HomeMy WebLinkAboutX2019-2761 - Permitsway City of Newport Beach - Building Division
"- 100 Civic Center Drive, Newport Beach, CA 92660
+, Permit Counter Phone(949)644-3288
Inspection Requests Phone (949)644-3255
�4roa`° Combination Type - SFP
COMB Permit: X2019-2761
Project No :
Issued Date: 0 910 51201 9
Inspection Area : 2
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: 543 REDLANDS AVE NB
Description: SFR CHANGE OUT (10) WINDOWS, LOWER (2) OF WINDOWS HILL TO MEET EGRESS
Legal Desc.: FIRST ADD TO NEWPORT HEIGHTS BLK 33 LOT 14
Owner:
PETITGOUT GERALD L
Address:
543 REDLANDS AVE
Occupancy Group:
NEWPORT BEACH, CA 92663
Phone:
0
Applicant:
AMERICAN VISION
Address:
2125 N MADERA ROAD#A
No of Units :
SIMI VALLEY CA 93065
Phone:
- 888-563-0008
Code Edit:
2016
Type of Construction:
VB
Occupancy Group:
R3
Added /New sq.ft. Bldg:
0
Added /New sq. ft. Garage:
0
No of Stories:
1
No of Units :
1
Bldg Height:
0
Bldg Sprinklers:
N
Flood Zone:
X
Building Permit Fee: $264.00
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: $265.00
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Contractor:
AMERICAN VISION
Address:
2125 N MADERA ROAD#A
Fire Department
SIMI VALLEY CA 93065
Phone:
888-563-0008
Con State Lie:
778326
Lie Expire:
0513112020
Bus Lie:
BT30020889
Lie Exp Date:
10/3112019
Worker's Compensation Insurance
Carrier:
STARR INDEMNITY
Policy No:
1000002552
Expire:
01/01/2020
Building Setbacks Rear: /
Front: I
Left: /
Right: I
Use Zone: Parkina Soa
0
Architect
Address:
Phone: State Lie:
Engineer:
Address:
Phone: State Lic:
Designer:
Address:
Phone:
Special Conditions:
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
PAN 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 :
$265.00
a® s
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PLAN CHECK BY:
,APPtjOY/AL 40 ISSUE:
V G O
V
V iG �t
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
is 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 civil penalty of
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 U 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
Jroved 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 does not
5ply 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:
Iy mysignature 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 legalh
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://www.leginfo.ca.gov/calaw.htmi.
ignature of Property Owner or Authorized Agent Date
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of rjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Prof ssions Code, and my license is in full force
nd effect. License Class '� License No?9.3L Date _ S Fp 2q Contractor Signature
✓ORKERS' COMPENSATION DECLARATION
ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLAR ($100,000), IN ADDITION TO THE
OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3708 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the following declarations:
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
pence of the work for which this permit is issued. Policy No.
and will
carrier
of Agent
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'
number ar
�er Expiration Date
Phone #
JI certify that, in the performance 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' compensation laws of California, and agre
iat, if I should become su ect to the workers' comp sation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
',ignature of Applicant V _
IECLARATION REGASTRUC N LENDING AGON
hereby affirm under p alt perjury thgKhere is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
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 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 ordinances and state laws relating to Ilding construction.
I authorize representatives of this city or county lip enter the above -identified property f pection purposes.
ACTION DATE L BY (�Jj' DECLARATIOIV.OF COMPLIArrcE WITH CODE OF FEDERAL FOR OFFICE USE ONLY r L
" REGULATIONS PART61 OFTITLE 40 AND AQMD RULE
1403
PERMITEXPIRED I UI SUBMITTED ASO STOS OTIFI TION:O* �•
PERMITCANCELLED EPp • e • • •s e s
PERMITEXTENDED• ` "`
QMD
PERMITFINAL AS STOS NOTIFICATION 15 NOT APPLICABLE TO
CERTIFICATE OF /lR P SED DEMO TI
OCCUPANCYISSUED UJ
SIGNATURE: ` ` ` ` `
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