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HomeMy WebLinkAboutX2021-2107 - Permits (3)�rx.,•,.,,� City of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 cr C Inspection Requests Phone (949)644-3255 Combination Type - SFP Job Address Descriptions Legal Desw: Owner: Address: Phone: Applicant: Address: Phone: *X2021-2107* U 'SPE1 iV COMB Permit: X2021-21 Project No : Issued Date : 08/10/2021 Inspection Area : 2 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST SE COMPLETED BY 0811012024 OR PERMIT WILL BE INV, 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 1305 N BAY FRONT NB SFR CHANGE OUT (2) WINDOWS *NO HEADER CHANGE* BALBOA ISLAND SEC 4 BLK 13 LOT 18 RUBELI PAUL 1305 NORTH BAY NEWPORT BEACH, CA 92662 602-663-4933 RENEWAL BY ANDERSEN OF OC 22982 ALCALDE DR #100 LAGUNA HILLS CA 92653 714-259-5120 Code Edit : 2019 Type of Construction: V-B Occupancy Group: R3/U 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: Flood Zone: Construction Valuation: $1,500.00 Building Permit Fee: $110.00 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: $111.00 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Contractor: RENEWAL BY ANDERSEN OF OC Architect: ..I Address: 22982 ALCALDE DR #100 Address: G LAGUNA HILLS CA 92653 co U Phone: 714-259-5120 Phone: State Lic: Con State Lic: 990416 Engineer: Lic Expire: 0212812022 Address: C i® Bus Lic: BT30046925 X (� Lic Exp Date: 0413012022 Phone: State Lic: Workers Compensation Insurance Designer: Carrier: OLD REPUBLIC INS CO Address: Z Policy No: Expire: MWC31415820 10/01/2021 Phone: (n Building Setbacks Rear: / Special Conditions: Q Front: / Left: / Right: / Use Zone' Parking Spaces: 0 Fire Hazard Zone : N 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 PM/ 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 : $111.00 1 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) (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 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 not more than five hundred dollars ($500). I, 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). 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 dces 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). I 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 legal1 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, action 7044 of the Business and Professions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htm]. 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 7 ) of vis on 3 of the Business and Pr a sic ode n my license is in full force and effect. License Class License No Date Contractor Signature NORKERS' COMPENSATION DECLARATION ✓ - J I ✓ ) YARNING: 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 15100,0001, IN ADDITION TO THE :DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: I 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 ierformance of the work for which this permit is issued. Policy No. ave 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 ura snce carrier and policy number are: 'Y _ ;arrier d9L� 1K�1M3Ll(- Policy Number mwZ-3N) t1b Expiration Date I ' Jame of Agent N Phone # I certify that, in the perform a of the r for which this permit is issued, I shall not employ any person in any manner so as to become subject to the worker compensati h laws of California, and agre hat, if I should bec a bjec t t e war rs' mp ation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. /'� signature of Applicant Date �5 y )ECLARATION REGARD G O STRUCTION LENDING AGENCY 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, Ci I Code). .ender's 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 party o ner's behalf. I have read this application and the information I ha rovide i orrect. I agree to comply with all applicable city and coun � 1 ances tat s relating.to building construction. 1 authorize representatives of this city or county e t ab -id fled property for insp-etion purposes. '11 signature of Property Owner or Authorized A en Print Property Owner's or Authorized Agent's Name N Date ACTION DATE BY RATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED I SUBMITTED AS ESTOS NOTIFICATION TO PERMIT CANCELLED "ATL�,F PERMIT EXTENDED PERMIT FINAL p�l,.p...IS APPLICABLE TO CERTIFICATE OF -20-21 L OCCUPANCYISSUED