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Home My WebLink AboutX2019-2557 - Permits1 City of Newport Beach - Building Division��III III IIIIIII IIIIII IIIIIIIIIIIIIIIIIg it COMB Permit: X2019-2557 $0.00 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 1 9 2 5 5 7 Project No: $0.00 - CA Seismic Safety: Permit Counter Phone (949)644-3288 Disabled Access : - $0.00 Hazardous Mat $0.00 Inspection Requests Phone (949)644-3255. $1.00 $0.00 Fire Plan. Rev .$0.00 - SJH Trans : Issued Date: 2019 $0.00 err°1` Combination Type - MFP In -lieu Housing Fee: $0.00 Building Dept Adm $0.00 Public Works Department - Inspection Arearea ; 8 General Service $0.00 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. $0.00 Refund Deposit 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 PAN Plan Check-:: Job Address: 26 CHATHAM CT NB Grading Bond: $0.00 - Description: MFR CHANGE OUT (11) WINDOWS & (1) FRENCH DOOR $0.00 NMUSD Fee: Legal Desc.: TR 11451 LOT 1 UNIT 25 OF PROJECT LOCATED ON AP 442-371-05 TOGETHER $0.00 Z Owner,. MUFFIE JAMES Contractor: RENEWAL BY ANDERSEN OF OC Architect; Address: 26 CHATHAM CT #25 Address: 22982 ALCALDE DR #100 Address: NEWPORT BEACH CA 92660: LAGUNA HILLS CA 92653 Phone. Phone: 714-259-5120 Phone: State Lie: dJ Applicant: RENEWAL BY ANDERSEN OF OC Con State Lie: 990416 ' Engineer: Address: 22982 ALCALDE DR #100 Lie Expire: 0212912020 Address: ` J LAGUNA HILLS CA 928$3 Bus Lie: BT30046925 Phone. .714-259-5120 Lie Exp Date: 04130/2020 Phone: - -----State-Lie. -.-- _ Code Edit_ 2016 Type of Construction: VB _ Occupancy Group: R21U Added /New sq.ft.. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 2 No of Units : 0 Bldg Height: 0. Bldg Sprinklers:. Flood Zone: X 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 TOTAL FEE: $281.00 Worker's Compensation Insurance Carrier: EVEREST NATIONAL Policy No:.. MWC31415800 Expire: 10101/2019 ,. Building Setbacks Rear: I Fire Department Front: / Plan check Fee : Left: / $0.00 Right: / Excise Tax: Additional Fee: Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: Electrical %: Mechanical %: Plumbing %: Designer: Address: Phone: Special Conditions: Parking Spaces: 0 Fire Hazard Zone : N $0.00 Planning Department- Fire Department $0.00 Plan check Fee : $0.00 Fire Inspection:. $0.00 Fair Share.: $0.00 Fire Plan. Rev .$0.00 - SJH Trans : $0.00 Demolition Fee $0.00 In -lieu Housing Fee: $0.00 Building Dept Adm $0.00 Public Works Department - General Service $0.00 Park Dedication: $0.00 Refund Deposit PAN Plan Check-:: $0.00 Grading Bond: $0.00 San Dist: $0.00. $0.00 NMUSD Fee: $0.00 $0.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance: PROCESSED BY: \ a� 6 m m 6 ®° PUBLIC WC.RKS APPROVAL: ZONING APPROVAL: PLAN CHECK BY: GRADING APPROVAL: m m `' APPROJAI,. TO ISSUE: u oca mme om m c coo mmo $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $281.00 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 L) all of or L) 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 im 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 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 prior to completion of the improvements covered by this permit, I cannot legall, 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, Section 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.htmi. 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 Section0) of Division 3 of the Business and Professiins Cyode, and my license is in full force and effect. License Class License No Date Contractor Signature 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 ($100,000), IN ADDITION TO THE 30ST 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, for th to%ormance of the work for which this permit is. issued. Policy No. P9I have and '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 insurance carrier�a o policy numberrpipi - 11 _ . Carrier all Expiration Date Name of Agen (" Phone # ❑I certify that, in the performance of th4 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 that, if I should become s j tt to th�r�w,orrk�ers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Signature of Applicant. :f NN 1 V � Py,� V DECLARATION REGtRDWG CONSTRUCTION LENDING AGENCY l I 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). Lender's Name Lender's Address By 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 or inan sand state laws relating to building construction. I authorize representatives of this city or coun to n the a ve-identified property for inspection purposes. 1� I I Signature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Nav e ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE - 1403 PERMIT EXPIRED 0 I SUBMITTED ASBESTOS NU FI CAIJONTO• PERMIT CANCELLED EPA • • •• PERMIT EMENDED a QMD PERMITFINAL p j� ASBESTOS NO ATION IS NOT APPLICABLE TO CERTIFICATE OF p2 j0-;5-Iq /Nv� PR POSED OL TI N • •e• • • V • •aw OCCUPANCY ISSUED SIGNATURE: • • • • • • • e