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HomeMy WebLinkAboutX2019-1075 - Permits`°t City of Newport Beach- Building Division IIIIIIIIIIIIIIIIIIII�IIIIIIIIIIII�IIIIIIIIIII II COMB Permit: X2019-1075 o 100 Civic Center Drive, Newport Beach, CA 92660 x 2 0 1 9 1 0 7 59 Project No H z Permit Counter Phone (949)644-3288 v. Inspection Requests Phone (949)644-3255 `'+a -ra`�D Combination Type - SFP Issued Date : 0 410 412 01 9 0 Inspection Area : 4 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: 1207 KEY WEST NB Description: SFR REPLACE (12) WINDOWS & (3) DOORS ".LIKE FOR LIKE" Legal Desc.: N TR 6634 LOT 107 Owner: WILLIAM GALIPEAU Address: 1207 KEY WEST Fair Share CORONA DEL MAR, CA 92625 Phone: Investigation Fee: Applicant: AMERICAN VISION WINDOWS Address: 2125 N MADERA ROAD#A $0.00 SIMI VALLEY CA 93065 Phone: 888-563-0008 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: 2 No of Units : 1 Bldg Height: 0 Bldg Sprinklers: Construction Valuation: $29.500.00 Building Permit Fee: $526.00 Plan Check Fee: $0.00 Fair Share 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 : $2.00 TOTAL FEE: $528.00 PROCESSED BY: ZONING APPROVAL: Contractor: AMERICAN VISION WINDOWS Address: 2125 N MADERA ROAD#A Fair Share SIMI VALLEY CA 93065 Phone: 888.563.0008 Con State Lie: 778326 Lie Expire: 05/31/2020 Bus Lie: BT30020889 Lie Exp Date: 10/3112019. Worker's Compensation Insurance Carrier: STARR INDEMNITY Policy No: 1000002552 Expire: 01/0112020 Building Setbacks Use Zone: 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: / Parkina Soaces $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Plan Check Fee 0 Phone: Designer: Address: Phone: Special Conditions: Planning Department - Fire Department Architect Address: Fire Inspection: Fair Share G Phone: State Lie: Engineer: Building Dept Adm Address: Park Dedication : Phone: Designer: Address: Phone: Special Conditions: Planning Department - Fire Department Plan check Fee: Fire Inspection: Fair Share Fire Plan Rev SJH Trans Demolition Fee In -lieu Housing Fee Building Dept Adm Public Works Department - Park Dedication : $0.00 PNV Plan Check: $0.00 San Dist: $0.00 NMUSD Fee: $0.00 State Lie: 0000 0 0 o©mo e000 0 0000 0 000c o c 0000 0000 c 0000 0 00 c o 0 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Fee Due at Permit Issuance : $528.00 PUBLIC WORKS APPROVAL: PLAN CHECK BY: GRADING APPROVAL: APPROVAL TO ISSUE: 000ccc c 00000 Fire Department $0.00 Fire Inspection: $0.00 Fire Plan Rev $0.00 Demolition Fee $0.00 Building Dept Adm General Service Refund Deposit Grading Bond: 0000 0 0 o©mo e000 0 0000 0 000c o c 0000 0000 c 0000 0 00 c o 0 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Fee Due at Permit Issuance : $528.00 PUBLIC WORKS APPROVAL: PLAN CHECK BY: GRADING APPROVAL: APPROVAL TO ISSUE: 000ccc c 00000 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that 1 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 '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 (_) all of or U 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 legall7 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 ec n 700)1f the Buss and Prof ns od and yliceeii II force nd effect. License Class License No atCont a r SignatureLOt I/ORKERS;COMP,ENSATION 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 ($700,000), IN ADDITION TO THE OST OF COMPEV§4TJON, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. •..• heretry affirm ur46penalty of perjury one of the following declarations: a I 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 E`ftnance of thewnrk for which this permit is issued. Policy No. )hSwe an w11145intain 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' Policy Number LQ 0(Q0 0 2 J Expiration Date t,1,2-0 e of Agent .ertly that, 41Ihs"rforma of he work for which t ' ermit is issued, I shall not employ any person in any manner so as to become subject to the Lf j Ilhould b �c� ubje th workers' compe atioripro�tn�s,.of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Stere of APO L� V L ueby affirm under"renalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued 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 have provided is correct. I agree to comply with all applicable city ar!d cou or inances and^e e laws relating to building construction. I authorize representatives of this cit ounty a e�r- the abov-identified grop for inspection purposes. nature of Pmnertv Owner or Auth� d Aoent ^v 'GLl9�L-- Print PropeRV Owner Code). of California, and Date ACTION DATE " \ BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLYI / L REGULATIONS PART 61 OF TITLE 40 AND AOMD RULE V 1403 PERMITEXPIRED I U I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED PERMIT EXTENDED PERMIT FINAL CERTIFICATE OF OCCUPANCY ISSUED NOTAPPLI LE TO a ,7on2L1