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HomeMy WebLinkAboutX2019-2214 - PermitsCity of Newport Beach - Building Division IIIII`IIIpIII�II�I�I11�I�21IpI4I��II C OMB PDermit : x20'19-2214 ti ect 100 Civic Center Drive, Newport Beach, CA 9266Ci 1 .Y Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Issued Date: 07/16/2019 r Combination Type - MFP . Inspection Area: 5 PE EMITS 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: 617 BEGONIA AVE NB Description: MFR - WINDOW C/O (2) LIKE FOR LIKE Legal Desc.: CORONA DEL MAR BLK 629 LOT 17 OF PROJECT 938-01 LOCATED ON AP i Owner. STOWELL THOMAS WARREN Address: 527 SEAWARD RD CORONA DEL MAR, CA 92625 Phone: Applicant: AMERICAN VISION WINDOWS Address: 2125 N MADERA ROAD#A SIMI VALLEY CA 93065 Phone: 888-563-0008 Code Edit: 2016 Type of Construction: VB Occupancy Group R3/U Added lNew sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 2 No of Units : 2 Bldg Height: 0 Bldg Sprinklers: Flood Zone: Construction Valuation $3,000.00 Building Permit Fee: $120.00 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: 1�121.00 PROCESSED BY: ZONING APPROVAL: Contractor. AMERICAN VISION WINDOWS Address: 2125 N MADERA ROAD#A SIMI VALLEY CA 93065 Phone: 888-563-0008 Con State Lic: 778326 Lic Expire: 05/31/2020 Bus Lic BT30020889 Lic Exp Date: 1013112019 Worker's Compensation Insurance Carrier: STARR INDEMNITY Policy No: 1000002552 Expire: 01/01/2020 Architect: Address: Phone: Engineer: Address Phone: Designer: Address: Phone: Building Setbacks Rear: / Special Conditions: Front: / Left: / Right: / Use Zone Parking Spaces: 0 Fire Hazard Zone: N Excise Tax: $0.00 Planning Department - Additional Fee: $0.00 Plan check Fee : Grading Bonds Fee: $0.00 Fair Share: Grading PC Consultant: $0.00 SJH Trans : ; Grading Permit Fee: $0.00 In -lieu Housing Fee: Grading PC Fee: $0.00 Public Works Department - WQ Insp. Fee: $0.00 Park Dedication : $0.00 PM Plan Check: $0.00 Electrical %: $0.00 San Dist: $0.00 Mechanical %: $0.00 NMUSD Fee: $0.00 1 Plumbing %o: $0.00 Plan Check Fee: $0.00 PUBLIC WORKS 1 PLAN CHECK BY: State Lic: 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: Fee Due at Permit Issuance : GRADING APPROVAL: I/ APPROVAL TO ISSUE: 0000 o v a000 000 0. o00000 00 0 0 0 0 0 0 0 0 ©° o 000000 0 0 °000 0 0 0 .00000 00000 0 o°0000 000000 0 0 0 000000 ° ° © ° DUO O °000 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $121.00 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that i am exempt from the Contractors' State License Law for the reason(s) 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, after, 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 thathe 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). ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U 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 Durpose of sale). U 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 lwho 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 11 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, sell a structure that 1 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.htm1. Signature of P;op`e ty Owner orAuthorized Agent Date LICENSED GORTRAACTO,R'S DECLARATION I Ie by affirn un0Grpenatty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70 i ' of the Business and Profession od , and my I' nse is in ful�9 rce and effect. License Class License No Date Contractor Signatufi pn �Q- R'Ok,KERS' COMPENSATION DECLARATION C (' NARNING: FAILUR2 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 OSTDF COMPE°NaATIOi4 DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY S FEES. hereby affirm Vndg penaltyof perjury one of the following declarations: ai I nave anc wilt 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 the ance of th? work forwhich this permit is issued. Policy No. ha'ne an w'ihr*�a4q in workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this pe it is issued. My workers' compensation nsurac net and €ic umber ale: y�p�, yam `!�fiilt'�� Policy Number _ �O O ©©�� s I Z lame of Agent ° ° ` Expiration Date-4 Phone # certify that, in the performan� of tie work for which if I should become subiectttohhe Zrkers' rmmnPnc is issued, I shall not employ any person in any manner so as to become subject to the workers' compensa ' n law of California, and agre ions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ignature of Applicant iECLARATiON REGA DING! ONSTRUCTION LENDING AGENCY hereby affirm under pe aity 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). ender's. Name Lender's Address y my signature below, I certify to each of the following: 1 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 ordinances and state laws relating to building construction. I authorize representatives Df this city or county to enter the above -identified property for inspection purposes. ��AA {/ ignature of Property Owner or Authorized Agent /% Print Property Owners or Authorized Agent's � 26 ( ` ?L ACTION I DATE I B DECLARATION OF REGULATIONS PART 0MPLIANCE WITH CODE OF 610 TITLE 40 AN AQMD RULE FOR OFFICE USE ONLY PERMIT EXPIRED 1 1' ❑ I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED OEPA PERMIT EXTENDED QMD PERMITFINAL ''II BESTOS NOTIFICATIOIA IS NOT APPLI LE TO CERTiFICATEOF l,� (!dt PROPOSED DEMO OCCUPANCYISSUED SIGNATURE: �n7�