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Home My WebLink AboutX2020-0114 - Permits (2)w City of Newport Beach - Building Division �111111111111111111111111111111111111111111111 JillCOMB Permit: X2020-0114 ,3 100 Civic Center Drive, Newport Beach, CA 92660 Project No Permit Counxr Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Issued Date : 0111412020 e`-- Combination Type - SFP Inspection Area : 1 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 Job Address: 239 VIA LIDO SOLID NB Description: SFR REPLACE WINDOWS 8 (3) PATIO DOOR SLIDERS I �� A Legal Desc.: TR 907 LOT 900 A ALL -EX SELY 35 FT-THEREOF(AND LOT40 X 90 FT -VIA Q0 Owner: BALTHASAR JAN BRUCE Address: 239 VIA LIDO SOLID NEWPORT BEACH, CA 92663 Phone: Applicant: RENEWAL BY ANDERSEN OF OC Address: 22982 ALCALDE DR #100 LAGUNA HILLS CA 92653 Phone: 714-259-5120 Code Edit: 2019 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: $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 : $1.0c TOTAL FEE: $233.00 PROCESSED BY: ZONING APPROVAL: Contractor: RENEWAL BY ANDERSEN OF OC Address: 22982 ALCALDE DR 4100 LAGUNA HILLS CA 92653 Phone: 714.259-5120 Con State Lic: 990416 Lic Expire: 02/29/2020 Bus Lic: BT30046925 Lic Exp Date: 04130/2020 Worker's Compensation Insurance Carrier: OLD REPUBLIC INS CO Policy No: MWC31415819 Expire: 1010112020 Building Setbacks Excise Tax: Additional Fee Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: Electrical W Mechanical %: Plumbing %: Rear: / Front: I Left: I Right: I $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Architect: Address: Phone: State Lic: Engineer: NQ C®4NS�� Address: CTI® Phone: State Lic: ��s'E Designer: Address: ON THE WEEKEND Phone: Special Conditions,: LIQUEFACTION 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 Fire Department $0.00 Fire Inspection: $0.00 $0.00 Fire Plan Rev $0.00 $0.00 Demolition Fee $0.00 Building Dept Adm $0.00 General Service $0.00 Refund Deposit $0.00 Grading Bond: $0.00 $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: 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 t,4e.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 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 U all of or U 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-Builderwill 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 legally 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.gov/calaw.html. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Se "on 70 Division 3 of the B siness and Prof es s C and my license is in full force and effect. License Class License No Con ctor Signature NORKERS' COMPENSATION DECLARATION NARNINC: 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 (E100,000), IN ADDITION TO THE :Ju', uF 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: %1 have 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 the ormance of fnA wo1'k for which this permit is issued. Policy No. 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' carrier and policy number are: { Q 'a: vier dtf% 9eMp_lj . Policy Number MW4-�+114 l Expiration Date a,T.E c,f Agent — Phone # ,a certify that, i9 the M� rformance 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 ,aL i, 1 shoernm��snbjlno� workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions- I, hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section Lender's Name Lender's Address By 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 haKe provided is correct. I agree to comply with all applicable city and count rdina es and state laws relating to building construction. I authorize representatives of this city or county to h ave-identified property for inspection purposes. n Signature of Property Owner or Authorized A t Print Property Owner's or Authorize nt's Name 14 ACTION DATE DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMIT EXPIREDLJI SUBMITTED ASBESTOS NOTIFICATION TO PERMITFINAL — s�� ASBESTOS NOI ICAP N IS NOTAPPLICABLE TO b M CERTIFICATE OF OCCUPANCVISSUED Pool -PR OSED�pE ..,,..�..D r.2,1> compensation laws of California, and agre I - d—, M Civil Code). /,v.0