HomeMy WebLinkAboutX2021-0976 - PermitsCity of Newport Beach - Building Division
c 100 Civic Center Drive, Newport Beach, CA 92660
' Permit Counter Phone (949)644-3288
u... Inspection Requests Phone (949)644-3255
zzrzsw's'.. Combination Type - SFP
COMB Permit: X2021-0976
IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII� II
Project No:
Issued Date : 04/2612021
Inspection Area : 1
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0412612024 OR PERMIT WILL BE INVALID
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: 7 CANAL CIR NB
Description: SFR CHANGE OUT (4) WINDOWS
Legal Desc.: N TR 4601 LOT 7 -
Owner:
HALL FRANCES E
Address:
7 CANAL CIR
Record Management:
NEWPORT BEACH, CA 92663
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 : 2019
Type of Construction: VB
Occupancy Group: R3/1.1
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:
Valuation: $7.600.00
Building Permit Fee: $212.00
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: $213.00
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Contractor:
RENEWAL BY ANDERSEN OF OC
Address:
22982 ALCALDE DR #100
Fair Share :
LAGUNA HILLS CA 92653
Phone:
714-259-5120
Con State Lie:
990416
Lie Expire:
02/28/2022
Bus Lie: -
BT30046925
Lie Exp Date:
0413012021
Worker's Compensation Insurance
Carrier: OLD REPUBLIC INS CO
Policy No: MWC31415820
Expire: 10/01/2021
Building Setbacks
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: /
king Spa
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
0
Architect:
Address:
Phone:
Engineer:
Address:
Phone:
Designer:
Address:
Phone:
State Lie:
State Lie:
Special Conditions: LIQUEFACTION AREA
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
Plan Check Fee: $0.00 Fee Due at Permit Issuance : $213.00
` m PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
�41PPROVAL 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
Plan Check Fee: $0.00 Fee Due at Permit Issuance : $213.00
` m PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
�41PPROVAL 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
is 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).
7 I, as owner of the property, or my employees with wages as their sole compensation, will do (_) 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 I am exempt from licensure under the Contractors' State License Law for the following reason:
ly my signature below 1 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 legalq
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, echo 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.html.
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 Sectio!PNAL
f D VASNICC
in 3 of the Business and Profession ode, a my license is in full force
nd effect. License Class License No Dat Contractor Signntur
VORKERS' COMPENSATION DECLARATION
IARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINIE IVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the following declarations:
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 rmance of the ork for which this permit is issued. Policy No.
have and will al ain 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' compensatioi
Isurance carrier an p licy numberparsl; w /1„
ie of Agent �
certify that, in the p
. if I should become
lature of Applicant _
Date
for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compen ation laws of California, and agre
compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. -7
at
N LENJDING AGENCY
hereby affirm under penalty of perjury that there is a
onstruction lending agency for the performance of the work for which this permit is Issued (Section 3097, Civil Code).
.ender's 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 operty ow er's behalf.
I have read this application and the information I
a provided correct.
I agree to comply with all applicable city and cou
y dinances d ate laws relating to building construction.
Lauthorize representatives of this city or county
e t r abo ntified property for inspection purposes. r%,.1i1fl3
Signature of Property Owner or Authorized A en
Print Property Owner's or Authorized Agent's Nam ����J✓✓
ACTION
DATE
BY
ATION OF COMPLIANCE WITH CODE OF FEDERAL
FOR OFFICE USE ONLY
REGULA ONS PART61 OFTITLE 40 AND AQMD RULE
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