HomeMy WebLinkAboutX2021-1051 - PermitsCity of Newport Beach - Building Division
>� 100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255
Combination Type - SFP
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COMB Permit: X2021-1051
Project No :
Issued Date: 05/03/2021
Inspection Area : 6
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0510312024 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: 4 JARDEN NB
Description: SFR CHANGE OUT (3) WINDOWS (3) DOORS
Legal Desc.: N TR 15540 LOT 21
Owner:
GARBERS GRANT
Address:
4 JARDEN
MWC31415820
NEWPORT COAST, CA 92657
Phone:
714-259-5120
Applicant:
RENEWAL BY ANDERSEN OF OC
Address:
22982 ALCALDE DR #100
Bus Lic:
LAGUNA HILLS CA 92653
Phone:
714-259.5120
Code Edit:
Type of Construction:
Occupancy Group:
Added /New sq.ft. Bldg:
Added /New sq. ft. Garage:
No of Stories: 2
No of Units : 1
Bldg Height: 0
Bldg Sprinklers:
Construction Valuation:
Contractor:
RENEWAL BY ANDERSEN OF OC
Address:
22982 ALCALDE DR #100
MWC31415820
LAGUNA HILLS CA 92653
Phone:
714-259-5120
Con State Lic:
990416
Lic Expire:
02128/2022
Bus Lic:
BT30046926
Lic Exp Date:
04/30/2022
2019 Worker's Compensation Insurance
VB Carrier:
OLD REPUBLIC INS CO
R3/U Policy No:
MWC31415820
0 Expire:
1010112021
0
CA Seismic Safety:
Building Setbacks
Rear: I
$0.00
Front: /
$0.00
Left: I
$1.00
Right: I
Building Permit Fee: $280.00
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: $281.00
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Architect:
Address:
Phone:
Engineer:
Address:
Phone:
Designer:
Address:
Phone:
State Lic:
State Lic:
Special Conditions: LANDSLIDE AREA
Excise Tax:
$0.00
Planning Department -
Fire Inspection:
Additional Fee:
$0.00
Plan check Fee_:
Demolition Fee
Grading Bonds Fee:
$0.00
Fair Share
General Service
Grading PC Consultant:
$0.00
SJH Trans
Grading Bond:
Grading Permit Fee:
$0.00
In -lieu Housing Fee:
Grading PC Fee:
$0.00
Public Works Department -
WQ Insp. Fee:
$0.00
Park Dedication :
$0.00
P/W Plan Check:
$0.00
Electrical %:
$0.00
San Dist:
$0.00
Mechanical %:
$0.00
NMUSD Fee:
$0.00
Plumbing %:
$0.00
Plan Check Fee
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00 Fee Due at Permit Issuance : $281.00
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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:
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00 Fee Due at Permit Issuance : $281.00
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OWNER -BUILDER DECLARATION AV I
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 itern(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 U 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
nproved for the purpose of sale).
1 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 fallowing 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 c veredy this permit, I cannot legal
all 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, Seon 70 4 of the Business and
'rofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginto.ca.gov/calaw.html.
'signature of Property Owner or Authorized Agent e
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 0 Divil2i of the Business and Pro s a I ense is in full force
nd effect. License Class License No Dat Contractor Signature
NORKERS' COMPENSATION DECLARATION
NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES ND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
'OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3700 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S 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 the
1Iormance of the work for which this permit is issued. Policy No.
have and will 1 al tain 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' compensatiol
nsurance carriers p icynumberary
farrier N ber Expiration Date
game of Agent °� Phone #
�I certify that, in the perform ce of th work for which this permi Is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation la s of California, and agre,
hat, if I should become ub' o the wo rs' co pensation provi ions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
Signature of Applicant Da 5 3 21
)ECLARATION REGAIRDIN& CONSTRUCTION LENDING AGENCY
hereby affirm under penalty of perjury that there is a constrtion lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
-ender's Name IN Lender's Address
3y my signature below, I certify to each of the follAhavepr
I am the property owner or authorized to act one s behalf.
I have read this application and the informatiois orrect.I agree to comply with all applicable city and can ate laws relating to building construction.I authorize representatives of this city or counve' " d property for inspection purposes. (� y,.�`�
Signature of Property Owner or Authorized Agent Print Pro erf Owner's or Authorized Agent's Nam PWS,� 11f� D to
ACTION DATE eY DE. RATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGU IONS PART 61 OFTITLE 40AND AQMD RULE
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PERMITEXPIREDI.1'UV�M L'D SB STOSN Y'IFI ATIO�TO•
PERMITCANCELLED •FPA: . °•T ..: 1 `.` `:
PERMITFINAL f3/pq-� ASREST SNOTIFJC I ISNO APPLI ABLE TO
CERTIFICATE OF ( ✓1 PROPOSE IvIQYLTI •• • •°•
OCCUPANCYISSUED SIGNA RE • ° ("'U
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