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HomeMy WebLinkAboutXR2023-2729 - Permits�eWP0 City of Newport Beach II IIIII I III IIII III I IIII III IIII III II COMB Permit : XR2O23-2729 "ICommunity Development Department- Building Division X R 2 8 2 3 2 7 2 9 '. 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No Permit Counter Phone: (949) 718-1886 Issued Date : 09/28/2023 newportbeachca.govlcivic Final Date: Cy<IF()R�\P Combination Type - SFP Permit Status: Issued Work Class - Alteration Inspection Area : 3 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 : 2000 LEEWARD LN Legal Desc : N TR 4463 BLK LOT 26 Description: SFR REPLACE (3) WINDOWS AND (1) DOOR W/ RETROFIT, REPLACE (2) BDRM EGRESS WINDOWS AND LOWER SILL HEIGHT TO COMPLY WITH EGRESS REQUIREMENTS, TOTAL (3) EGRESS WINDOWS AFFECTED, NO STRUC CHNGS Owner: SIEGFRIED TRACY ANN TR Contractor: RENEWAL BY ANDERSEN OF OC Architect Address : 2000 LEEWARD LN Address : 22982 ALCADE DR, 100 Address NEWPORT BEACH, CA 92660 LAGUNA HILLS, CA 92653 Phone : Phone : (714) 259-5120 Phone Con State Lic : 990416 State Lic Lic Expire : 07/31/2025 - • _ , , , Applicant: RENEWAL BY ANDERSEN OF OC Bus Lic: BT30046925 Engineer Address : 22982 ALCADE DR, 100 Bus Lic Expire : 04/30/2024 Address: , LAGUNA HILLS, CA 92653 Phone: (714) 259-5120 Workers' Compensation Insurance Phone: , 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 : $8,000.00 Type of Construction : V-B Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg : 0 Occupancy Groups : U,R-3 No of Units : 1 Alteration sq. ft. Bldg : Bldg Height: No of Stories : 1 Added/New sq. ft. Garage : 0 TOTAL sq. ft. 0 Building Setbacks : Front: 20, Side: 6, Side: 6, Rear: 6 Flood Zone : X Use Zone : R-1-6000 - Single -Unit Residential (6000 indicates minimum lot area) PROCESSED BY: \,— SPECIAL CONDITIONS I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reasons) indicated below by the checkrnark(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 rho permit to file a signed statement that he or she is llconsed pursuant to the provisions of the Contractors' State License Low (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt from ticensure 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). 0 I, as owner of the property, or my employees with wages as their sole compensation, will do i_) all of or (_) 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). © f, 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 ticensure under the Contractors' Slate License Law for We following reason _-,___ ____.._...._.__—_...__.__,— By my signature below I acknowledge that, except for my personal residence in which I must have resldod for at least one year prior to completion of the improvements covered by this permit, I cannot legafly sell a structure that I have buill 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 INeb site:http:liwvnv.teginfc.ca,gov)calaw,btml. Signature of Property Owner or Authorized Agent - _ �, „-,,,� Date LICENSED CONTRACTOR'S DECLARATION 'Iereby ^firm under penally of perjury that I am licensed under provisions of Chapter 9 (commencing with S n 00) of Division 3 of the Bu as and Professions Code d. my lice is In full farce and enecr. License Class License. No D CI-2��S Contra r Signature WORKERS' COMPENSATION DECLARATION W 1RNIr'C: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FIN UP TOO E HUNDRED TROUSANO DOLLARS (E100,000), IN ADDITION TO THE COST OF COMPENSATION. IMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR COOS INTEREST, ANn ATTORNEP'S FES& \ I :Ieraby affirm une'er pe^alty of perjury one of the following declarations: n 1 f,vve and wi,i maintain a certificate of consentto self -insure for workers' compensation, issued by the Director of Industrial Relationsas provided for by Section 3700 of the Labor Code, for thjiiefrp�Tae aco of the wa.k for which this permit Is issued. Policy No. M 1 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' compesatior hVP90YanC . carriary�id p icy n mber are: n/1' / �6 (\ t � _Y- r W C 314 f r Expiration Date �Canler _ v "-�OJ 1l f Policy Number p •P of Agent certify that in the performaanco of the work for which this permit is issued. I shall not employ any person in any manner so as to become subject to a workers' compensation laws of Califorrila., end agre i if I should become subject to the workers' pensation revision of Section 3700 of the Labor Code, I shall forthwith comply with those p is ns. P (, lure of Ap�¢. Ilcant --- �__,�� _ Data �^�0 I hereby aff1rT er penalty of perjurythat there is e construction lending agency for the performance of the work for which this permit is issued (Aectlon 3097, Civil Code). Lender's Name Lenders Address By my signature below. I certify to each of the following: I am the property Owner or authorized to ad on the property owners behalf, I have read this application and the Information I have provided is correct. I agree to comply with all applicable cAy and county ordinances nd state laws r ting to building construction, I authorize repres lives of thi ity or county to enter ih ve-identife operty for inspection purposes. �� Sf nature of Pro. 9Y Own r or thorized A eht Print Property Owner's or Authorized en' Name^'^ �'�"'— Dat / ao ACTION GATE BY 3, bECLARATIONOF COMPLIANCE WIT14 CODE OF FEDERAL FOR OFFICE USE ONL REGULATIONS PART 51 OF TITLE 40 AND AONID RIFF 1403 PERMITEXPIRED iU I SUBMITTED ASBESTOS NOTIFICATION TO _._. PERMIT EXTENDED OM D PERibffr FINAL ' I SBhSTO NOl'1F9CAftUN 45 MOT APPLICABLi t0 CERTIFICATE OF ! SRO D EMOLIT60N — pCCUPANCYISSUED SIGNATU - /�