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Home My WebLink AboutXR2023-1766 - PermitsCit p� rWNpRe Community Development DDepaarment- Building Division II IIIIIIII II IIIII IIIIIIII II�II II IIIIIIIII II COMB Permit:XR2023-1766 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: u Permit Counter Phone: (949) 71B-1888 rr T Issued Date : 06/28/2023 .s� newportbeachca.gov/civic w Inspection Area :4 cq<iioaN`P Combination Type - SFP Work Class - Alteration PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION, BUT NO LATER THAN 3 YEARS FROM ORIGINAL ISSUANCE DATE NO CONSTRUCTION RELATED NOISE ON SATURDAY OR SUNDAY IN HIGH DENSITY AREAS AND NO WORK ON SUNDAY AND HOLIDAYS IN ALL AREAS Job Address: 30 RUE FONTAINEBLEAU Legal Desc : N TR 7788 BLK LOT 55 Description: SFR REMOVE AND REPLACE 2 NAIL IN WINDOWS *NO HEADER CHANGE* Owner: KUHN DAVID B JR TR Contractor: RENEWAL BY ANDERSEN OF OC Architect Address : 30 RUE FONTAINBLEAU Address : 22982 ALCADE DR, 100 Address : -1 NEWPORT BEACH, CA 92660 LAGUNA HILLS, CA 92653 Phone : (949) 500-0770 Phone : (714) 259-5120 Phone : +% Con State Lic: 990416 State Lic I07/31/2025 : Applicant: RENEWAL BY ANDERSEN OF OC Bus Lic: BT300 6925 Engineer Address : 22982 ALCADE DR, 100 Bus Lic Expire : 04/30/2024 Address LAGUNA HILLS, CA 92653 01 Phone: (714) 259-5120 Workers' Compensation Insurance Phone: v'p� Carrier: OLD REPUBLIC INS CO Owner/Builder : Policy No: MWC31415821 Designer: Address : W. C. Expire : 10/1/2023 Address Phone: Phone: Code Edition: 2022 Fire Sprinklers : NO Construction Valuation : $4,000.00 Type of Construction : V-B Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg : 0 Occupancy Groups : R-3 No of Units : 1 Alteration sq. ft. Bldg : Bldg Height: No of Stories : 2 Added/New sq. ft. Garage: 0 TOTAL sq. ft. 0 Building Setbacks : Front: 10, Rear: 15 Flood Zone : X Use Zone : PC - Big Canyon P� PROCESSED BY: SPECIAL CONDITIONS: PLANS UPLOADED IN FILES OWNER-9UILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State license Law for the resson(s) Indicated below by the checkmark(s) I have placed next to the applicable Item(S) SecBan 7031.5, Business and Professions Code: Any city or county that requires a permil to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for is permit to rite a signed statement that he or she is licensed pursuant to the provisions of the Contactors' State License Law (Chapter 9 (commancing with Section 7000) of Division of the Business and Irofesstans Code) or that he or she is exempt from leensure and the basis for the alleged exemption. Any violation of Section 7031 Z by any applicant for a permit subjects the applicant to a civit penalty of of more than five hundred dollars ($500). 1, as owner of the property, or my employees with wages as their sole compensation, Will do (_) all of or (_) portions of the work, and the structure is not Intended or offered for sale (Section 7044, lusiness and Professions Code: The Contractors' Slate 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 ors year of completion, the Owner -Builder will have the burden of proving that R was not built or n roved for the purpose of sale), 1, as owner of the property, am exclusively contracting with Rcersed Contractors to construct the project (Section 70", Business and Professions Cods: The Contractors' State License Law does not I ly to an owner of property who builds or Improves thereon, and who contacts for the projects with a licensed Contactor pursuant to the Contractors' State License Law). .-) I am exempt from licensureunder the Gontraetors' 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 Improvements covered bythls permit, I Cannot I"all all a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors, l understand that a copy of the applicable law, action 7044 of the Business and rrofessions Code, is available upon request when this application is submitted or at the following Web site:http:/fwww.leginfo.ca.govlcalaw.htmi. 4gnature of Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter (commencing with Sectio ) o ' 'a' 3 of the Business and Pro to e, my license is In full force ind effect. License Class License No Dato 2'S Contractor Signature' VORKERS' COMPENSATION DECLARATION VARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS fiD00A00), IN ADDITION TO THE :OST 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: 3 1 have and will maintain a certificate of consent to sell -insure for workers' compensation, Issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Cale, for it erformance of the work for which this permit Is issued. Policy No, have and Will maintain work.ka ' insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issuad. My workers` compensatic so, eerier and policy rum11:arrier d.') —RuPolicy Number m"L3iN I5y27- Expiation Date /dlame of Agent Phone # It certify that. in the performancwhich this permit is Issued, I shall not employ any person ih any manner so as to become subject to the workers' compensation laws of California, and agrf rat, If I should become s bj t tpensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. >ignalure of Applicant DatfECLARATION REGA I CENDING AGENCY hereby affirm under penaltya erjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097,. tI Code). .enders Name Lendar's Address ly my. signature below, I Certify to each of the following: I am the property owner or authorized to act on the p. erty rer's behalf, I have read this application and the Information I hav pWance9nd correct. I agree to comply with all applicable city and county dte laws relating to building construction.I authorize representatives of this city or cou en iified property for inspection purposes. 7�,, _ ii nature of Property Owner or Authorized A am Print PropertyyOwner's or Authorized Agent's Nam ` P 31 N j476t NA Da ACTION DATr BY V ARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE U5E ONLY REGULATIONS PART 91 OF TITLE 40 AND ACIMD RULE PERMIT EXPIRED U t SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED EPA PfRMiT fXFENDED L�0.Q'ulri _ PERMl7 FINAL �', 23 AS Es;OS,rr�071RC NIS TT PPLICABLE TO CERTIFECAT€OF .PROSE� D}MOLRIO IV OCCUPANCY ISSUED StGNATURP[