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HomeMy WebLinkAboutX2019-3707 - Permitswro City of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 cr Inspection Requests Phone (949)644-3255 Combination Type - MFP III IXI�II VIII 0�III VIII III �III�3 VIII VIII 0�I I7 III COMB Permit: X2019-3707 Project No : Issued Date: 11119/2019 Inspection Area : 3 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: 738 TUSTIN AVE NB St: 1 FI: 1 Unit: F ° Description: MFR WINDOW (4) AND DOOR (2) CHANGE OUTS *LIKE FOR LIKE* ' • • ° Legal Desc.: ` e • e • mmmmmm mmmeom Owner: KERNS BRYAN 8 DENINE Contractor: RENEWAL BY ANDERSEN OF OC Architect: Address: TUSTIN AVE APT F Address: 22982 ALCALDE DR #100 Address: S - U ° °o NE NEWPORT BEACH, CA 92663INSPE LAGUNA HILLS CA 92653 �•/ I m s e Phone: 949-689-7078 Phone: 714-259.5120 Phone: State Lic: • ®®®• ' • • m Applicant: RENEWAL BY ANDERSEN OF OC Con State Lic: 990416 Engineer: • .° ° • m eo n •' • ° Address: 22982 ALCALDE DR #100 Lic Expire: 02129/2020 Address: e m . LAGUNA HILLS CA 92653 Bus Lic: BT30046925 ° Phone: 714.259-5120 Lic Exp Date: 04130/2020 Phone: State Lic: ®®• ®� Code Edit : 2016 Worker's Compensation Insurance Designer. m m o • • • • ° m Type of Construction: Carrier: OLD REPUBLIC INS CO Address: o m m • • • Occupancy Group: R21U Policy No: MWC31415819 • m m m Added /New sq.ft. Bldg: 0 Expire: 10/0112020 Phone: Added /New sq. ft. Garage: 0 No of Stories: 2 Building Setbacks Rear: / Special Conditions: No of Units : 1 Front: / Bldg Height: 0 Left: I Bldg Sprinklers: Right: I Flood Zone: Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $8.200.00 Building Permit Fee: $216.00 Excise Tax: $0.00 Planning Department- Fire Department Plan Check Fee: $0.00 Additional Fee : $0.00 Plan check Fee : $0.00 Fire Inspection: $0.00 Overtime Plan Ck: $0.00 Grading Bonds Fee: $0.00 Fair Share : $0.00 Fire Plan Rev $0.00 Investigation Fee: $0.00 Grading PC Consultant : $0.00 SJH Trans : $0.00 Demolition Fee Record Management: $0.00 Grading Permit Fee: $0.00 In -lieu Housing Fee : $0.00 Building Dept Adm $0.00 Energy Compliance: $0.00 Grading PC Fee: $0.00 Public Works Department- General Service $0.00 CA Seismic Safety: $0.00 WQ Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $0.00 Disabled Access : $0.00 PAN Plan Check: $0.00 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical %: $0.00 San Dist: $0.00 Building Green Fee : $1.00 Mechanical %: $0.00 NMUSD Fee: $0.00 $0.00 Plumbing %: $0.00 $0.00 TOTAL FEE : $217.00 Plan Check Fee: $0.00 Fee Due at Permit Issuance : $217.00 PROCESSED BY: PUBLIC WORKS APPROVAL: ZONING APPROVAL: PLAN CHECK BY: GRADING APPROVAL: 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 applicabfp,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 :he 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 Orofessions 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 Tot more than five hundred dollars ($500). ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do U all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or 'mproved for t4ARXIp$e of sale). 0 I, a,s 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<o an owrgPer of poperty who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). ❑ I qm exempt from ficensure under the Contractors' State License Law for the following reason: Bymy signature bt low 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, 1 cannot legally Sell asstructure tlaat 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 etq(eSsjons Co4i9,'i1 available upon request when this application is submitted or at the following Web site:http://V w .leginfo.ca.gov/calaw.html. Signet -ire of Progefty Qwner or Authorized Agent ate LiGENSED COJJJPjACTOR'S DECLARATION Lheroby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7 00 of ivision 3 of the Business and Profe i ns C , and my license is in full force grA,P (q,t. License Class License No Dat Contractor Signature INdRKtRS' OjMP*SATION DECLARATION 4ARNIN8oFAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRI INAL PE LT JESANDCIVIL FINES UP TO ONE HUND EO THOUSAND DOLLARS ($100,000), IN ADDITION TO THE DOST OF GOMPEN%IPdbV, *MAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. •71• I hereby affirm untJti'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 thi eormance 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' compensatior IiIInsrl��ance c rrier and policy number are: Ex kation Date 1e of Agent certify that, in the p1 if I should become Policy Number p Phone # 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 he workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ignature of Applicant v IECLARATION REGAR I CONSTRUCTION LENDING AGENCY hereby affirm under pe alty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 097, Civil Code). ender's Name Lender's Address Iy my signature below, I certify to each of the following: I am the property owner or authorized to act on the property owners behalf. I have read this application and the information I a e provided is correct. I agree to comply with all applicable city and cou ty rdina as and state laws relating to building construction. 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