HomeMy WebLinkAboutX2018-1748 - Permitshod City of Newport Beach - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
ti • s Permit Counter Phone (949)644-3288
ea - Inspection Requests Phone (949)644-3255
Combination Type - SFP
COMB Permit: X2018-1748
IIIIIIIIII�IIIIIIII�IIIIIIIIIIIIIIIIIIIIIIIIII II
Project No :
Issued Date: 06/0712018
Inspection Area: V £f
PERMITS EXPIRE 180 DA VS 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:
Description:
2239 PORT LERWICK PL NB
SFR - C/O 11 WINDOWS LIKE FOR LIKE
Legal Desc.:
N TR 7845 LOT 50
Owner:
KRATZBERG KEITH M
Contractor: AMERICAN VISION WINDOWS Architect:
Address:
2239 PORT LERWICK PL
Address: 2125 N MADERA ROAD#A Address:
NEWPORT BEACH, CA 92660
SIMI VALLEY CA 93065
Phone:
Phone: 888-563-0008 Phone:
State Lic:
Applicant:
AMERICAN VISION WINDOWS
Address:
2125 N MADERA ROAD#A
SIMI VALLEY CA 93066
Phone:
888-563-0008
Code Edit: 2016
Type of Construction: V-B
Occupancy Group: R31U
Added /New sq.ft. Bldg:
Added /New sq. ft. Garage:
No of Stories: 2
No of Units : 1
Bldg Height: 0
Bldg Sprinklers:
Construction Valuation:
Building Permit Fee: $112.00
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: $113.00
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Con State Lic:
778326
Lic Expire:
0513112020
Bus Lic:
ST30020889
Lic Exp Date:
10/31/2018
Worker's Compensation Insurance
Carrier: STARR INDEMNITY
Policy No: 1000002552
Expire: 01101/2019
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: /
Left: /
Right: /
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Engineer:
Address:
Phone:
Designer:
Address:
e
Phone:
Special Conditions:
Planning Department -
Plan check Fee
Fair Share:
SJH Trans :
In -lieu Housing Fee:
Public Works Department -
Park Dedication :
$0.00
PAN Plan Check :
$0.00
San Dist:
$0.00
NMUSD Fee:
$0.00
State Lic:
Fire Department
$0.00
Fire Inspection:
$0.00
Fire Plan Rev
$0.00
Demolition Fee
$0.00
Building Dept Adm
General Service
Refund Deposit
Grading Bond:
Plan Check Fee: $0.00 Fee Due at Permit Issuance
$0.00
$0.00
$0.00
$04 0.°
$QQQo oo°° o
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$0.0% • ` . c
$QilQo •• o
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PUBLIC WORKS APPROVAL:
. e
PLAN CHECK BY: a°Op0°
APPROVAL TO ISSUE:
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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).
❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or (_) 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
improved 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 legallt
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:hftp://www.leginfo.ca.gov/calaw.html.
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 Sectio 7 00 of Division 3 of the Business and Prpfession ode, and my license is in full force
and effect. License Class License No Da ��/ Contractor Signatu /
INORKERS' 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
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3705 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the following declarations:
❑ 1 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
Wormance of the work for which this permit is issued. Policy No.
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'
carrier and policy number are:
Policy Number
of Agent
Date
certify that, in the performance of the work for which this permit is issued, 1 shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre
, if I should become subject to the workers' compensation pions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
of Applicant 7—/ 6
)ECLARATION RESIAAIIMG CONSTRUCTION LENDING AGENCY
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
.endel's Name Lender's Address
3y my signature below, I certify to each of the following:
I am the Qr•ope..rtr owner or authorized to act on the property owner's behalf.
I pave real Nis application and the information I have provided is correct.
• • 1'Dgree t0 84mply with all applicable city and county ordinances and state laws relating to building construction.
1 authorb?e representatives of this city or county to enterthe above -identified property for inspection purposes. ��TT;;
3lonature of Protertv Owner or Authorized Aoen^lam✓ C5 ^ — _. Print Property Owner's or Authorized Agent's Na a (/LI&
%CT4ON • DATE Elf- DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
• • ••••• REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
• • • • 1403
'ERMTF EXPIRES• TI LJ I SUBMITTED ASBESTOS NOTIFICATION TO
PERMIT EXTEWED• • • I LIAQMD
FFRIWWFINAL ASBESTOS NOTIFICATION IS NOTAPPLICABLE TO
CFRTJ?ICATE Ci •••• 7' -b IL-'�- PROPOSED DEMOLITION
OCCUPANCYISSDEa • SIGNATURE:
Civil Code).
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