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Home My WebLink AboutXR2023-0065 - Permits"i" w 0" City of Newport Beach O � Community Development Department- Building Division F :.y. 100 Civic Center Drive, Newport Beach, CA 92660 u = Permit Counter Phone: (949) 71 B-1888 newportbeachca.gov/civic Q" ,-Po "" Combination Type - SFP Work Class - Window and Door Change Out ONLINE X R 2 0 2 3 0 0 6 5II COMB Permit : XR2023-0065 Plan Check No: Issued Date : 02/16/2024 Final Date: Permit Status: Reissued Inspection Area : (0 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION, BUT NO LATER THAN 3 YEARS l ORI—INAL 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 : 27 CALAIS Legal Desc : Description : Replace 15 windows with new Renewal by Andersen windows into existing openings. All title 24 & egress compliant Owner: MICHAEL & LAUREN HURWITZ Contractor: RENEWAL BY ANDERSON LLC Architect Address : 27 CALAIS Address : 22982 ALCALDE DR Address NEWPORT COAST, CA 92657 LAGUNA HILLS, CA 92653 Phone : (949) 233-1889 Phone : (949) 273-1390 Phone Con State Lid : 990416 State Lic Lic Expire : 07/31/2025 Applicant : RENEWAL BY ANDERSON LLC Bus Lic : BT30046925 Engineer Address : 22982 ALCALDE DR Bus Lic Expire : 04/30/2024 Address LAGUNA HILLS, CA 92653 Phone: (949) 273-1390 Workers' Compensation Insurance Phone: Carrier: OLD REPUBLIC Owner/Builder : MICHAEL & LAUREN HURWITZ Policy No: MWC31415823 Designer Address : 27 CALAIS W. C. Expire : 10/1/2024 Address NEWPORT COAST, CA 92657 Phone: (949) 233-1889 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: I hereby affirm under penalty of perjury that I. am exempt from the Contractors' State License Law for the reasori indicated below by the checkmark(s) I have placed next to the applicable Item(s) ;Section 7031,5, BUSIneSS and Professions Cade: 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 signedstatement 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 ]'censure and the basis for the alleged exemption. Any violation of Section 7031.5 by any epplicaat fora permit subjects the applicant to a Civil penalty of not more than five hundred dollars (1500). 71 1, as owner of the property, or my employees with wages as their safe compensation, will do L) all of or L) portions of the work, and the structure Is not Intended or offered for sale (Section 7044, Business and Protessic.is 1�cde. The Cc,.nm.:nrzState License Law does not apply to an owner of property who, thmugh employees' or personal effort, builds or improves the property, provided that the Improvements are not Irleitdec or offure.l for sale. if however, the building orlmprovement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was nat 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' Stale License Law does not apply to an owner of properly wko Mild.; o- improves. thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). Ell am exempt fromocensure uncar ['Ie Cnmraclais' Slate License Law for the following reason By my signature below 4ck-c,.,,iedge cal, axcaLt for my personal road a r c a in which I must have resided for at isaat ono year prior to completion of the improvements covered by this permit, I.Can noI Jag all) so If a aIrucitto that I have built as an ovmor-bulldog I it IIas not been constructed in its ontircty by Iicon sad contractors. I understand that a copy of the applicable law, 5act]on 7044 of the Business and Professions Code, is available upon request when this application is submitted or at the following Web site:http:!lwww.leginfo.ca. govlcatow.III ant . 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 of Chapter 9 (commencing with Section 7000 of I is! 3 f e Business and Profession do and my license is In full force and effect. License Class License No Date contractor Signature 47 _O WORKERS' COMPENSATION DECLARATION L WARNING: 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 ($100,000). IN ADDITION TO THE COST OF COMPENSATION, OAMACEs As PROVIDED FOR IN SECTION 3709 OF THE LABOR CODE, INTEREST, AND ATTORNEY's Fees. I 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 Relationsas provided for by Section 3700 of the Labor Code, for On perforrortince 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 permitis issued. My workers' ranee carrier and policy number are: Policy Number Date no of Agent 1— 11 certify that. in the performance 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 workers' compensation laws of California, and agre I, if I should become subjecti/tpttt�)a work ITS' compensation provisions of Section 3700 of the Labor Code. I shall forthwith comply with those provisions. / nature of Applicant ! Y [— __ Date —%i� ' 1(J CL.ARATIGN REGARDING CDNSTR ION DWG AGENCY areby affirm underpenatty 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). ides s Name Lenders Address my signature below, I certify to each of the following: I am The property owner or authorized to act on the properly owner's behalf. I have read this application and the information I have provided is correct. I agree to comply with all applicable city and county ordinances and state taws relating to building construction.- 1 authorize representatives of this city or county to n rthe�abmve-identified property for inspection purposes. ,.-,i, — ,.f o..,,,e rr—. r a ehnrive,t ArI ,It jC Print Property Owner's or Authorized Agent's Name ti✓ ) -� j'' Y/C/t-E Date s DATE BY kJE LARATION.OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY I REGULATIONS PART 61 OF TITLE a0 AND AOMD RULE 1403 PERMITEXPIRED 0 1 SUBMITTED ASBESTOS PERMIT CANCELLED j MEPA PERMIT FINAL V�4 ASBESTOS NOTIFICAXON 15 NOT APPLICABLE TO CERTIFICATE Of PROPOSEO DE IT10N OCCUPANCY195UED SIGNATURl __ —