HomeMy WebLinkAboutX2019-0486 - PermitsCity of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII� COMB Permit: X2019-0486
'. 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 1 9 _ 0 4 8 6 Project No
s..... Permit Counter Phone (949)644-3288
4' inspection Requests Phone (949)644-3255
`f'.r,�rmk xg Combination Type - SFP Issued Date :
.Inspection Arearea :2019
1
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: 127 VIA NICE N13 INSPECTOR Description: SFR REPLACE (4) WINDOWS "LIKE FOR LIKE"
Legal Desc.i TR 907 LOT 545(AND NELY 20 FT LOT 544
Owner. LOUISE SHAVER Contractor: RENEWAL BY ANDERSEN OF OC Architect:
Address: 127 VIA NICE Address: 22982 ALCALDE DR #100 Address:
NEWPORT BEACH, CA 92663 LAGUNA HILLS CA 92653
Phone: Phone: 714.259-5120 Phone: State Lie: , m • m
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Applicant: RENEWAL BY ANDERSEN OF OC Con State Lie: 990416 Engineer:
Address: 22982 ALCALDE DR #100 Lie Expire: 02129/2020 Address:
LAGUNA HILLS CA 92653 Bus Lic: BT30046925 el ° m o m
Phone: 714.259-5120 Lie Exp Date: 0413012019 Phone: State Lie: " ° • °
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Code Edit: 2016 Worker's Compensation Insurance Designer.
Type of Construction: VB Carrier: EVEREST NATIONAL Address:
Occupancy Group: R31U Policy No: MWC31415800 CCC o $
Added /Newsq.ft. Bldg: 0 Expire: 10/01/2019 Phone: °Oc°O° °an000
Added /New sq. ft. Garage: 0 ...
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No of Stories: 2 Building Setbacks Rear: / __- --- _-- Special Conditions:
NoofUnits : 1 Front: I °O°o° o�Oo°o
- Bldg Height: 0 Left: /O°
Bldg Sprinklers: Right: / -
Flood Zone: Use Zone: Parking Spaces: 0 Fire Hazard Zone : N
Construction Valuation: $2.800.00
Building Permit Fee: $120.00 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 P/W 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 %m: $0.00 $0.00
TOTAL FEE : $121.00 Plan Check Fee: $0.00 Fee Due at Permit Issuance : $121.00
PROCESSED BY: PUBLIC WORKS APPROVAL:
ZONING APPROVAL: PLAN CHECK BY:
GRADING APPROVAL: 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 item(s)
Iclion 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
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
Ifessions 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
more than five hundred dollars ($500).
I, as owner of the property, or my employees with wages as their sale compensation, will do (_) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044,
6iness 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
xovements 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
(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
11y 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' State License Law for the following reason:
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
I 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
Ifessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ce.gov/calaw.html.
nature of ProgCVOwner or Authorized Agent Date
:ENS.ED CS WM4CTOR'S DECLARATION
Mbbf ;affirm urf*? penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sectio 00) f D visi n 3 of the BUsIn and Profes/ s Cor}€�a0d my license is in full force
i.affect License 416s License No Date Contractq"r $Ilgnature
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)RKERS' COfWPENSATION DECLARATION J
nA$N
ING!FAILURE RPSECBRE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENAL'QIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
1 jOrGOMPENS iFJIII, MAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. //
ebgpffirm 11..... rialty of perjury one of the following declarations:
I reeve and vd51.1 laiotain 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
Mance of thelA61tfor which this permit is issued. Policy No.
i l'4Y�t and v ilO rflaintain 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
b �F: ncs carrier* r r1 Ricy number are:
!arrier • t� • • P Policy Number Expiration Date
awww— :
de meofWgent Phone#
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.• I certify that, in the•perfor once of the rk for which this permit is issued, I shall not employ any person in any manner so as to become subject to the wor ompensation la sof California, and agree
hat, if I should become subje to the worrkkgp(,r c sation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
3ignature fA plicant DST )�% t�
)ECLARA710 REGARDIN C STRUCTION LENDING AGENCY
hereby affi under nenalt f perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
-enders Name Lender's Address
3y 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 cou ty orIt s and state laws relating to building construction. rA
I authorize representatives of this city or county enter t a -Ide if' property for inspection purposes. +2
3i nature of Property Ow r3FCuTh3daeIt Agent Print PropertOwner's or Authoriz d -tent's Name t+ Date I
ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE UISE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE \
PERMIT EXPIRED
PERMIT CANCELLED
IS NOTAPPLICABLE TO
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