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Home My WebLink AboutX2019-0767 - PermitsConstruction Hours: Monday Job Address: 1B CALMS NB Description: SFR - WINDOW CIO (12) LIKE FOR LIKE Legal Desc.: N TR 14571 LOT 9 Owner: GUNDERSEN KENNETH Address: 18 CALAIS NEWPORT COAST CA 92657 Phone: 949-294-3235 Applicant: AMERICAN VISION WINDOWS Address: 2125N MADERA ROAD#A SIMI VALLEY CA 93065 Phone: 888-563-0008 Code Edit . 2016 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: Building Permit Fee: $248.00 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, TOTALFEE'. PROCESSED BY: ZONING APPROVAL: City of Newport Beach - Building Division r 100 Civic Center Drive. Newport Beach, CA 92660 Parmit Counter Phone (949)644-3288 M; S Inspection Requests Phone (949)644-3255 Combination Type - SFP PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAs r VHLIu urorL ... 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 "X2019-0767' AMERICAN VISION WINDOWS Contractor: Address: SIMI VALLEY CA 933066#A Phone: 888-563-0008 Con State Lic: 778326 Lic Expire: 06131 /2020 Bus Lic: BT30020889 Lic Exp Date: 10131/2019 Worker's CompensationInsurance STARR INDEMNITY Policy No: 1000002552 Expire: 01/01/2020 Building Setbacks Rear: / Front: / Left: 1 Right. / Excise Tax: $0.00 Additional Fee : $0.00 Grading Bonds Fee: $0.00 Grading PC Consultant : $0.00 Grading Permit Fee: $0.00 Grading PC Fee: $0.00 WQ Insp. Fee 0.00 Electrical %.. $0.00 Mechanical $0.00 Plumbing %: $0.00 Plan Check Fee COMB Permit: X2019-0767 Project NO: Issued Date : 0310B/2019 Inspection Area : 6 e "as rs E Architect: Address: ' 'g;` ' 1 % Phone: State Lic: ... Engineer: Address: Phone: Designer: Address: Phone: Special Conditions'. Planning Department - Plan check Fee Fair Share SJH Trans In -lieu Housing Fee Public Works Department - Park Dedication : $0.00 PAN Plan Check: $0.00 San Dist: $0.00 NMUSD Fee: $0.00 $0.00 PUBLIC WORKS / PLAN CHECK BY: State Lic: Fire Department $0.00 Fire Inspection: $0.00 Fire Plan Rev $0.00 a Demolitiong $0.00 De Adm General Service Refund Deposit Grading Bond: $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Fee Due at Permit Issuance : $249.00 APPROVAL TO ISSUE: GRADING APPROVAL: 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 requirss 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 (_) 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: 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 legal[) sell a structure thar 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, i., mailable upon request when this application is submitted or at the following Web site:http://www.leginfo.ca of Property Owner or Authorized Agent LICENSED COA'1 PACTOR'S DECLARATION Date I hereby affirm under penalty of perjury that I am licensed. under provisions of Chapter 9 (commencing with Section 7000) ar.d of;eat. License Class License No isign 3 of the Business and Pr fe eion ode, and my license is in full force �.y ]F NGRKE,RS' COMIDENSATION DECLARATION Date 3— /7 Contractor SignatCuVARre/// T, ;CST O, OMPENSFAILURE T(I NI, DAMAGES E WORKERS' COMPENSATION COVESECTION IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLAR51$1a N ADDITION TO THE :CST b affirm SII er enalty of AS PROVIDED FOR IN SECTION 37ee OF THE LABOR CODE, INTEREST, AND ATTORNEY'$ FEES. he'Phy affirm under penalty of perjury one of the following declarations: �,Ia�e and will main)ain 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 ar—e of the v.crl, ;or which this permit is issued. Policy No. na a ,and will rn.ninta'n workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. M Isur ce carrier eprl policy number are: Ier Policy Number Y workers' compensatio !ame of Agent Expiration Date JI certify that, in the performance of the work for which this permit is issued, I shall not employ an Phone # hat, if I should become subject t e workers' comDertbation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. /o/,$h P Y Y Parson in any manner so as to become subject to the workers' compensation laws of California, and ogre Signature of Applicant/ �� z )ECLARATION REG G CONSTRUCTION LENDING AGENCY DatJ g —dry hereby affirm under penalty of perjury that there is a construction lendinga en f th enders Name 9 cy or a performance of the work for which this permit is issued (Section 3097, Civil Code), ly my signature below, I certify to each of the following: Lender's Address 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 county tq,egter tbeabove-identi property for inspection purposes. 'Iannature of Propertv Owner nr AufhnrbnA n..,.. v G/ UAII, BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL REGULATIONS PART 61 OF TITLE 40 AND AOMD RULE EXPIRED 1403 ,,_fLU I SUBMITTED ASBESTOS NDTIFIrATlnnl Tn PERMIT FINAL �..,,.`.., CERTIFICATE OF Y l�— $i Ate- ASNOTIFICATION IS NOT APPLICABLE TO OCCUPANCYISSUED PerL R OSEDDEMOLITION 7 SIGNATURE: /� FOR OFFICE USE ONLY Cu rrU, Date