HomeMy WebLinkAboutX2020-0679 - Permitsbtu City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII�IIIIIIII�
100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 2 0
F � `+� �. Permit Counter Phone (949)644-3288
3+ Inspection Requests Phone (949)644-3255
�.,�, ,.' Combination Type - SFP
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II COMB Permit: X2020-0679
Project No :0501-2020
Issued Date : 0311312020
Inspection Area : 4
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST
VALID INSPECTION. PROJECTS MUST BE COMPLETED BY OR PERMIT WILL BE INVALID
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: 3822 KEY BAY NB
Description: SFR REMOVE/REPLACE (3) DOORS AND (13) WINDOWS, (2) NEW BIFOLDING DOORS
Legal Desc.: N TR 6634 LOT 96
' � +GVH � ���®
Owner: GILSLEIDER GLENN K & MARYLOU A Contractor:
L & L WINDOWS & DOORS
Architect:
Address: 3822 KEY BAY Address:
853 E NORMANDY
Address:
NEWPORT BEACH, CA 92625
SANTA ANA CA 92701
......
Phone: Phone:
714.833.1678
Phone:
State Lic: • • ° °
m o
• • momme<
Applicant: HAHN PRYN Con State Lic:
1003592
Engineer:
BURKE LEO ' m • ° •; ° °
Address: 34167-D COAST HIGHWAY Lic Expire:
05/3112021
Address:
34167 PACIFIC COAST HWY #D ,: , ° „
DANA POINT, CA 92629 Bus Lic:
BT30071400
•
DANA POINT CA 92629 • °
Phone: 949-226-7130 Lic Exp Date:
0313112021
Phone:
949-226-7130 State Lic:C-067404 :... e m • °
• m n
Code Edit : 2019 Worker's Compensation
Insurance
Designer:
°
em °
HAHN PRYN •
Type of Construction: V -B Carrier:
EXEMPT
Address:
34167-D COAST HIGHWAY ' m e ° m e m ° • ,
Occupancy Group: R31U Policy No:
DANA POINT, CA 92629
Added/New sq.ft. Bldg: 0 Expire:
Phone:
949.226-7130
Added /New sq. ft. Garage: 0
No of Stories: 2 Building Setbacks
Rear: I
Special Conditions:
No of Units : 1
Front: I
Bldg Height: 0
Left: I
....
Bldg Sprinklers:
Right: /
Flood Zone: Use Zone: Parking Spaces: 0
Fire Hazard Zone : N
Construction Valuation: $50.000.00
Building Permit Fee: $746.00 Excise Tax:
$0.00 Planning Department-
Fire Department
Plan Check Fee: $649.02 Additional Fee :
$0.00 Plan check Fee:
$40.00 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 : $14.00 Grading Permit Fee:
$0.00 In -lieu Housing Fee
:
$0.00 Building Dept Adm $0.00
Energy Compliance: $56.00 Grading PC Fee:
$0.00 Public Works Department -
General Service $0.00
CA Seismic Safety: $0.00 WO Insp. Fee:
$0.00 Park Dedication :
$0.00
Refund Deposit $0.00
Disabled Access : $0.00
PAN Plan Check:
$0.00
Grading Bond: $0.00
Hazardous Mat $0.00 Electrical %:
$0.00 San Dist:
$0.00
Building Green Fee : $2..00 Mechanical %:
$0.00 NMUSD Fee:
$0.00
$0.00
Plumbing %:
OCheck
00
TOTAL FSE : $1,507.02 Plan Fee: $745.02
Fee
Due at Permit Issuance : $762.00
PROCESSED BY:
ZONING APPROVAL:
PUBLIC WORKS
PLAN CHECK
GRADING APPROVAL: U APPROVAL TO
,�•f
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)
ction 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
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
�fessions 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
more than five hundred dollars ($500).
1, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044,
siness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the
Irovements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or
roved for the purpose of sale).
I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not
)ly to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).
I am exempt from licensure under the Contractors' State License Law for the following reason:
my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legalq
a structure that 14vve built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and
�fessions Coc%, isaAilable upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html.
satw$ of Prgperty Qwner or Authorized Agent to
TENSED CQDKRACTOR'S DECLARATION
%lel'ry affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section70 of ivisio 3 of the Business and Pr s s o e, and my license is in full force
I efkct. License Class License No Date Contractor Signature
2RKf.RS' OOMJPdNSATION DECLARATION
MM: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIM AL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND LLARS 5100,000), IN ADDITION TO THE
&V COMPENDAT40 VAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
P94�affirm ander penalty of perjury one of the following declarations:
of
and wi1T maintain a certificate of consent to self -insure for workers' compensation,
Ice of tRe W% for which this permit is issued. Policy No.
issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for
.. .
and witlNaintain 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 policy number are:
Policy Number
of
Date
in the performance of a 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
become subjEctlto th orkers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. `^
:reby affirm under penhlty of perjury tli�t 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 UU 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 owner's behalf.
I have read this application and the information I have provided P correct.
I agree to comply with all applicable city and county ordinance nd state laws relating to building construction. ��Q.Gtil
I authorize representatives of this city or c unty to er the ab -i ntifi d onrty for inspection purposes.
mature of Property Owner or Authorized Agen Print PropertOwner's or Authorized Agent's Nam
TION DATE BY DECLARATION C OMPLIANCE WITH CO FEDERAL FOR OFFICE USE ONLY
REGULATIONS PA 61OFTITLE40ANDAQMD RULE
PERMITEXTENDED
PERMIT FINAL
CERTIFICATE OF
OCCUPANCYISSUED
I SUBMITTED ASBESTOS NOTIFICATION
UASBESTOS NOTIFICATION IS NOT APPLICABLE TO
PROPOSED DEMOLITION
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