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Home My WebLink AboutXR2024-5170 - Permits (3)�EWPOR City of Newport Beach IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COW) Permit: X�iGQ24-517U Community Development Department- Building Division X R 2 0 2 4 5 1 7 0 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No Permit Counter Phone: (949) 718-1888 Issuer Date newportbeachca.gov/civic Final Date: Cq(.IFDRN`P Combination Type - SFP Permit Status: Applied Work Class -ADDITION/ALTERATION Insyect,on 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 : 1533 CUMBERLAND LN Legal Desc : N TR 1896 BLK LOT 17 Description: SFR REPLACE (4) WINDOWS WITH RETROFIT WINDOWS *SAME SIZE SAME LOCATION* Owner: DOOLAN BONNIE M TR B Contractor: RENEWAL BY ANDERSEN LLC Architect Address : 1533 CUMBERLAND LN Address : 22982 ALCADE DR, 100 Address NEWPORT BEACH, CA 92660 LAGUNA HILLS, CA 92653 Phone: (949) 355-3947 Phone: (714) 259-5120 Phone: Con State Lie : 990416 State Lie Lie Expire : 07/31/2025 Applicant: SCOTT DOUGHMAN Bus Lie: BT30046925 Engineer: Address: 105 BUTTONBALL LN Bus Lie Expire : 04/30/2025 Address GLASTONBURY, CT 06033 Phone: (860) 952-4112 Workers' Compensation Insurance Phone: Carrier: OLD REPUBLIC INSURANCE COMPANY Owner/Builder: Policy No: MWC31415821 Designer: Address : W. C. Expire : 10/1/2024 Address Phone: Phone: Code Edition: 2022 Fire Sprinklers : NO Construction Valuation : $3,400.00 10 Type of Construction : V-B Fire Hazard Zone: NO Added/New/TI sq. ft. Bldg: Occupancy Groups : R-3 No of Units : 1 Alteration sq. ft. Bldg : 10 Bldg Height: No of Stories : 1 Add/New sq. ft. Garage: 0 TOTAL sq. ft. ,0 Building Setbacks : Front: 20, Side: 4, Side: 4, Rear: 10 Flood Zone : X Use Zone: R-1 - Single -Unit Residential j PROCESSED BY: SPECIAL CONDITIONS: �s173i �;:�D OWNER -BUILDER DECLARATkOh' thereby affirm under penalty of pejwLy thOI an t xew;n from the (bntractors' State License Law for the reason(s) indicated below by the eheckrnark(s) I have placed next to the applicable items) (Section 7031.5, Business and Professions Code: Any cty or t.ounty f at 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 no or ehe 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 7031.6 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). El 1, as owner of the property, or my e,np:Oy3es wth wages as their sole compensation, will do (_) all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044, Business and Professions Code: Tta Pontrnctors' :Slate Li,:ense Law do.s , tot 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 o,fered,fo_rsale. IL .Iow(,ver, th€ b0ld:'ng Cr 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 property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' Slate License Law). 11 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 legal], 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 theapplicable law, Section 7044 of the Business and Professions Code, is available upon request when this application is submitted or at the following Web site:hitp:liwww.leginfo.ca.govicalaw.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 of Chapter 9 (commencing with Section 000) of Division 3 of the Business and Proje�ssipns ode my liceyjssir/rftrll force and effect. License Class License No Date Contractor Signatures f/�"� i WORKERS' COMPENSATION DECLARATION MANNING: 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 ADDRION TO THE COST OF COMPENSATION, 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: 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, forth air yataQce of the work for which this permit Is issued. Policy No. JI hav 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' compensatiol I nce carrier and policy number are: ;artier Policy Number Expiration Date dame of Agent Phone # -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 hat, if I should bec me su act to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. 3gnaiure of Applicanf __...._� Data 5 113' 2 )ECLARATION REGARDING nCONSTRUC ION LE DING 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). .enders Name Lender's 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 city or cou ty to enter the above -identified pr rl1' for inspection purposes. -t- 3i nature of Property Owner or Authorized Agent Print PropertyOwner's or Authorized A eri Name AU I 1 ��1n Z- Data 13 ACTION DATE ( BY I DECLARATION OF C6MPUAkC9i CODE OF FEDERAL FOR OFFICE USE ONLY i REGULATIONS PART 61 OF TITLE 40 AND AOMD RULE PERMiTEXPiRED LJ I SUBMITTED ASBESTOS NOTIFICATION TO PERMITCANCELLED i EPA PERNITEXTENDED QMD PERMITFINAL KSTOS NOTIFICATION IS NOTAPPLICABLE TO CERTIFICATE OF 7 2�( rich OCCUPANCY 155UED , 3 IGNATURE:` !' % D RNNNNNNY Iu PSN D c 3° E 0 m » 0000� p °1 `n 3 c m 3 3 3 0 0 `a 3 m 0 Om N C-A N n N dON mm mm T. p1 a 3 c o:T o 0 o O N ro Sa" oc yXN FZZ, 6 zi m 0 ao V a n f. r o N ;0, g x >>>>O A? 00 u in T? fAil m r cc 0 . 3 a o n W w a IF !7 N Cm)Cm'1z A x -� w Z, N c o v N w�.3 nnom� 3 s m s" Ya. 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