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HomeMy WebLinkAboutX2019-2760 - PermitsCity of Newport Beach - Building Division ® 100 Civic Center Drive, Newport Beach, CA 92660 - Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Utz ga m Combination Type - SFP IIIIIIIIIIIIIIIIIIIIIIIIIIIIIII�llllllllu II COMB Permit: X2019-2760 x 2 6 1 9 2 7 6 9 Project No : Issued Date : 09/0512019 Inspection Area : 8 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: 2970 CORTE HERMOSA NB Description: SFR CHANGE OUT (19) WINDOWS & (4) DOORS Legal Desc.: N TR 12271 LOT 12 - Owner. TEEL Contractor AMERICAN VISION Architect Address: 2970 CORTE HERMOSA NEWPORT BEACH, CA 92660 Phone: $0.00 Applicant: AMERICAN VISION Address: 2125 N MADERA ROAD#A. Energy Compliance: SIM] VALLEY CA 93065 Phone: 888-563-0008 Code Edit : 2016 Type of Construction: VB Occupancy Group: R3/U 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: $440.00 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: $441.00 Address: .2125 N MADERA ROAD#A Address: SIMI VALLEY CA 93065 Fire Department. Phone: 888-563-0008 Phone: State Lie: Con Stale Lie: 778326 Engineer: Lie Expire:' 0513112020 Address: Bus Lie: BT30020889 Fire Plan Rev Lie Exp Date: 1 013 112 01 9 Phone: State Lie: Worker's Compensation Insurance - Designer: Carrier: STARR INDEMNITY Address: Policy No: 1000002552 $0.00 Expire: 01/01/2020 Phone: Building Setbacks Rear: / Special Conditions: WQ Insp. Fee: Front: I Park Dedication : $0.00 Left: / Refund Deposit Right: / PNV Plan Check : Excise Tax: $0.00 Planning Department- Fire Department. Additional Fee: $0.00 Plan check Fee : $0.00 Fire Inspection: Grading Bonds Fee: $0.00 Fair Share : $0.00 Fire Plan Rev Grading PC Consultant: $0.00 SJH Trans : $0.00 Demolition Fee Grading Permit Fee: $0.00 In -lieu Housing Fee: $0.00 Building Dept Adm Grading PC Fee: $0.00 Public Works Department - General Service WQ Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit PNV Plan Check : $0.00 Grading Bond: Electrical %: $0.00 San Dist: $0.00 Mechanical %: $0.00 NMUSD Fee: $0.00 Plumbing %: $0.00 Plan Check Fee: $0.00 Fee Due at Permit Issuance $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $441.00 • oo • I c� a oc o V •. PROCESSED BY: E �`, PUBLIC WORK6 APPROW� L: O r+' O OmV m m ZONING APPROVAL: PLAN CHECK BY: GRADING APPROVAL: •APPROYALRO IGGVEom` c o o m• m e m co V oca o© co m m •mo co 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 Te 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 iot 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 L) portions of the work, and the structure is not intended or offered for sale (Section 7044, lusiness 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 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, -Business -and Professions Code: The Contractors' State License Law does not pply toanowner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). 3 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 of least one year prior to completion of the improvements covered by this permit, I cannot legall, 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 law; Section 7044 of the Business and 'rofessions Code, is available upon request when this application is submitted or at the following Web site:http://v w .leginfo.ca.gov/calaw.html. signature of Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 700 f Division 3 of the Business and Profe ions Code, and mgr 'cense is in f force nd effect. License Class t%' License No %��?26 Date l Contractor Signature VORKERS' COMPENSATION DECLARATION 'ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND LLARS ($'100,000), IN ADDITION TO THE OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 7706 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 erfor_mance 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 Code, for the performance of the work for which this permit is issued. My workers' carrier and 6olft number are: r'N Policy as of Agent \L.9L14_ V W _� V certify that, in the performance of the work for which this permit , if I should become supject to the workers' compensation proyjg of Date ued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. (� CLARATION REGA 1V;l5 CON TION LEN15M AGENCY �reby 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 property owners 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 of this city or county to.�Q,�}'er t above -identified property nspection purposes. �% nature of Propertv Owner or Authorized Agent /.�.,, Print Prooertv Owners or Authorized Agent's NarP1A�t`rs-y FOR OFFICE USE ONLY PART 61 OF TITLE 40 AND AQMD RULE PERMITEXPIRED UISUBMITPEDASBtSTOSN TIFl TI TO:. PERMIT CANCELLED UEPA • • • • •• PERMIT EXTENDED QMD PERMITFINAL ESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATE OF ® PROP SEDD QVTIQy• OCCUPANCYISSUED S ATU •• • •• • • •• •• •••