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Home My WebLink AboutX2018-3696 - Permits��w•r.,4 City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2018-3696 3 at 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 1 8 3 6 9 6 Project No Permit Counter Phone (949)644-3288 ^i I t Re uests Phone (949)644-3255 X. nspec ion q Issued Date : 1210712018 C:40 ,µ .a Combination Type - SFP Inspection Area g 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: 1621 ARCH BAY DR NB Description: SFR REPLACE (15) WINDOWS "LIKE FOR LIKE" Legal Desc.: N TR 15222 LOT 18 Owner: CARUANA FRANK C Address: 1621 ARCH BAY DR NEWPORT BEACH, CA 92660 Phone: Applicant: AMERICAN VISION WINDOWS Address: 2125 N MADERA ROAD#A SIMI VALLEY CA 93065 Phone: 888-563-0008 Code Edit : 2016 Type of Construction: VB Occupancy Group: R31U 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: Construction Valuation: $8,700.00 Building Permit Fee: $216.00 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 : $1.00 TOTAL FEE: $217 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Contractor: AMERICAN VISION WINDOWS Address: 2125 N MADERA ROAD#A SIMI VALLEY CA 93065 Phone: 688-563-0008 Con State Lie: 778326 Lie Expire: 06/3112020 Bus Lie: BT30020889 Lie Exp Date: 1013112019 Worker's Compensation Insurance Carrier: STARR INDEMNITY Policy No: 1000002552 Expire: 01101/2019 Building Setbacks Excise Tax: Additional Fee Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: Electrical %: Mechanical %: Plumbing %: Rear: I Front: I Left: I Right: I rarkino SDaces $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Plan Check Fee Architect: Address: Phone: Engineer: Address: Phone: Designer: Address: Phone: Special Conditions: Fire Planning Department - Plan check Fee Fair Share SJH Trans: In -lieu Housing Fee: Public Works Department - Park Dedication : $0.00 PM Plan Check: $0.00 San Dist: $0.00 NMUSD Fee: $0.00 1 � ik State Lie: State Lie: Fire Department $0.00 Fire Inspection: $0.00 Fire Plan Rev $0.00 Demolition Fee $0.00 Building Dept Adm General Service Refund Deposit Grading Bond: $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Fee Due at Permit Issuance : $217.00 PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: 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 the applicable item(s) iection 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 Ie 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 of more than five hundred dollars ($500). 7 I, 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, Iusiness 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 nprovements 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 nproved 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 pply 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). I am exempt from licensure under the Contractors' 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 by this permit, I cannot legall) ell 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 f the applicable law, Section 7044 of the Business and 'rofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi- 'ignature 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 9 (commencing with ec' n 7QQ0 of,D,ivisio 3 of th iness and Proles Code, and my license is in full force nd effect License lass License No D ( — /— S[ o ract Signature WORKERS' COMPENSATION DECLARATION DARNING: FAILURE TO 41CURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMIN L PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE LIST OF COMPFNSATIOra, DAMAGES As PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. hereby affirm under penalty of perjury one of the following declarations: "9ffve 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 th ?re fo, ance a. the work for which this permit is issued. Policy No. Tand will maitain 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' compensatiol .aaace carri,. r and policy number are: :o: r:e: Policy Number Expiration Date Va,aa qi Agent Phone # :1I certify that, in the p`ertormance of the work for which this permit is issued, I shall not employ any person in any manner so as to became subject to the work ompensation laws of California, and agree rtai, rf I should bCco.T,e sub' he workers' com sation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. � � 2 ^ � `� O Signatur of A licaa �- _ Dated 0 7ECLARAiiON'� DI G CONSTRUCTION LENDING AGENCY hereby affirm r penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Code). _ender's Name Lenders Address 3y 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 have provided is correct. I agree to comply with all applicable city and county ordinances and state laws relating to building construction. I authorize representatives of this ci county to er above-iden ' roperty for inspection purposes. signature of Property Owner uth n Print Property Owner's or Authorized Agent's N ACTION D E DECLARATION 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 PERMIT CANCELLED Epq PERMIT EMENDED QMD PERMIT FINAL BE '-f05 NOTIFICATION IS NOT APPLICABLE TO CERTIFICATE OF P DE N /7 OCCUPANCYISSUED T