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Home My WebLink AboutX2022-0830 - Permitswa>rtR City of Newport Beach - Building Division i 100 Civic Center Drive, Newport Beach, CA 92660 t % Permit Counter Phone (949)644-3288 a.. Inspection Requests Phone (949)644-3255 Combination Type - SFP *X2022-0830* COMB Permit: X2022-0830 Project No: Issued Date: 03/22/2022 Inspection Area : 2 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 03/22/2025 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: 138 VIA UNDINE NB Description: SFR -CHANGE OUT 21 WINDOWS INTO EXTG, REMOVE BAY WINDOW INSTALL GLIDING WINDOW Legal Desc.: TR 907 LOT 262 ALL -EX SWLY 17.5 FT- THEREOF(AND SWLY112 LOT 263 Owner: PAGE MATT 8 ELISSA Contractor: RENEWAL BY ANDERSEN OF OC Architect: Address: 138 VIA UNDINE Address: 22982 ALCALDE DR 9100 Address: NEWPORT BEACH CA 92663 LAGUNA HILLS CA 92653 Phone: 8051451-8165 Phone: 714-259-5120 Phone: State Lic: Applicant: RENEWAL BY ANDERSEN OF OC Con State Lic: 990416 Engineer: Address: 22982 ALCALDE DR #100 Lic Expire: 02/28/2023 Address: LAGUNA HILLS CA 92653 Bus Lic: BT30046925 Phone: 714-259-5120 Lic Exp Date: 0413012022 Phone: State Lic: Code Edit: 2019 Worker's Compensation Insurance Designer: Type of Construction: V B Carrier: OLD REPUBLIC INS CO Address: Occupancy Group: R3/U Policy No: MWC31415821 Added /New sq.ft. Bldg: 0 Expire: 10/01/2022 Phone: Added /New sq. ft. Garage: 0 No of Stories: 2 Building Setbacks Rear: I Special Conditions: No of Units : 1 Front: / Bldg Height: 0 Left: / Bldg Sprinklers: Right: I Flood Zone: Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $14,700.00 Building Permit Fee: $331.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $0.00 Additional Fee : $0.00 Plan check Fee : $0.00 Fire Inspection: $0.00 Overtime Plan Ck: $0.00 Grading Bonds Fee: $0.00 Fair Share : $0.00 Fire Plan Rev $0.00 Investigation Fee: $0.00 Grading PC Consultant : $0.00 SJH Trans : $0.00 Demolition Fee Record Management: $0.00 Grading Permit Fee: $0.00 In -lieu Housing Fee : $0.00 Building Dept Adm $0.00 Energy Compliance: $0.00 Grading PC Fee: $0.00 Public Works Department - General Service $0.00 CA Seismic Safety: $0.00 WO Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $0.00 Disabled Access : $0.00 PAN Plan Check: $0.00 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical W $0.00 San Dist: $0.00 Building Green Fee : $1.00 Mechanical %: $0.00 NMUSD Fee: $0.00 $0.00 Plumbing %: $0.00 $0.00 TOTAL FEE : $332.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $332.00 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: P°U°BLI( N ORKS APPROVAL: PLAN CHECK BY: " APP`gbVAL TO ISSUE: p 0 i X 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) ction 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 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 fessions 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 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 (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, :iness 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 rovements 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 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 ply 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). J 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 in 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 appl 'rofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htm]. signature of Property Owner or Authorized Agent .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 0 6) of Division 3 of the Business and nd effect. License Class License No Date_Contractor Signa VORKERS' COMPENSATION DECLARATION DARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUI DST 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: law, rmit, I cannot Business and is in full force THOUSAND DOLLARS I$100,000), IN ADDITION TO THE 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 :e of the work for which this permit is issued. Policy No. and ne of Agent certify that, in perfo c�of , if I should become su ' t e tature of Applicant _ insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' !reby affirm under penalty of perjury that there is a Ider's Name my signature below, I certify to each of the followir I am the property owner or authorized to act on tf I have read this application and the information I I agree to comply with all applicable city and cour I authorize representatives of this city or county 1 nature of Prooertv Owner or Authorized Agent Date 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 ation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. /�'/ Daf / I � • �'Z• Z� NG AGENCY nstruction lending agency for the performance of the work for which this permit is issued (Section 309 Civil Code). Lender's Address property relating to building construction. Dperty for inspection purposes. ACTION DATE BY / DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY /v REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED I SUBMITTED ASBESTOS NOTIFICATION.+70 +•• +•• + PERMIT CANCELLED EPA • + • . " . +• PERMITEXTENDED QMD PERMITFINAL V-146 Z2 ASBESTOS NOTIFICATION IS NOTAPPLICABLE TO CERTIFICATE OF PROPOSED DEMOLITION ••• +•... •. s OCCUPANCY ISSUED SIGNATURE: • •• +� o e e . + eea eoa e• • o noo 00