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Home My WebLink AboutX2020-1458 - Permits�+rro City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2020-1458 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 2 0 1 4 5 8 Project NO ti y Permit Counter Phone (949)644-3288 v p Inspection Requests Phone (949)644-3255 Issued Date : 0612412020 Combination Type - SFP Inspection Area : 4 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0&2512023 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: 56 DRAKES BAY DR NB INSPECTOR Description: SFR - WINDOW (8) 8 DOOR (13) CIO LIKE FOR LIKE Legal Desc.: N TR 7386 LOT 19 Owner: KALTENBACH DAWN Contractor: CA REPLACEMENT WINDOWS INC. Architect: Address: 56 DRAKES BAY DR Address: 1129 KRAEMER BLVD Address: CORONA DEL MAR, CA 92625 ANAHEIM CA 92806 Phone: 949-322-8011 Phone: 714-632-7767 Phone: State Lie: Applicant: PECK JOEL Con State Lic: 918800 Engineer: - - - Address: 1129 KRAEMER BLVD Lie Expire: 0713112020 Address: - - ANAHEIM CA 92806 Bus Lie: BT97021093 Phone: 714.632-7767 Lie Exp Date: 0613012021 Phone: State Lie: '7131 1 zy. Code Edit: 2019 Worker's Compensation Insuraince Designer: Type of Construction: VB Carrier: STATE COMP INS FUND Address: Occupancy Group: R31U Policy No: 1786568 Added /New sq.ft. Bldg: 0 Expire: 0610112021 Phone: Added /New sq. ft. Garage: 0 No of Stories: 2 Building Setbacks Rear: I Special Conditions: No of Units: 1 Front: I Bldg Height: 0 Left: I Bldg Sprinklers: Right: / Flood Zone: X Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $90,000.00 Building Permit Fee: $1,109.00 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 %: $0.00 San Dist: $0.00 Building Green Fee : $4.00 ical %: $0.00 NMUSD Fee: $0.00 $0.00 7PIumbng %: $0.00 $0.00 TOTAL FEE: ,113.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $1,113.00 PROCESSED BY: PUBLIC WORKS A ROVAL: ZONING APPROVAL: PLAN CHECK BY: GRADING APPROVAL: APPROVAL 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 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 penally 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 U all of or C-) 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: 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 improvements covered by this permit, I cannot legalh 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, Section 7044 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.govicalaw.htmi. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm ul,der oeualty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 000 i on 3 of the Business and Prof ssions Code, d my license is in full force al.d effect. License Class 5 , GI'1 License No `11it>`3co. Date Contractor Signature hORKERS' COMPENSATION DECLARATION NAkNING. FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMI AL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THO ND DOLLARS ($100,000), IN ADDITION TO THE COST 0-'.OMPENSATION, 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: ��, t �e 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 xc�,=n of the work for which this permit is issued. Policy No. 2If.Ilava d will maintain 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 newa,u carder and policy number are: :drtief �� .�-cA.J?O Policy Number 01 Expiration Date lv�'��I Varna o, Agent_ _ _ _ Phone # 3rcertify that, in :hD performance of the 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 agree hat, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Signature of Applicant 3ECLARATION I ING C TRUCT ON ENDING AGENCY hereby affirm under pe ally of rji ry that there is a construction lending agency for the performance of the work for which this permit is issued (Section 309 , 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 property owner's behalf. I have read this application and the information I have provided is correct. I agree to comply with all applicable city and county ordinances and state laws relating to building construction. I authorize representatives of this city or counL��p�° enter the above- entified property for inspection purposes. 3ionature of PfoDertv Owner or Authorized Aaent / — #�--� ..dn — Print Property Owners or Authorized AaenPs Name %xz) Date ACTION DATE BY \ DEC TION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REG TIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMITEXPIRED I SUBMITTED ASBESTOS NOTIFICATION TO PERMITCANCELLED OEPA PERMIT EXTENDED QMD PERMITFINAL 45�_ 7S a3 ,r1` SBESTOS NOTIFICATION IS NOTAPPLICABLE TO CERTIFICATE OF PROPOSED OCCUPANCYISSUED F+�SIGNATURE: EfY10LITION //,