HomeMy WebLinkAboutX2020-1553 - Permitsawn City of Newport Beach - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
' Permit Counter Phone (949)644-3288
A3' Inspection Requests Phone (949)644-3255
''?arerx'x� Combination Type - SFP
COMB Permit: X2020-1553
Project No :
Issued Date: 0710612020
Inspection Area : 1
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 07/07/2023 OR PERMIT WILL BE
Construction Hours., Monday - Friday 7:00 a.m. to 6:30 p.m. and 8A5W.R A 00 p.m. No work on Sundays or Holic
Job Address: 116 VIA WAZIERS NB
Description: SFR CHANGE OUT (E) (13) WINDOWS & (3) DOORS (LIKE FOR LIKE)
Legal Desc.: N TR 907 LOT 359
Owner:
WEGGELAND EDWARD
Address:
2834 RUMSEY DR
Record Management:
RIVERSIDE CA 92506
Phone:
$0.00
Applicant:
RENEWAL BY ANDERSEN OF OC
Address:
22982 ALCALDE DR #100
Hazardous Mat
LAGUNA HILLS CA 92653
Phone:
714-259-5120
Code Edit: 2019
Type of Construction: VB
Occupancy Group: R31U
Added /New sq.ft. Bldg:
Added /New sq. ft. Garage:
No of Stories: 0
No of Units : 1
Bldg Height: 0
Bldg Sprinklers:
Construction
Building Permit Fee: $251.00
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: $252.00
PROCESSED BY:
ZONING APPROVAL:
Contractor:
RENEWAL BY ANDERSEN OF OC
Architect:
Address:
22982 ALCALOE DR 9100
Address:
$0.00
LAGUNA HILLS CA 92653
Phone:
714-259-5120
Phone:
Con State Lie:
990416
Engineer:
Lie Expire:
0212812022
Address:
Bus Lie:
BT30046926
Lie Exp Date:
0413012021
Phone:
Worker's Compensation Insurance
Designer:
Carrier:
OLD REPUBLIC INS CO
Address:
Policy No:
MWC31415819
Public Works Department -
Expire:
10/0112020
Phone:
Building Setbacks
Excise Tax:
Additional Fee
Grading Bonds Fee:
Grading PC Consultant
Grading Permit Fee:
Grading PC Fee:
WQ Insp. Fee:
Electrical %:
Mechanical %:
Plumbing %:
Rear: /
Front: I
Left: I
Right: I
State Lie:
State Lie:
Special Conditions: HIGH DENSITY AREA &
LIQUEFACTION
$0.00
Planning Department -
Fire Department
"
$0.00
Plan check Fee :
$0.00
Fire Inspection:
- -$0.00
$0.00
Fair Share :
$0.00
Fire Plan Rev
$0.00
$0.00
SJH Trans :
$0.00
Demolition Fee
$0.00
In -lieu Housing Fee:
$0.00
Building Dept Adm
$0.00
$0.00
Public Works Department -
General Service
$0.00
$0.00
Park Dedication :
$0.00
Refund Deposit
$0.00
PAN Plan Check:
$0.00
Grading Bond:
$0.00
$0.00
San Dist:
$0.00
$0.00
NMUSD Fee:
$0.00
$0.00
$0.00
$0.00
Plan Check Fee
: $0.00
Fee Due at Permit Issuance :
$252.00
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?UBLiCINORKS APPROVAL:
c o e eI e
PLAN GAE6rn BY:
GRADING APPROVAL: APPROVAL TO ISSUE:
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OWNER -BUILDER DECLARATION
I hereby affirm under penally of perjury that I am exempt from the Contractors' State License Law for the reason(s) indicated below by the checkmark(s) I have plasem•nexd to the applicable items)
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
Irofessions 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 U all of or (_) 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
nproved 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
pply 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).
7 1 am exempt from licensure under the Contractors' State License Law for the following reason:
ly 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)
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, Secti 9n 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.
signature of Property Owner or Authorized Agent Date
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section,,7, �0) o��f ��Wi__si__on��3of the Business and Profs���Isssio d d license is in full force
nd effect. License Class License No Da .7090)
Contractor Signature
IIORKERS' COMPENSATION DECLARATION ((
'ARNING: FAILURE TO SECURE WORKERS' COMPENSAnON 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
OST 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
grformance of the work for which this permit is issued. Policy No.
211 have and wi aintain 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' compensatio
nsurance carrier a3d policy num re:
farrier F li Number Expiration Date
Jame of Agent Phone #
:1I certify that, in the pe
orce 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
hat, if I should becomo th workers' compensation provisions of Section 3700 of the Labor Cade, I shall forthwith comply with those provisions. +�
Signature of Applicant > / • ��
)ECLARATION REGAONSTRUCTION LENDING AGENCY
hereby affirm under pperjury that there 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
3y my signature below, I certify to each of the following:
I am the property owner or authorized to act on the property ner's behalf.
I have read this application and the information I he provide is correct.
I agree to comply with all applicable city and county inance nd state laws relating to building construction.-7
It-1-20:201 authorize representatives of this city or coun e t he a entified property for inspection purposes. fT= W 1
Signature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Nam t`-�+ 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
PERMIT EMENDED
PERMITFINAL ,,�^L
CERTIFICATE OF dE+ R1
OCCUPANCYISSUED
I SUBMITTED ASBESTOS
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