HomeMy WebLinkAboutX2021-1751 - Permits,�,•��� City of Newport Beach - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
s k Inspection Requests Phone (949)644-3255
Combination Type - SFP
IIIIIIIIIIII�IIIIIII�IIIIIIIIIIIIIII II COMB Project DPermit : X2021-1751
Issued Date : 07/07/2021
Inspection Area : 6
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0710712024 OR PERMIT WILL BE INVALID
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: 1432 SANDCASTLE DR NB -
Description: SFR CHANGE OUT (2) WINDOWS
Legal Desc.: N TR 6152 LOT 90�'
Owner:
MACK JR. CHARLES S
Address:
1432 SANDCASTLE DR
Record Management:
CORONA DEL MAR, CA 92625
Phone:
$0.00
Applicant:
REDIRE ROBIN
Address:
22982 ALCALDE DR #100
Hazardous Mat
LAGUNA HILLS CA 92653
Phone:
714-259-5120
Code Edit : 2019
Type of Construction: VB
Occupancy Group: R3/U
Added /New sq.fl. Bldg: 0
Added /New sq. ft. Garage: 0
No of Stories: 0
No of Units : 1
Bldg Height: 0
Bldg Sprinklers:
Flood Zone: X
Construction Valuation: $2.600.00
Building Permit Fee: $127.00
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: $128.00
PROCESSED BY:
ZONING APPROVAL:
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Pubpyc WoRkS API
U O `PLA96HECK BY:
GRADING APPROVAL: APPROVAL.TO ISSUE:
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Contractor:
Address:
RENEWAL BY ANDERSEN OF OC
22982 ALCALDE DR #100
Architect:
Address:
LAGUNA HILLS CA 92653
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Phone:
714-259-5120
Phone:
State Lic:
rn
Con State Lic:
990416
Engineer:
Lic Expire:
02/28/2022
Address:
Bus Lic:
BT30046925
J
Lic Exp Date:
0413012022
Phone:
State Lic:
Worker's Compensation
Insurance
Designer:
Carrier:
OLD REPUBLIC INS CO
Address:
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Policy No:
MWC31415820
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Expire:
90/0112021
Phone:
Building Setbacks
Rear: /
Special Conditions:
FUEL MOD/HAZARD REDUTION
Front: /
ZONE
Left: I
Right: I
Use Zone: Parking Spaces:
0
Fire Hazard Zone :
Y
Excise Tax:
$0.00
Planning Department
-
Fire Department
Additional Fee :
$0.00
Plan check Fee :
$0.00
Fire Inspection:
$0.00
Grading Bonds Fee:
$0.00
Fair Share :
$0.00
Fire Plan Rev
$0.00
Grading PC Consultant :
$0.00
SJH Trans :
$0.00
Demolition Fee
Grading Permit Fee:
$0.00
In -lieu Housing Fee:
$0.00
Building Dept Adm
$0.00
Grading PC Fee:
$0.00
Public Works Department -
General Service
$0.00
WQ Insp. Fee:
$0.00
Park Dedication :
$0.00
Refund Deposit
$0.00
P/W Plan Check :
$0.00
Grading Bond:
$0.00
Electrical %:
$0.00
San Dist:
$0.00
Mechanical %:
$0.00
NMUSD Fee:
$0.00
$0.00
Plumbing %:
$0.00
-
$0.00
Plan
Check Fee :
$0.00
Fee Due at
Permit Issuance :
$128.00
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Pubpyc WoRkS API
U O `PLA96HECK BY:
GRADING APPROVAL: APPROVAL.TO ISSUE:
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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
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 Cade) 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
not more than five hundred dollars ($500).
❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or U 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).
❑ 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
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' State License Law).
❑ 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 priorto completion of the improvementsovered by this permit, I Cannot legally
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 the applicable law, S tion 7044 of the Business and
Professions Code, is available upon request when this application is submitted or at the following Web site:http:llwww.leginfo.ca.govtcalaw.html.
Signature of Property Owner or Authorized Agent to
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section o) o Di ision 3 of the Business and Pr f sions eVe
is in full force
and effect. License Class License No Date' Contractor Signatur
NORKERS' COMPENSATION DECLARATION
NARNING: 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 1$100,0001, IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 9706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the following declarations:
:11 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, for the
jearmance ofAe work for which this permit is issued. Policy No.
have and VIII maintain work rs', c mpensation insurance„as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers'
Date
of
certify that, in the pedor ne of he ork for which this perml is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agref
I, if I should become su je t t the r ers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
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nature of Applicant at
CLARATION REGA CONSTRUCTION LENDING AGENCY
areby affirm under nalty 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).
__.ider's Name IN 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 prokhe
er's behalf.
I have read this application and the information I have 1 correct.
I agree to comply with all applicable city and county orass state laws relating to building construction.
I authorize representatives of this city or county toe ov - ifi d property for inspection purposes.
Signature of PropertyOwner or Authorized Agent Print Property Owner's or Authorized Ag
ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
1403
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PERMIT EXPIRED U I SUBMIT -FED ASBF,•STOS Nr9TIFICATK:N TO
PERMIT CANCELLED EPA • ° a •' • s s
PERMITEXTENDED q� QMD • ° 1P•• ••
PERMITFINAL '�.WZ� ASBESTOS NOTIFICATION IS NOTAPPLICABLE TO
CERTIFICATE OF PROPOSED DEMOUTIG” •.•
OCCUPANCYISSUED SIGNATURE: s • ••• ••• •• •°O
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