /
Bldg Sprinklers: Right: I
Flood Zone: Use Zone: Parking Spaces: 0 Fire Hazard Zone : N
Construction Valuation: $18.000.00
Building Permit Fee: $337.00 Excise Tax: $0.00 Planning Department - Fire Department
Plan Check Fee: $0.00 Additional Fee : $0.00 Plan check Fee : $0.00 Fire Inspection: $0.00
Overtime Plan Ck: $0.00 Grading Bonds Fee: $0.00 Fair Share : $0.00 Fire Plan Rev $0.00
Investigation Fee: $0.00 Grading PC Consultant: $0.00 SJH Trans : $0.00 Demolition Fee
Record Management: $0.00 Grading Permit Fee: $0.00 In -lieu Housing Fee: $0.00 Building Dept Adm $0.00
Energy Compliance: $0.00 Grading PC Fee: $0.00 Public Works Department- General Service $0.00
CA Seismic Safety: $0.00 WQ Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $0.00
Disabled Access: $0.00 PAN Plan Check: $0.00 Grading Bond: $0.00
Hazardous Mat $0.00 Electrical %: $0.00 San Dist: $0.00
Building Green Fee : $1.00 Mechanical %: $0.00 NMUSD Fee: $0.00 $0.00
Plumbing %: $0.00 $0.00
TOTAL FEE : $338.00 Plan Check Fee: $338.00 Fee Due at Permit Issuance : $0.00
PROCESSED BY: PUBLIC WORKS APPROVAL:
ZONING APPROVAL: PLAN CHECK BY:
GRADING APPROVAL: APPROVAL TO ISSUE: _
.W�
. a s
I hereby a�f1'Irm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable item( )
Section 7031.5, Business and Professions Gods: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requireg the applicanf'for:+
is permit to file a„signed ftertgnt that reAr syhais licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Busin£ss and'
Yofessiong•Code�Cr tl}atlieor jSNe is'exsmpt Jora licensure and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of N,
of more tt %wellundrel dolla$ 66500);
I, as over of ttie 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).
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).
1 am exempt from licensure under the Contractors' State License Law for the following reason:
iy 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
Yofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi.
;ignatureof Property Owner or Authorized Agent Date
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of p qry that I am licensed under provisionsof Chapter 9 (commencing with Section 70,00)) of
Division
'3 of the Business and Profe sio'_/p� Code, nd my license is in full force
nd effect. License Class ,S License No �tQAlull DateJ�\ Contractor Signatur
VORKERS' COMPENSATION DECLARATION
IARNING: 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 ($100,000), IN ADDITION TO THE
OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 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 the
art mance of the work for which this permit is issued. Policy No.
Ive 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'
ice carrier and policy number are:
�J6S� NAil6r1AL Policy Number (�U 2`i� Expiration Date I I
of Agent Phone #
certify that, in the pert anceflof 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' compensatio laws of California, and agree
L if I should becomes j ct to thnwrs' compensation provisions of Section 3700 of the Labor Code, shall forthwith comply with those provisions. Da
nature of Applican 11PP ��
CLARATION REGWftfNd CONT UCTION LENDING AGENCY
>reby 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 hav rovi ed is correct.
I agree to comply with all applicable city and county Ina I as and state laws relating to building construction.
I authorize representatives of this city or county o e the o entified property for inspection purposes.
Kr _ .. _ . _ .., . - , . -.._ -. / (J_.D 1A tJ
DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
EXPIRED
PERMITEXTENDED
PERMIT FINAL
CERTIFICATE OF
OCCUPANCYISSUED
TO
UASBESTOS NOTIFICATION IS NOT APPLICABLE TO
PROPOSED DEMOLITION
SIGNATURE:
FOR OFFICE USE ONLY