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HomeMy WebLinkAboutX2018-2337 - Permits"v City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2018-2337 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 1 8 2 3 3 7 Project No Permit Counter Phone (949)644-3288 v Inspection Requests Phone (949)644-3255 Issued Date : 08/03I2018 Combination Type - SFP Inspection Area : 4 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: 19 MAINSAIL DR NB Description: SFR -WINDOW (8) & DOOR C/O LIKE FOR LIKE Legal Desc.: N TR 0425 LOT 66 Owner: GORDON RIKKI Address: 19 MAINSAIL DR CORONA DEL MAR, CA 92626 Phone: 310-871-2125 Applicant: WIN-DOR INC Address: 450 DELTA AVE BREA CA 92821 Phone: 714385-1202 Code Edit: 2016 Type of Construction: VB Occupancy Group: R311.1 Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 2 No of Units : 1 Bldg Height: 0 Bldg Sprinklers: Construction Building Permit Fee: $292.00 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 IL TOTAL FE : $293.00 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Contractor: WIN-DOR INC Address: 450 DELTA AVE BREA CA 92821 Phone: 714385-1202 Con State Lie: 545553 Lie Expire: 0212812019 Bus Lie: BT97027424 Lie Exp Date: 11130/2018 Worker's Compensation Insurance Carrier: AMERICAN GUARANTEE Policy No: WCO229821 Expire: 01/01/2019 Building Setbacks Excise Tax: Additional Fee Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WO Insp. Fee: Electrical %: *�chanical %: Plu)nbina %: Rear: I Front: I Left: I Right: / 3arkina Spaces $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Plan Check Fee 0 Architect: UOR Address: it Phone: State Lie: Engineer: Address: Phone: Designer: Address: Phone: Special Conditions: Fire Hazard Zone : N Planning Department - Plan check Fee Fair Share SJH Trans In -lieu Housing Fee Public Works Department - Park Dedication : $0.00 P/W 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: $0.00 e u PUBLIC WOIjKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: Issuance a '$0.00 :L.OG $0.00 Koo $0.00 $0.00 $0.00 $293.00 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) indite Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demt ie permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License LI Irofessions Code) or that he or she is exempt from licensure and the basis for the alleged exemption. Any violation of Sectir of more than five hundred dollars ($500). I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or U portions of th lusiness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through el nprovements are not intended or offered for sale. If, however, the building or improvement is sold within one year of comph n roved for the purpose of sale). I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, E pply to an owner of propertywho buirds or improves thereon, and who contracts for the projects with a licensed Contractor 1 1 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 ye ell,a struclur%tHat I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I and 'rd#essions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginf( signature of Property Owner or Authorized Agent .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7 T nd effect. License Class License No D i COMPENSATION DECLARATION d below by the checkmark(s) I have placed next to the applicable item(s) Ih, or repair any structure, prior to its issuance, also requires the applicant for (Chapter 9 (commencing with Section 7000) of Division 3 of the Businessand 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of work, and the structure is not intended or offered for sale (Section 7044, oloyees' or personal effort, builds or improves the property, provided that the on, the Owner -Builder will have the burden of proving that it was not built or and Professions Code: The Contractors' State License Law does not to the Contractors' State License Law). to completion or the Improvements covereo Dy tnls permit, I cannot that a copy of the applicable law, Section 7044 of the Business and Date 4 // 3 of the Business and Prossi S Co m Sei m full force Contractor Signature -.ttr + 'ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO 9fUMINAL 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 FE hereby affirm u-IrIcr penally of perjury one of the following declarations: hgve and wol maintain a certificate of consent to self -insure for workers' compensation, issued by the Director of ndustrial Relations as provided for by Section 3700 of the Labor Code, for th ante of Cie Aork 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 perormance of the work for which this permit is issued. My workers' compensatiol u�an a carrier and policy number are: r Policy Number Expiration Date ame of Agent Phone # �i Ubrtify that; in`the performance of r or whi his permit is issued, I shall not employ any person in any manners as to became subject to the workers' compensation laws of California, and agree .et, i' I should become subject tot e o tion provisions of Section 3700 of the Labor Code, I shall forthwith omply with those provisions. p irnatereof Applica - Da 6/J7Ace, DECLARATIONREARDING CON§TRUCTIOR LENDING AGENCY tai eov affirm and r penalty of perjury that there is a construction lending agency for the performance of the work for which his permit is issued (Section 3097, Civil Code). s.tder's Nams, Lender's Address y my signaturebelow, 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 c rrect 1 agree to comply with all applicable city and county ordinances state laws relating to building construction. _ 3 I authorize representatives of this city or cou ty t nler th � a -den for inspection purposes. i nature of Property Owner or Authorized Agent Property Owners or Aut rized A ent's Nam Z a e IL 1CTION DATE BY DECLARA ON OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE TSE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE PERMIT EXPIRED U I SUBMITTED ASBESTOS NOTIFICATION TO PERMITCANCELLED UEPA PERMIT EXTENDED LJAQMD PERMIT FINAL CERTIFICATE OF OCCUPANCYISSUED 'III —Ire ev_ i L1 ASBESTOS NOTIFICATION IS NOT APPLICABLE TO PROPOSED DEMOLITION ar-NATnaP•