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Home My WebLink AboutX2019-1757 - Permits�sv1 City of Newport Beach Building Division a* 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 R+ Inspection Requests Phone (949)644-3255 e'4euitt�}� ` Combination Type - SFP Construction Hours: Monday - Job Address: 1958 PORT LOCKSLEIGH PL NB Description: SFR -REPLACE (1) WINDOW INTO EXTG Legal Desc.: N TR 7028 LOT 59 Owner: GOODWWIN ANNE Address: :1958 PORT LOCKSLEIGH PL NEWPORT BEACH, CA 92660 Phone: 714-321-8240 Applicant: RENEWAL BY ANDERSEN OF OC Address: 22982 ALCALDE DR #100 LAGUNA HILLS CA 92653 Phone: 714-259-5120 Code Edit : 2016 Type of Construction: VB Occupancy Group: R3 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: COMB Permit: X2019-1757 Project No : Issued Date: 06104/2019 Inspection Area : 4 ITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. 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 Contractor: RENEWAL BY ANDERSEN OF OC Address: 22982 ALCALDE DR #100 LAGUNA HILLS CA 92653 Phone: 714-259-5120 Con State Lic 990416 Lic Expire: 0212912020 Bus Lic BT30046925: Lic Exp Date: 04/30/2020 Worker's Compensation Insurance Carrier: EVEREST NATIONAL Policy No:. MWC31415800 Expire: 10/01/2019 Building Setbacks Rear: / Grading Bonds Fee: Front: I Fair Share Left: / $0.00 Right: / Use Zone: Parkino Soaces: 0 Architect: Address: Phone: Engineer: Address:.. Phone: Designer: Address: Phone: Special Conditions: State Lic: State Lic: Construction Valuation: 2.100.00 Building Permit Fee: $120.00 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 W $0.00 NMUSD Fee: $0.00 $0.00 Plumbing %: $0.00. $0.00 TOTAL FEE : $121.00 Plan Check Fee: $0.00 Fee Due at Permit Issuance : $121.00 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: 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 he 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 lot more than five hundred dollars ($500). 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, 3usiness and Professions Cade: 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 mprovements 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 mproved 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 Ipply 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: 3y 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 yell 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, Secti n 7044 of the Business and )rofessions Co4e,11s w4ailable upon request when this application is submitted or at the following Web site:htt //www.le info.ca. ov/calaw.htmi. P q PP 9 P 9 9 jignatuge of PropbIllOwner or Authorized Agent Dat ,PMNOED C9TVR4CTOR'S DECLARATION Ijerebyy affirm ander penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) f !vision 3 of the Business and Profess! 01 and my license is in full force rndref(act. License Class License No Date Contractor Signature VQRKERS' C®MFfiNSATION DECLARATION VARNINGl FAILURE 90SLCURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALT S AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE )OSTtP COMPENKTM, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. Mteb%affirm und)pC g%nalty of perjury one of the following declarations: •. 1 h•ave and wily 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 thi ,• Ra rmance 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 Cade, for the performance of the work for which this permit is issued. My workers' compensatior rano; c�arrrieread pBlicy umber are: �� `t;W Sarrier (W14 AGI �Q�� V Policy Number M1iJG Expiration Date 16-1-14 lame of Agent Phone # 71 certify that, in the pe"ONS rk for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensati n Is s of California, and agre Tat, if 1 should become srs' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. signature of Applicant DateC )ECLARATION REG IC 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, Civil Code). .ender's Name Lender's Address ly 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. / /yLl� I agree to comply with all applicable city and county inance ( and state laws relating to building construction. I authorize representatives of this city or county to e t r the ab e-identified property for inspection purposes. Ilnnature of Prnnertv Owner or Authorized Anent N r✓ Print Prooertv Owners or Authorized Acent's NameD�fe� ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED I U I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED PERMITEXTENDED PERMIT FINAL CERTIFICATE OF OCCUPANCY ISSUED TO