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Home My WebLink AboutX2019-0453 - Permits.lvnry� City of Newport Beach - Building Division Loonsrrucnon vamanon: COMB Permit: X2019-0453 t 100 Civic Center Drive, Newport Beach, CA 92660 IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII X 2 0 1 8 0 4 5 34 II Project No '.. Permit Counter Phone (949)644-3288 Building Permit Fee: $136.00 Excise Tax: Inspection Requests Phone (949)644-3255. Planning Department- Fire Department Combination Type - SFP Issued Date' 02/11/2019 Plan Check Fee: $0.00 Additional Fee : Inspection Area : 5 Plan check Fee : PERMITS EXPIRE 1 80 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION, Fire Inspection: $0.00 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: 2307 BAYSIDE. DR NB $0.00 : Grading Bonds Fee: $0.00. Description: SFR CHANGE OUT (4) WIDOWS "LIKE FOR LIKE" $0.00 Fire Plan Rev '.. Legal Desc.: CORONA DEL MAR LOT BLK D POR OF BLK.., Investigation Fee: $0.00 Grading PC Consultant: $0.00 SJH Trans ; - $0.00 Owner. - FLAHERTY JAMES M Contractor: RENEWAL BY ANDERSEN OF OC Architect: Address: 2307 BAYSIDE DR Address: 22982 ALCALDE DR #100 Address:'",, Grading Permit Fee: $0.00 CORONA DEL MAR, CA 92625 LAGUNA HILLS CA 92653 $0.00 Building Dept Adm $0.00 Phone: Phone: 714-259-5120 Phone: State,Lic: 'w - $0.00 Public Works Department - Applicant: RENEWAL BY ANDERSEN OF OC Con State Lie: 990416 Engineer. Address 22982 ALCALDE DR #100 tic Expire: 02129/2020 Address: WQ Insp. Fee: $0.00 LAGUNA HILLS CA 92653Bus Lie: BT30046926 Refund Deposit $0.00` '.Phone 714-259-5120 Lie Exp Date: 04/30/2019 Phone: State Lie: $0.00 Code Edit: 2016 Worker's Compensation Insurance Designer. P/W Plan Check: $0.00 Type of Construction: VB Carrier EVEREST NATIONAL Address;. Occupancy Group: R3/U Policy No: MWC31416800 $0.00 Electrical %: $0.00. Added/New sq.ft. Bldg: 0 Expire: 10101/2019 - Phone: '.. Added /New sq. ft. Garage:. 0 Building Green as :.. '$1.00 No of Stories: 2 Building Setbacks Rear: I Special Conditions: LIQUEFACTION AREA , No of Units : 1 Front: $0.00 Bldg Height: 0 Left: Plumbing %: .Bldg Sprinklers: Right: Flood Zone' X Ilse Inner Pnrkinn Rnnrer n Fire Hazard 7nne - N TOTAL Loonsrrucnon vamanon: W.wuMu '.. Building Permit Fee: $136.00 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 a $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 as :.. '$1.00 Mechanical %: $0.00 NMUSD Fee: $0.00 $0.00 Plumbing %: $0.00 _$0.00 TOTAL FEE : $137.00 Plan Check Fee: $0.00 Fee Due at Permit Issuance : $137.00 E PROCESSED BY: ` �� < ( `'. PUBLIC WORKS APPROVAL: E ZONING APPROVAL: PLAN CHECK BY: GRADING APPROVAL: APPROVAL TO ISSUE: - ' EUU 4U UUq f G 4G WG' '. 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 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 U portions of the work, and the structure is not intended or offered for sale (Section 7044, 3usiness 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 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). 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 only 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). I 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 legal) ;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 rrofessions Code, is available upon request when this application is submitted or at the following Web site:http://Www.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 Sectio 70 ) of D' isio 3 of the Business and Pro BID Cod and my license is in full force Ind effect. License Class License No Date Contractor Signata� YORKERS' 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 :OST 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: 711have 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 ejrmance of the work for which this permit is issued. Policy No. have and(w`Illmaintain 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 tarn r d policy numbgr-are: \ Date of certify that, in the Performarrr��fe of 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 laws of California, and agre if I should become subject tis th, a woiiRN ' \cro�mppffnsation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. lature of Applican I \VV` `/ Da ,LARATIONREGARDINGCONSTRUCTION LENDING AGENCY reby 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 3 97, Civil Code). der's Name Lender's Address Try 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 havg provided is correct. I agree to comply with all applicable city and county �i_ nand`4 and state laws relating to building construction. I authorize representatives of this city or count en e e ab a-^ide� tified property for inspection purposes. (\ ._...__ _s n-___....�....__. _. n..a....:_-- n....... 1 jl - c,m.f or..,.ad.. fTuner'e nr Anfhnriv>d AnwnYn NameY IJ� 1 r`�BatE[A EXPIRED CANCELLED DATE BY L DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL REGULATIONS PART 61 OF TITLE 40 AND AOMD RULE SUBMITTED ASBESTOS FIC4 TE OF 411 PROPOSED OCCCERUPANCY SUED I"/ im,I / p�(/// D SI�GNAT.URI SBESTI NOTIFICATION IS NOTAPPLICABLE TO FOR OFFICE USE ONLY