HomeMy WebLinkAboutX2019-3465 - PermitsCity of Newport Beach - Building Division IIIIIIIIIIIIIIIIIII�IIIIIIII II COMB Permit: X2019-3465
. s 100 Civic Center Drive, Newport Beach, CA 92660 x 2 0 1 9 3 4 6 5 Project No:
h Permit Counter Phone (949)644-3288
t Ph 949 644 3255
v S Inspection Reques s one ( ) -
r �, * Issued Date : 10/30/2019
Combination Type - SFP
<r u"
Inspection Area : 8
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION.
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 II�
Job Address: 907 CHESTNUT PL NB
Description: SFR WINDOW C/O (8) AND DOOR (1) LIKE FOR LIKE -
Legal Oesc.: N TR 4892 LOT 18
Owner: RANNEY GEORGE C
Address: 907 CHESTNUT PL
NEWPORT BEACH, CA 92660
Phone
Applicant: RENEWAL BY ANDERSEN OF OC
Address: 22982 ALCALDE DR #100
LAGUNA HILLS CA 92653
Phone: 714-259-6120
Code Edit :
2016
Type of Construction:
V-B
Occupancy Group:
R3/U
Added /New sq.R. Bldg:
0
Added /New sq. ft. Garage:
0
No of Stories:
2
No of Units:
1
Bldg Height:
0
Bldg Sprinklers:
Flood Zone:
Construction Valuation: $10
Building Permit Fee:
$232.00
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
TOTAL FEE: $233.00
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Contractor:
RENEWAL BY ANDERSEN OF OC
Architect:
I N S P EC TOR
R -
Address:
22982 ALCALDE DR #100
Address:
LAGUNA HILLS CA 92653
- -
Phone:
714-259-5120
Phone:
State Lic:
Can State Lic: 990416
Engineer:
'
Lic Expire:
02/2912020
Address:
Bus Lic:
BT30046925
Lic Exp Date:
0413012020
Phone:
State Lic:
,
Worker's Compensation
Insurance
Designer:
Carrier:
OLD REPUBLIC INS CO
Address:
Policy No:
MWC31416819
'
Expire:
10/01/2020
Phone:
Building Setbacks
Rear: I
Special Conditions:
Front: /
Left: /
Right: I
Use Zone:
Parking Spaces:
0
Fire Hazard Zone : N
Excise Tax:
$0.00
Planning Department -
Fire Department
Additional Fee :
$0.00
Plan check Fee :
$0.00
Fire Inspection:
$0.00
Grading Bands Fee:
$0.00
Fair Share :
$0.00
Fire Plan Rev
$0.00
Grading PC Consultant :
$0.00
SJH Trans :
$0.00
Demolition Fee
Grading Permit Fee:
$0.00
In -lieu Housing Fee:
$0.00
Building Dept Adm
$0.00
Grading PC Fee:
$0.00
Public Works Department
-
General Service
$0.00
WQ Insp. Fee:
$0.00
Park Dedication :
$0.00
Refund Deposit
$0.00
PAN Plan Check :
$0.00
Grading Bond:
$0.00
Electrical %:
$0.00
San Dist:
$0.00
Mechanical %:
$0.00
NMUSD Fee:
$0.00
$0.00
Plumbing %:
$0.00
$0.00
Plan Check Fee :
$0.00
Fee Due at Permit Issuance :
$233.00
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
APPROVAL TO ISSUE: / YI/ I/ �
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reasons) indicated below by the checkmark(s) I have placed next to the applicable items)
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 appdcant for
ie 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
'rofessions 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
of more than five hundred dollars ($500).
3 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,
1u'siness 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
nprovements 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
n roved for the purpose of sale).
I, as owner cf'he property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not
pply 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).
I I am exempt from licensure under the Contractors' State License Law for the following reason:
ly my signature uelow 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 legall,
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 applicable law, Section 7044 of the Business and
'ro,'assions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi.
ignature of PI oDerb' Owner or Authorized Agent Date
.ICSYSED CONTRACTOR'S DECLARATION her=hy affirm'under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70 O) f vision 3 of the Business and Profe iJ C e and my license is in full force
nd effect. License Class License No Date b 'SD Contractor Signature V�
?RKERS' COMPENSATION DECLARATION / � 1 1 /
kNING FAILURE:C LECdRE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMIr(AL PENALTIES AND CIVIL FINES UP TO ONE HUNDdED THOUSAND DOLLARS (S100,000), IN ADDITION TO THE
ST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
areby affirm under penalty of perjury one of the following declarations:
I have and willmaintaina 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
Sormance of the work for which this permit is issued. Policy No.
have and 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' compensatioi
qr a carrier and policy number are: mot, p q 1
rrier 'i V_S a4` "%vy, Policy Number ��G3� l�� O l Expiration Date
�me of Agent Phone #
I certify that, in the Del a ce f 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 aw of California, and agre
t, if I should become su to th workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
(nature of Applicant Date
CLARATION REGARD( CONSTRUCTION LENDING AGENCY
areby affirm under pena y of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, vil Code).
ider's Name Lender's Address
',.. my signature below, certify to each of the following:
I am the property owner or authorized to act on the property owner's behalf. u LjY�
I have read this application and the information I have grovided is correct. " v
1 agree to comply with all applicable city and county o I ces and st a laws relating to building construction.
I authorize representatives of this city or county to a ter t I abovE idenn1ified property for inspection purposes. A
DATE BY / REGU_WIONS ART610F TITLE 40 AND Al RULECPLIANCE WITH CODE OF
FOR OFFICE USE ONLY
PERMIT EXPIRED XLJ I SUBMITTED ASBESTOS NOTIFICATION TO
PERMIT CANCELLED I OEPA
PERMIT EXTENDED QM D
PERMIT FINAL h '/ '� Fpb BESTOS NO ICATIO IOt S NQ7 APPLICABLE TO
CERTIFICATE OF `- n PROPO -DE ON
OCCUPANCYISSUED '` SIGNATURE-