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Home My WebLink AboutX2019-2323 - PermitstrD City of Newport Beach - Building Division��IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII COMB Permit: X2019-2323 a * 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 1 9 2 3 2 3 Project No E Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Combination Type - MFP Issued Date : 07124/2019 Inspection Area : 3 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: 8 STARBURST CT NB Investigation Fee: $0.00 Description: MFR CHANGE OUT (6) WINDOWS & (1) PATIO DOOR $0.00 Legal Desc.: TR 8835 LOT 3 UNIT 20 P-20 G-20 CP -20 OF PROJECTLOCATED ON AP Owner: BEARDSLEE TRAVIS Contractor: WINDOW WORLD OF OC Address: 8 STARBURST CT #20 Address: 2509 S SANTA FE AVE $0.00 NEWPORT BEACH CA 92663 $0.00 VISTA CA 92083 Phone: $0.00 Phone: 760-727-2744 Applicant:. LUBAIWINDOW WORLD OF OC Con State Lic: 1012249 Address: 2509 S SANTA FE AVE Lic Expire: 0313112020 VISTA CA 92083 Bus Lic: BT30057315 Phone: 760-727-2744 Lic Exp Date: 11/30/2019 Code Edit: 2016 Type of Construction: Va Occupancy Group: R2/U Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 2 No of Units : 5 Bldg Height: 0 Bldg Sprinklers: Building Permit Fee: $184.00 Plan Check Fee: $0.00 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: $185.00 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Worker's Compensation Insurance Carrier: HARTFORD CASUALTY Policy No: 57WECZR4471 Expire: 0812212019 Building Setbacks Excise Tax: Additional Fee Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: Electrical %: Mechanical %: Plumbing %: Rear: I Front: / Left: / Right: I $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Architect: Address: Phone: Engineer: Address: Phone: Designer: Address: Phone: Special Conditions: Planning Department - Fire Department Plan check Fee $0.00 Fair Share : $0.00 SJH Trans : Fire Plan Rev In -lieu Housing Fee: $0.00 Public Works Department - Park Dedication : $0.00 P/W Plan Check : $0.00 San Dist: $0.00 NMUSD Fee: $0.00 State Lic: State Lic: Plan Check Fee : $0.00 Fee Due at Permit Issuance : $185.00 �tltl tl "a EPUBQC VJORKtiaAPPROVAL: � oc.♦ `tl° � � a PLAN CHIECK BY: ! APVPRQVAL TO ISSUE: p tlp pp ! YO 8 tl 4 4 �.vu ppm M O 1U UJ LL U) ) Z Fire Department $0.00 Fire Inspection: $0.00 $0.00 Fire Plan Rev $0.00 $0.00 Demolition Fee $0.00 Building Dept Adm $0.00 General Service $0.00 Refund Deposit $0.00 Grading Bond: $0.00 $0.00 $0.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $185.00 �tltl tl "a EPUBQC VJORKtiaAPPROVAL: � oc.♦ `tl° � � a PLAN CHIECK BY: ! APVPRQVAL TO ISSUE: p tlp pp ! YO 8 tl 4 4 �.vu ppm M O 1U UJ LL U) ) Z OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' Stale 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, also requires 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 of more than five hundred dollars ($500). I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or L 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 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' 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 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.htmi. 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 700 of Divisi n of the Business and Profe ions Cod , and m ense i in ful ce nd effect. License Class License No Date Contractor Signature VORKERS' COMPENSATION DECLARATION DARNING: 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 ($7(10,000), IN ADDITIO O THE OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3705 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: r1ha 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 th ce of the work for which this permit is issued. Policy No. andM maintain workerscompensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensatio Isurance carM@r Apd policy numkr are: Number Date is of Agent ✓ rnune e 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 agreE if I should become subject to the workers' compensation provi lonao�S�n 3700 of the Labor Code, I shall forthwith comply with those provisions. q latureofApplicant .(71' 11� hereby affirm under penalty of perjury that there is a construction lending agenc}4or the performance of the work for which this permit is issued (Section 3097, Civil Code). Ender's Name Lender's 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 tj enter the ab ve-iden' ied pro rt Inspection purposes. ionature of Prooertv Owner or Authorized AgentN/ I f ,1 Print Property Owner's or Authorized Agent's Name Q ACTION DATE BY DECLARATION OF COMPLIANCE WITP(dWE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMITEXPIRED LiITrED ASBESTOS 1401 afLATIC)t TO • • • • i PERMITCANCELLED EPA i ° • : . • • • ° ° PERMIT EXTENDED qMD ° •' : • ° PERMITFINAL +2 /g ASBESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATE OF PROPOSED DE ITI N •c• OCCUPANCY ISSUED SIGNATURE: ' • i • •• : ° •°