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HomeMy WebLinkAboutX2018-0431 - Permits (2)�wro City of Newport Beach - Building Division o 100 Civic Center Drive, Newport Beach, CA 92660 E' Permit Counter Phone (949)644-3288 '"v $ Inspection Requests Phone (949)644-3255 faWsn7�g. ` Combination Type - SFP IIIIIIIIIIIIIIIIIII�IIIIIIIIIIII�IIIIIIII� II COMB Permit: X2018-0431 x 2 0 1 8 0 4 3 1 Project No : Issued Date : 0 211 312 01 8 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: 1010 WEST WIND WAY NB Description: SFR CHANGE OUT (1) PATIO DOOR (MASTER BED RM) Legal Desc.: N TR 4224 LOT 182 - Owner: WRIGHT GEORGE P Address: 1010 WEST WIND WAY Record Management: NEWPORT BEACH, CA 92660 Phone: $0.00 Applicant: RENEWAL BY ANDERSEN OF OC Address: 22982 ALCALDE DR #100 Hazardous Mat LAGUNA HILLS CA 92653 Phone: 714-259-5120 Code Edit : 2016 Type of Construction: VB Occupancy Group: R3/U 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: Construction Building Permit Fee: $127.00 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: $128.00 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Contractor: REDIRA ROBIN Address: 22982 ALCALDE DR #100 LAGUNA HILLS CA 92653 Phone: 714-259-5120 Con State Lie: 990416 Lie Expire: 02/28/2018 Bus Lie: BT30046925 Lie Exp Date: 04/3012018 Worker's Compensation Insurance Carrier: EVEREST NATIONAL Policy No: CA10002426.181 Expire: 01/01/2019 Building Setbacks Excise Tax: Additional Fee Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WO Insp. Fee: Electrical %: Mechanical %: Plumbing %: Rear: I Front: I Left: I Right: I king Spaci $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 0 Architect: ` Address: A. %iia Fair Share $0.00 Phone: State Lie: lj ; In -lieu Housing Fee: $0.00 Engineer: Park Dedication : Address: PAN Plan Check: Phone: State Lie: g! - Designer: ��-- Address: �------�` e7 Phone: Special Conditions: $0.00 Fire Hazard Zone : N 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 PAN Plan Check: $0.00 San Dist: $0.00 NMUSD Fee: $0.00 yy Plan Check Fee 0 E $0.00 Fee Due at Permit Issuance : $128.00 PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: 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 $0.00 Fee Due at Permit Issuance : $128.00 PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: OWNER -BUILDER DECLARATION I hereby affirm under penally 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 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 Irofessions 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 penally of ot more than five hundred dollars ($500). 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). 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). ] 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 Iegalh 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 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:/lwww.leginfo.ca.gov/calaw.html. signature of Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perju that I am licensed under provisions of Chapter 9 (commencing with Section 70 ) of Di ision 3 of the Business and Prof ssions ode, and my license is in full force nd effect. License Class t— License No Date Contractor Signatur 1IORKERS' 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 THOUSA D DOLLARS ($100,000), IN ADDITION TO THE OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3703 OF THE LABOR CODE, INTEREST, AND ATTORNEY'; FEES. hereby affirm under penalty of perjury one of the following declarations: 1 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 th erf_ormance ofthe work for which this permit is issued. Policy No. have and Branall fain workers' co ensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensatiol trance carrilicy number a Tier Po m�r) �1 Expiration Date rte of Agent Phone # certify that, in the performance of th ork 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 I, if I should become bject hew r ers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applicant I ate CLARATION RE ARDING C NSTRUCTION LENDING AGENCY Ireby 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. (t I have read this application and the information I have provided is correct. I I I agree to comply with all applicable city and county dinanclK and state laws relating to building construction. I authorize representatives of this city or county t en r thea e -Identified property for inspection purposes. nature of Pronertv Owner or Authorized ADent \/ - Print Procertv Owner's or Authorized Agent's NamaC DATE I BY DECLARATION OF REGULATIONS PARTO 1 OF IITLE 40 AND AQMD RULECE WITH CODE OF FOR OFFICE USE ONLY I PERMIT EXPIRED U I SUBMITTED ASBESTOS NOTIFICATION TO • • • • • • s e' • • i PERMIT CANCELLED EPA - • PERMIT EXTENDED qMD PERMIT FINAL ASBESTOS NOTI ATION SNOT APPLICABLE TO • CERTIFIC4TEOF�^I j i • PR POSED E LII N `©� OCCUPANCY ISSUED SIGNATURE: