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HomeMy WebLinkAboutX2019-3174 - Permits1• City of Newport Beach - Building Division IIIIIIIIIIIII�IIIIIIIIIIIIIIIIIIIIII COMB Permit : X2019-3174 a� 100 Civic Center Drive, Newport Beach, CA 92660 x 2 0 1 9. 3 1 7 4 Project No s, _ Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 :c���i;. Combination Type - SFP Issued Date: 1 0/0412 01 9 0 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 Holid Job Address: 1506 IRVINE AVE NB A Description: SFR- REPLACE (7) WINDOWS & (1) SLIDER "LIKE FOR LIKE" Legal Desc.: N TR 1763 LOT 8 Owner. DU PONT EDMOND A Contractor RENEWAL BY ANDERSEN OF OC Architect:/'�.. Address: 1506 IRVINE AVE Address: 22982 ALCALDE DR#100 Address: Code Edit 2016. Type of Construction: VB Occupancy Group: R31U Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 1 No of Units : 1 Bldg Height:. 0 Bldg Sprinklers: Flood Zone: Construction Valuation: $9,600.00 NEWPORT BEACH, CA 92660 Phone: 714-271-5207 Applicant: RENEWAL BY ANDERSEN OF OC Address: 22982 ALCALDEDR #100 Record Management: LAGUNA HILLS CA 92653 Phone: 714-259-5120 Code Edit 2016. Type of Construction: VB Occupancy Group: R31U Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 1 No of Units : 1 Bldg Height:. 0 Bldg Sprinklers: Flood Zone: Construction Valuation: $9,600.00 Building Permit Fee: $232.00 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 t $0.00. Hazardous Mat $0.00 Building. Green Fee : $1.00 TOTAL FEE: $233.00 $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 : $233.00 PROCESSED BY: PUBLIC WORKS APPROVAL: ZONING APPROVAL: PLAN. CHECK BY: GRADING APPROVAL: APPROVAL TO ISSUE: LAGUNA HILLS CA 92653 mmo•- amooPo m o Phone: 714-259-5120 Phone: e c State Lic: Con State Lic: 990416 mm o Engineer: P ooem Lic Expire:.: 02129/2020 00 0 Address: - Bus Lic: BT30046925 u ` 06 PO Lic Exp Date: 04/30/2020 P Phone:. � o State Lic: Worker's Compensation Insurance Designer: o.; P Carrier: OLD REPUBLIC INS CO Address: Policy No: MWC31415819. Expire: 10/0112020 Phone: Building Setbacks Rear: I Special Conditions: Front:. I .. Left: Right: I Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Excise Tax: $0.00 Planning Department - Fire Department Additional Fee : ' $0.00 Plan check Fee : $0.00 Fire Inspection: Grading Bonds Fee: $0.00 Fair Share : $0.00 Fire Plan Rev Grading PC Consultant : .$0.00 SJH Trans : $0.00 Demolition Fee Grading Permit Fee: $0.00 In -lieu Housing Fee : $0.00 Building Dept Adm Grading PC Fee: $0.00 Public Works Department - General Service WQ Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit PAN Plan Check: $0.00 Grading Bond: Electrical %: $0.00 San Dist: $0.00 Mechanical %: $0.00 NMUSD Fee: $0.00 Plumbing %: $0.00 $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 : $233.00 PROCESSED BY: PUBLIC WORKS APPROVAL: ZONING APPROVAL: PLAN. CHECK BY: GRADING APPROVAL: APPROVAL TO ISSUE: m e mmo•- amooPo m o o '_mom e c 0 o n o snoo mm o o � P ooem o� m a 00 0 moms ce.oa oocc u ` 06 PO loo oro m P mmaeo � o P n«000i. o.; P $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 : $233.00 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) (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 the 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 Professions 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 not more than five hundred dollars ($500). ❑ 1, 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, Business 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 improvements 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 im 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 taw does not a Iy 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: By my signature below I acknowledge that, except for my personal residence in which 1 must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legally sell 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 Professions 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 A=rre a LICENSED CONTRACTOR'S DECLARATION jj} I hereby affirm,tW@r l!enalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) f {{ss f the Business ando6,y license is in full force and effect. License Cass License No Date 't•i Contractor Sign MORjERS' CLVPENSATION DECLARATION - VARNIyyG: FAILURE°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 PbOT dF)COMPENSAiION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. herbby affirm ucder-penalty of perjury one of the following declarations: I:•I ilave and %Rlrl hTaintain 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, York mance of-thefor which this permit is issued. Policy No. Fur�agGe qA 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' compensatior carrier and policy number are: 1` iaftier_• cSLi,` S7•'Ei?U C, Policy Number MV4 3� l) O Expiration Date �J' •� ceatify that, to tiI rf r ce f 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 agre t, if I should become su ' ct to th er compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applicant Date !D'' CLARATION REGARDING CONSTRUCTION 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. 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