HomeMy WebLinkAboutx2020-1463 - PermitspW1
City of Newport Beach - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
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Inspection Requests Phone (949)644-3255
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Combination Type - SFP
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II COMB Permit: X2020-1463
Project No :
Issued Date: 06/24/2020
Inspection Area : 8
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0612512023 OR PERMIT WILL BE INVALID
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: 2342 AZURE AVE NB
Description: SFR CHANGE OUT (10) WINDOWS "LIKE FOR LIKE"
Legal Desc.: N TR 1500 LOT 25
Owner: SCHONFELDT BRIANE
Contractor:
RENEWAL BY ANDERSEN OF OC
Architect:
Address: 2342 AZURE AVE
Address:
22982 ALCALDE DR #100
Address:
NEWPORT BEACH, CA 92660
LAGUNA HILLS CA 92653
Phone:
Phone:
714-26M120
Phone:
State Lic:
Applicant: RENEWAL BY ANDERSEN OF OC
Con State Lic:
990416
Engineer:
Address: 22982 ALCALDE DR #100
Lic Expire:
02/28/2022
Address:
LAGUNA HILLS CA 92653
Bus Lic:
BT30046925
Phone: 714-259-5120
Lic Exp Date:
0413012021
Phone:
State Lic:
Code Edit, 2019
Workers Compensation Insurance
Designer:
('
Type of Construction: VB
Occupancy Group: R3/U
Carrier:
Policy No:
OLD REPUBLIC INS CO
MWC31416819
Address:
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Added /New sq.ft. Bldg: 0
Expire:
10/01/2020
Phone:
Added /New sq. ft. Garage: 0
No of Stories: 1
Building Setbacks
Rear: /
Special Conditions:
No of Units: 1
Front: /
Bldg Height: 0
Left: I
Bldg Sprinklers:
Right: I
Flood Zone: X
Use Zone: Parking Spaces:
0
Fire Hazard Zone : N
_
Construction Valuation: $8,000.00
Building Permit Fee: $203.00
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
P/W 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: $204.00
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Plan Check Fee: $0.00 Fee Due at Permit Issuance : $204.00
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PU�LC WORKS APPROVAL: .
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PLAN CHECK BY:
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 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
'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).
1, 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,
',usiness 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).
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
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 I 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 legally
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 Is , Section 7044 of the Business and
'rofessions Code, is available upon request when this application is submitted or at the following Web site:http:/Aw .leginfo.ca.gov/calaw.html.
signature of Property Owner or Authorized Agent Dat
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70 ) ivi ion 3 of the Business and Pro o , d my license is in full force
nd effect. License Class License No D of Contractor Signature
UORKERS' 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
DST 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,
prformance of the work for which this permit is issued. Policy No.
have and wiLQaintain 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'
rance carve an olicy number(&re:
;er n 11 t, /N 1 t"Pnli.LaMer Exoiration Date
of Agent
certify that, in the performsVoth,
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 law of California, and agre
t, if I should become sybjeorkers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. _geevy/ee r ,A1
nature of Applicant Dates 6 Z7
CLARATION REGAPIWIG CONSTRUCTION LENDING AGENCY
Heby affirm under p nalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, 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 prop y ow r s behalf.
I have read this application and the information I have pit�
ded i correct.
I agree to comply with all applicable city and county ordices a st to laws relating to building construction.
I authorize representatives of this city or county tgenterabov d tified property for inspection purposes.
DATE I BY I REGULATIONS 16N OF COMT 61PLIANCE
TITLE WITH
CODE OFD AQMD RULE AL I FOR OFFICE USE ONLY
PERMITEXPIRED
U I SUBMITTED ASBESTOS NOTIFICATION TO• +
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••• a•• •••
PERMITCANCELLED
UEPA • • '•'
PERMIT EMENDED
QMD • ` • ' :
PERMIT FINAL
ASBESTOS NOT I ATION IS 0 PPLICABLE TO
CERTIFICATE OF
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P POSED E OLI
OCCUPANCY ISSUED
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SIGNATURE: , ee ••• •
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C O O O 6 J
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