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Home My WebLink AboutX2021-3056 - 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 r»I•.�. Combination Type - SFP IIIIIIIII'IIIIIIIIIIIII�llllllllllll�ll COMB Permit: X2021-3056 x 2 0 2 1 3 0 5 6 Project No : Issued Date : 11/10/2021 Inspection Area : 3 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 1111012024 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: 2412 HOLIDAY RD NB Description: SFR REPLACE (E) (12) WINDOWS & (3) SLIDERS Legal Desc.: N TR 2052 LOT 6 Owner: POIVRE MARK Contractor: RENEWAL BY ANDERSEN OF OC Architect: ev Z Address: 2412 HOLIDAY RD Address: 22982 ALCALDE DR #100 Address: P,"P� 1 NEWPORT BEACH, CA 92660 LAGUNA HILLS CA 92653 Phone: Phone: 714-259-6120 Phone: State Lic: U) Applicant: REDIRA ROBIN Con State Lic: 990416 Engineer: �u 0 1 Address: 22982 ALCALDE DR #100 Lic Expire: 0212812023 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: 0 Type of Construction: VB Carrier: OLD REPUBLIC INS CO Address: Occupancy Group: R3/U Policy No: MWC31415821 DO Added /New sq.ft. Bldg: 0 Expire: 10101/2022 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: I Bldg Sprinklers: N Right: I Flood Zone: X Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $11,500.00 Building Permit Fee: $280.00 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 WQ Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $0.00 Disabled Access : $0.00 P/W 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 : $281.00 Plan Check Fee: $0.00 Fee Due at Permit Issuance : $281.00 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: • B P I JBLIO WORKS APPROVAL: PLAN CHECK BY: t 5 9 , `% rB ARfROVAL TO ISSUE: ^➢ V J 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). L.I I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or U portions Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, throe: improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of c improved for the purpose of sale). ❑ I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7C apply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contra ❑ I am exempt from licensure under the Contractors' State License Law for the following reason: By my signature below I acknowledge that, except for my personal residence in which I must have resided for at least o sell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. Professions Code, is available upon request when this application is submitted or at the following Web site:http://w .Ii Signature of Property Owner or Authorized Agent LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 709 and effect. License Class License No Date ]? COMPENSATION DECLARATION ING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL 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: the work, and the structure is not intended or offered for sale (Section 7044, employees' or personal effort, builds or improves the property, provided that the oletion, the Owner -Builder will have the burden of proving that it was not built or Business and Professions Code: The Contractors' State License Law does not pursuant to the Contractors' State License Law). year prior to completion of the improvements c Bred y this permit, I cannot nderstand that a copy of the applicable law, Se on 70 4 of the Business and 3 of the Business and Profs ons Ce,.Pni license is in full force L-)- Contractor Signature, �� CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($160,6DD), IN ADDITION TO 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 0rmance of the work forwhich this permit is issued. Policy No. I have and will main In 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' compensal Trance carrier an ��numbe are: ` pf1� rier n. iII�y/NGmber Expiration Date ie of Agent certify that, in the perf0ING111CONSTRUCTION n�of t work 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 t, if I should become st the a compensation provisions of Section 3700 of the Labor Code, I shall forth�rith comply with those provisions. / nature of Applicant CLARATION REGA LENDING AGENCY ;reby affirm under pe alty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). 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 p perty owner's behalf. I have read this application and the information I ha rovid d is correct. I agree to comply with all applicable city and county nanc and state laws relating to building construction. Ul I authorize representatives of this city or county t e a Identified property for inspection purposes./(/��)fJ nature of Prooertv Owner or Authorized Agent l� Print Prooertv Owner's or Authorized ADent's Namllk Y W'' t� Date. ACTION DATE BY 1L. DECLARATION OF II REGULATIONS PPA T0610 TIITLE 40 AND AQMD RULE CE WITH CODE OF AL FOR OFFICE USE ONLY PERMITEXPIRED LJ I SUBMITTED ASBESTOS NOTIFIQTION•i'0 PERMIT CANCELLED DEPA • • • • : R . s PERMIT EXTENDED UAQMD PERMITFINAL q/ ASBESTOS NOTIFICATION IS NOTAPPLICABLE TO CERTIFICATEOF �� `,✓� PROPOSED DEMOLITION ••• • • • ••• •• OCCUPANCY ISSUED ` SIGNATURE: e • 1 1 • e z n