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Home My WebLink AboutX2021-1601 - Permits" sGity^of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 4,.. Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 "ar,rar�,¢T Combination Type - SFP COMB Permit: X2021-1601 IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II Project No: Issued Date : 0612212021 Inspection Area : 4 Applicant: PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 06/22/2024 OR PERMIT WILL BE INVALID Address: 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: 1712 PORT CHARLES PL NB 714-259-5120 Description: SFR -WINDOW C/O (2) Disabled Access : Legal Desc.: N TR 6622 LOT 13 P/W Plan Check, Owner: COLE ROBERT & DOTTIE Contractor: 1 ppp.,, 1 era. RENEWAL BY ANDERSEN OF OC Architect: tl � ;a. CT® Address: 1712 PORT CHARLES PL Address: 22982 ALCALDE DR #100 Address: f s W 1 R NEWPORT BEACH, CA 92660 LAGUNA HILLS CA 92653 Phone: 949-644-8714 Phone: 714-259-5120 Phone: State Lie: Applicant: RENEWAL BY ANDERSEN OF OC Address: 22982 ALCALDE DR #100 Record Management : LAGUNA HILLS CA 92653 Phone: 714-259-5120 Code Edit: 2019 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: $1.600.00 Building Permit Fee: $110.00 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 P/W Plan Check, Building Green Fee : $1.00 AL FEE: $111.00 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Con State Lie: 990416 Lie Expire: 02128/2022 Bus Lic: BT30046925 Lie Exp Date: 04/30/2022 Worker's Compensation Insurance Carrier: OLD REPUBLIC INS CO Policy No: MWC31415820 Expire: 10/01/2021 Building Setbacks Excise Tax: Additional Fee Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: Electrical %: Mechanical %: Plumbing %: Rear: / Front: / Left: / Right: / 3arkina Spaces $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Plan Check Fee Engineer: Address: 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 P/W Plan Check, $0.00 San Dist: $0.00 NMUSD Fee: $0.00 $0.00 Fe PUBLIC WORKS APPR PLAN CHECK BY: APPROVAL TO ISSUE: State Lie: m momeoo m m 0 0 o m o 00 0 e c 0 0 m0 V- 00000 0o m ommmo, -0$0.00 oommc, o r$OAbm o 0 moon` $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $111.00 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: m momeoo m m 0 0 o m o 00 0 e c 0 0 m0 V- 00000 0o m ommmo, -0$0.00 oommc, o r$OAbm o 0 moon` $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $111.00 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). ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or L) 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 improved 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 apply 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: IN - By 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 improvement cover d by this permit, I cannot legal 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, ction 044 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 ate LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of visi 3 of the Business and Pr a 'o s�te, nd y license is in full force and effect. License Class License No Da Contractor Signature INORKERS' COMPENSATION DECLARATION NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER To CRI NAL PENALT S AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO TH COST OF COMPEr'SIMdt.DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm &fdtf penalty of perjuryone of the fallowing declarations: .... ' have anrt 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 tl e o ance o} the work for which this permit is issued. Policy No. and Agent• r� 'y that, in the of 411 nt 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' number are: n^ w L l Policy Number I r' '1 Expiration Date L/ 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 compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date 2 >Jj IN LENDING AGENC' fiENy affirm 5ride-r analty of berjury that there is a con uction len ing agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). -_.Ider'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 prWthb ner's alf. I have read this application and the information haveno is co I agree to comply with all applicable city and county o as and s to aws relating to building construction. I authorize representatives of this city or coun to anto a-ide tifi p y for inspection purposes. Signature of Property Owner or Author.-- Agent Print Property Owner's or Authorized Ag ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED U I SUBMITTED ASBESTOS NOTIFICATION TO PERMITCANCELLED EPA PERMIT EXTENDED OMD PERMITFINAL 23 "l ASBESTOSNOTICATION SNOT APPLICABLE TO CERTIFICATE OF PROPOSED DEMOL QN OCCUPANCYISSUED SIGNATURE: I, I J �� f rv-bICLOO Date L�