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HomeMy WebLinkAboutXR2022-3280 - Permits�Ewro�T City of Newport Beach IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit : X112U22�320U Community Development Department- Building Division X R 2 0 2 2 3 2 8 0 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: Permit Counter Phone: (949) 718-1888 Issued Date : 12/1912022 .K newportbeachca.gov/civic Final Date: CqC/F00.N�P Combination Type - SFP Permit Status: Reissued Work Class - Window and Door Change Out ONLINE 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: 1801 SANTIAGO DR Legal Desc : Description : Replace 16 windows with new Renewal by Andersen windows into existing openings. All like for like changeouts. Owner: JOHN RAYMONT Contractor : Renewal By Andersen LLC Architect Address : 1801 SANTIAGO DR Address : 22982 Alcalde Drive Address NEWPORT BEACH, CA 92660 Laguna Hills, CA 92653 Phone: Phone: (949) 273-1390 Phone: Con State Lie : 990416 State Lie Lie Expire : 07/31/2025 Applicant: Renewal By Andersen LLC Bus Lie: BT30046925 Engineer Address : 22982 Alcalde Drive Bus Lie Expire : 04/30/2024 Address Laguna Hills, CA 92653 Phone: (949) 273-1390 Workers' Compensation Insurance Phone: Carrier: OLD REPUBLIC Owner/Builder : JOHN RAYMONT Policy No: MWC31415823 Designer Address : 1801 SANTIAGO DR W. C. Expire: 10/1/2024 Address NEWPORT BEACH, CA 92660 Phone: Phone: Code Edition : Fire Sprinklers : NO Construction Valuation Type of Construction : Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg : 0 Occupancy Groups : No of Units : Alteration sq. ft. Bldg : Bldg Height : No of Stories : 2 Added/New sq. ft. Garage: 0 TOTAL sq. ft. 0 Building Setbacks Flood Zone Use Zone : PROCESSED BY: _ SPECIAL CONDITIONS: OWNER -BUILDER DECLARATION € hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) indicated below by the checkrnark(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 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 licensors 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 ($50D) F1 1, as owner of the property, or my employees with wages as their sole compensation, will do U 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). 1, 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 properly who builds or improvesthereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). © I am exempt from lieensure 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 W 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-buildor if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of tho Business and Professions Code, is available upon request vrhen this application is submitted or at the following Web site:http:li"m.leginfo.ca.gov/calaw.html, Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that i am licensed under provisions o£ Chapter 9 (commencing with Section 000) of Dlvisi n 3,of the Business and Pr essic 1 and m se is In full force and effect. Licenua Class ') License No �(1-0-� Date Contractor Signature Y//! cf'l� _SL�- WORKERS' COMA ENSATION DEC ARATION WhhMNG. rAILURE TL SECUdE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLDYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO DNS HUNDRED THOUSAND DOLLARS (S100,000), IN ADDITION TO THE COST OF COMPENSATION, DPMAGES AS PROVIDED FOR IN SECTION 0708 OF THE LABOR CODE. INTEREST, AND ATTORNEY'S FEES, II herPhy affirm under penalty of perjury one of the following declarations: LJ I have and wit; mal: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 the pri1ennarce of the r-ork for which this permit is issued. Policy No. have and will ,r.amtbin 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` ranee carrier a.iJ pulley number are: of Agent Policy Number Expiration Date Phone #! LIt cs-Pf;' that, in the performance of the work for which this permit is issued'. I shall not employ any person in any Mannar so as to become subject to the workers' compensation laws of California, and agre that, If I mould become subjeck0t";Sel war is' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ` n Signature of Applicant Data T ZV DECLARATION REGAR HGR ION LENDING AGENCY 777--- 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 3097, Civil Code . 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 andthe information 1 have provided is correct. I agree to comply with all applicable city and county ordinances and slate laws relating to building construction. I authorize representatives of this city or county to e}t r t e o -identified property for inspection purposes. �p *- Signature of Property Owner Or Authorized, aril. (/J i Print Property Owner's or Authorized Agent's Nam GrL�- r j- lU-� I rot Data 2iI ACTION DATE By DECLARA ON. OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE. 40 AND AQMD RULE 1403 PERMIT EXPIRED I SUBMITTED ASBESTOS NOTIFICATION TO PERM77CANCELLED�— — - CQ�---iy PERNITEXTENDED —.. � QMO.._._._ PA PCRMITFINAL vyS-lot E ASBESTOS NO] IF ICA I ION 15 NOT 'APPLICABLE' TO CERTIFfCAT£ OF PROPOSED DOOUM�t OCCUPANCY ISSOED I SIGNATIIR