HomeMy WebLinkAboutX2019-1362 - PermitsOccupancy Group: R311.1
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:
Building Permit Fee: $280.00
Plan Check Fee: $0.00
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
City of Newport Beach -Building Division
IIIIIIIIIIIIII�III�IIIIIIIIIIIIIIIIIIIIIIIIIIIII
Energy Compliance:.
$0.00
CA Seismic Safety:
$0.00
Disabled Access :
$0.00
Hazardous Mat
$0.00
Building Green Fee :
COMB Permit: X2019-1362
$0.00
In -lieu Housing Fee
m 0 Civic Center Drive, Newport Beach, CA 92660 _ x 2 0 1 9
Emit Counter Phone (949)644-3288
1 3 6 2
Project No:
Public Works Department -
WQ Insp. Fee:
,,...pection Requests Phone (949)644-3255
Park Dedication : -
$0.00
'c.1 ` Combination Type - SFP
P/W Plan Check:
Issued Date : 04/29/2019
Electrical %:
r
v,�•
$0.00
Inspection Area :. 6
$0.00
NMUSD Fee:
$0.00.
Plumbing %:
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION.
Construction Hours: Monday - Friday 7:00 a.m. to 6:30 and Saturday from 8:00 a.m, to 6:00 No work on Sun'riliys of=Halxoa
Job Address:
p.m.
8 KINGSPORT DR NB
p.m.
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o
Description:
SFR WINDOW C/O (15) •LIKEFOR LIKE`
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Legal Desc.:
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e.e. o
Owner:
YE MING Contractor: RENEWAL BY ANDERSEN OF OC
Architect:
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e
Address:.
8 KINOSPORT DR Address: 22982 ALCALDE DR #100
Address:
.. ,
o
• • °
NEWPORT BEACH, CA 92657 LAGUNA HILLS CA 92653
m °• • •
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Phone:
801-580-6802 Phone: 714.259.5120
Phone:
State Lie: ° ••
°•,° °
°
Applicant:
RENEWAL BY ANDERSEN OF OC Con State Lie: 990416
Engineer:
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e • • • o 0
.Address:
22982 ALCALDE DR #100 Lie Expire: 02/29/2020
Address:
.
e • • 0 0
LAGUNA HILLS CA 92653 Bus Lie: BT30046925
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• • •. o 0
Phone:
714.259-5120 Lie Exp Date: 04/30/2019
Phone:
State Lie: o° .....
• o°
Code Edit:
2016 Worker's Compensation Insurance
Designer.
® e••e.
°.
Type of Construction: V -B Carrier: EVEREST NATIONAL
Address:
•.o°
Occupancy Group: R311.1
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:
Building Permit Fee: $280.00
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
Policy No:. MWC31415800
Expire: 10/01/2019
Building Setbacks Rear: /
Front: /
Left: I
Right: I
Phone:
Special Conditions:
Excise Tax:
$0.00
Planning Department -
$0.00.
Additional Fee:
$0.00
Plan check Fee
Fire Plan Rev
Grading Bonds Fee:
$0.00
Fair Share:
Grading PC Consultant :
$0.00
SJH Trans :
Grading Permit Fee:
$0.00
In -lieu Housing Fee
- Refund Deposit
Grading PC Fee:
$0.00
Public Works Department -
WQ Insp. Fee:
$0.00
Park Dedication : -
$0.00
P/W Plan Check:
$0.00
Electrical %:
$0.00
San Dist:
$0.00
Mechanical W
$0.00
NMUSD Fee:
$0.00.
Plumbing %:
$0.00
TOTAL FEE: $281.00
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Plan Check Fee
$0.00 Fee Due at Permit Issuance : $281.00
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
APPROVAL TO ISSUE:'
Fire Department
$0.00.
Fire Inspection:
$0.00
$0.00
Fire Plan Rev
$0.00
$0.00
Demolition Fee
$0.00
Building Dept Adm
$0.00
General Service
$0.00
- Refund Deposit
$0.00
Grading Bond:
$0.00
$0.00
$0.00
$0.00 Fee Due at Permit Issuance : $281.00
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
APPROVAL TO ISSUE:'
ff
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)
ction 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 requi a applicant for
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 7( 00) of Divisioni of the Nsiness and
fessions 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
more than five hundred dollars ($500).
I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044,
iness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the
rovements argrot intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or
roved forAe pu
•. •rpose of sale).
•
leas owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not
Yto an owneaofProperty who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).
•••
j am exempt from licensure under the Contractors' State License Law for the following reason:
V? signatureobelow I acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legall,
a structurgth$t9 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
fessions Code, is -available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html.
Ature of PropertyOwner or Authorized Agent I Date
FUSED CLATAACTOR'S DECLARATION
reby affirm uryder penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7 0) o Div i 3 of the Business and Profe 4 ion Code nd my license is in full force
.affect. License Qlass License No Date Contractor Signature oft
IRKERS'G'O@IMNSATION DECLARATION
NINE: FAILURE TO SE4PURE 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 ADDITION TO THE
I PP COMPEySATION,CDAMAGES AS PROVIDED FOR IN SECTION 5700 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
reby 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, for th
a[mance of the work for which this permit is issued. Policy No.
have 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' compensatioi
mance carrier and %Qlic number are:
'ler 0L} O ���L1C. Policy Number �.N7L �� (� �W Expiration Date
ie of Agent Phone #
JI certify that, in theksct
� 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' compen atiol laws of California, and agre
hat, if I should becoma workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
3ignature of ApplicanV D )ECLARATIONREGONSTRUCTION LENDING AGENCY
hereby affirm undererjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3 97, Civil 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 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 c un o�ncesnd state laws relating to building construction.
I authorize representatives of this city or coun to e -identified property for inspection purposes. tJ n.^ N`�� G
3ignature of Property Owner or Authorized A ent Print Property Owners or Authorized Agent's Nam 1i'''��'�� D to Z�
ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AC MD RULE
1
PERMIT EXPIRED I SUBMITTED ASBESTOS NOTIFICATION TO
PERMITCANCELLED DEPA
PERMIT EXTENDED QMD
PERMIT FINAL ,C / SBESTOSTIFICAT NIS -NOT APPLICAeLE TO
CERTIFICATE OF �Jr/1 1 ROP DDE ON
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