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Home My WebLink AboutX2020-0095 - Permits#t'oR City of Newport Beach - Building Division 4 100 Civic Center Drive, Newport Beach, CA 92660 R =? Permit Counter Phone (949)644-3288 '. Inspection Requests Phone (949)644-3255 Combination Type - SFP Illll llllll llllllllllll llllll�llllll lllllu II COMB Permit: X2020-0096 X 2 0 2 0 0 0 9 5 Project No : Issued Date : 01/13/2020 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: 2042 COMMODORE RD NB Description: SFR CHANGE OUT (E) (2) WINDOWS Legal Desc.: N TR 3082 LOT 50 cc Owner: ARMSTRONG GARY Contractor: RENEWAL BY ANDERSEN OF OC Architect: 0 Address: 2042 COMMODORE RD Address: 22982 ALCALDE DR #100 Address: �„� NEWPORT BEACH, CA 92660 LAGUNA HILLS CA 92653 Phone: Phone: 714-259-5120 Phone: State Lie: 1�-1 Applicant: RENEWAL BY ANDERSEN OF OC Con State Lie: 990416 Engineer: V'J Address: 22982 ALCALDE DR #100 Lie Expire: 02/29/2020 Address: g°0 LAGUNA HILLS CA 92653 Bus Lie: BT30046926 Ia•"^� Phone: 714-259-5120 Lie Exp Date: 04/30/2020 Phone: State Lie: Code Edit: 2019 Worker's Compensation Insurance Designer: Type of Construction: VB Carrier: OLD REPUBLIC INS CO Address: F :r Occupancy Group: R3/U Policy No: MWC31415819 Added /New sq.ft. Bldg: 0 Expire: 10101/2020 Phone: Added /New sq. ft. Garage: 0 No of Stories: 1 Building Setbacks Rear: I Special Conditions: No of Units : 1 Front: / Bldg Height: 0 Left: / Bldg Sprinklers: Right: / Flood Zone: X Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $1,600.00 Building Permit Fee: .$104.00 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 PNV 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 : $105.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $105.00 e ° ° PROCESSED BY: g ` `,-� a ° o ° ° e °. °PU!BQCSNbRKS APPROVAL: ZONING APPROVAL: PLAN CHECK BY: GRADING APPROVAL: JCFWdIAL TO ISSUE: c ° 000 00 00 0 ° o00 o�O 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 Iicensure 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). U I, as owner of the property, or my employees with wages as their sole compensation, will do (_) 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 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 Iicensure 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 legal) 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 Section 0 f rivisio 3 of the Business and Profession Code nd my license is in full force and effect. License Class License No Dat 7.•- Contractor Signatur COMPENSATION DECLARATION IARNING: 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 :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, eytormance of the work for which this permit is issued. Policy No. have and will maworkers' 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' rance carrier an policy number are: ier (111 Poli Numb A Exoiration Date of Agent certify that, in the performan 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 t, if I should become subject t he Yvorkers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applican `v- Date ' CLARATION REGARDI�O STRUCTION LENDING AGENCY Ireby 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' 3 97, Civil Code). Ider's Name Lender's Address 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 orldInances and state laws relating to building construction. , i3•� I autho`izre representatives of this city or co, t Ao ant �f th above -identified property for inspection^purposes. Y IW X Yo /1 ACTION DATE BY r DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQM D RULE 1403 • ••• • ••• •••� PERMITEXPIRED U I SUBMITTED ASBESTOS NOiIFICAT10N TO • • •• ••• ••• PERMITCANCELLED UEPA • • • • • • • PERMITEXTENDED UQMD PERMITFINAL ASBESTOS N IFICATION IS NOT APPLICABLE TO CERTIFICATE OF /7�� I-�N•/� PR P D EM ION •• ••• • • • ••••• ••• OCCUPANCY ISSUED v 1 SIGNAT E: u • • • • • • • %