HomeMy WebLinkAboutX2019-3340 - Permits�r�Wi•r,� City of Newport Beach - Building Division
..,. ¢ 100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
is y Inspection Requests Phone (949)644-3255
Combination Type - MFP
IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2019-3340
x 2 e 1 9 3 3 4 e Project No :
Issued Date : 1012212019
Inspection Area : 8
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: 1131 GRANVILLE DR NB
Description: MFR REMOVEIREPLACE WINDOW (1) *LIKE FOR LIKE*
Legal Desc.: TRACT 14839 LOT 1 OF PROJECT 939-63 LOCATED ON AP 442-421-13
Owner:
HENGER CHARLETTA
Contractor:
RENEWAL BY ANDERSEN OF OC
Architect:
S r-���
Address:
1131 GRANVILLE DR
Address:
22982 ALCALDE DR #100
Address:
NEWPORT BEACH, CA 92660
LAGUNA HILLS CA 92653
Phone:
Phone:
714-259.5120
Phone:
State Lie:
Applicant:
RENEWAL BY ANDERSEN OF OC
Con State Lie:
990416
Engineer:
Address:
22982 ALCALDE OR #100
Lie Expire:
0212912020
Address:
LAGUNA HILLS CA 92653
Bus Lie:
BT30046925
Phone:
714-259-5120
Lie Exp Date:
04/30/2020
Phone:
State Lic:
Code Edit : 2016
Type of Construction: V-B
Occupancy Group: R21U
Added /New sq.ft. Bldg: 0
Added /New sq. ft. Garage: 0
No of Stories: 2
No of Units: 16
Bldg Height: 0
Bldg Sprinklers:
Construction Valuation:
Building Permit Fee: $104.00
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: $105.00
PROCESSED BY:
ZONING APPROVAL:
Worker's Compensation Insurance
Cartier: OLD REPUBLIC INS CO
Policy No: MWC31415819
Expire: 10/0112020
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: /
Left: I
Right: I
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Designer:
Address:
Phone:
Special Conditions:
Fire Hazard Zone, N
Planning Department -
Plan check Fee
Fair Share
SJH Trans
In -lieu Housing Fee
Public Works Department -
Park Dedication :
$0.00
PNV Plan Check:
$0.00
San Dist:
$0.00
NMUSD Fee:
$0.00
Plan Check Fee : $0.00
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
Fee Due at Permit Issuance : $105.00
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
GRADING APPROVAL: 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)
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
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
'rofessions 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 "vil penalty of
of more than five hundred dollars ($500).
1 I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044,
lusiness 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
n roved 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 licensors 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 legally
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 of 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://ww✓✓.leginfo.ca.gov/calaw.html.
signature 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 Section 700 of Division 3 of the Business and P es ns C de, and my license is in full force
nd effact. License Class License No Date d ✓ZZ- Contractor Signat e
JORKERS' COMPFNSATION DECLARATION
'A ININU: FAILURE TO ScCURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMIN L PENALTIES AND CIVIL FINES UP TO ONE H NDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
OSI (IF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereh� affirm unaer penalty of perjury one of the following declarations:
I.a✓e 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
,magce of the work for which this permit is issued. Policy No.
ave and wid 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' compensation
m,x_ carrier and polic number are: f
3. 011Z I -i5y. Policy Number rA �C3144 Sq I.'� Expiration Date /0 1 J'
e of Aaent Phone #
certify that, in the perfonce 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
, if I should become suWWt to)IW workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
ignature of Applicant 1' ' ` t v
DECLARATION REGA ING CONSTRUCTION LENDING AGENCY
hereby affirm under p nSilty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued
ender's Name Lender's Address
y my signature below, I certify to each of the following:
I am the property owner or authorized to act on the property owners behalf.
I have read this application and the information I hakR provided is correct.
I agree to comply with all applicable city and county Ina ces and state laws relating to building construction.
I authorize representatives of this city or county toe r the above -identified property for inspection purposes.
of Prooertv Owner or Authorized
ACTION
PERMIT EXPIRED
PERMITCANCELLED
I DATE I BY
OF COMPLIANCE WITH CODE OF FEDEI
PART 61 OF TITLE 40 AND AQMD RULE
I SUBMITTED ASBESTOS NOTIFICATION TO
PERMITFINAL 01/OVZ(3 �F{•'- JASBE TO IFICA 10 SNOTAPPLICABLE TO
CERTIFICATE OF PROPOSED EM TION
OCCUPANCYISSUED
FOR OFFICE USE ONLY
compensation laws of California, and
Civil Code).
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