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Home My WebLink AboutX2020-1377 - Permits,tr City 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 Combination Type - MFP 11�1��111��ill Jill ��1111111111111�1p�11111ilill11111COMB Permit: X2020-1377 Project No : Issued Date : 06/1512020 Inspection Area : 1 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 06/16/2023 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: 420 E BAY AVE NB Description: MFR - C/O 12 WINDOWS, LIKE FOR LIKE. Legal Desc.: BALBOA BAYSIDE TR BLK 2 LOT 21 Owner: ZIPPI MARIANNE Contractor: RENEWAL BY ANDERSEN OF OC Address: 420 BAY AVE E Address: 22982 ALCALDE DR #100 NEWPORT BEACH, CA 92661 Building Permit Fee: LAGUNA HILLS CA 92653 Phone: Phone: 714-259-5120 Applicant: RENEWAL BY ANDERSEN OF OC Con State Lie: 990416 Address: 22982 ALCALDE DR #100 Lie Expire: 02/28/2022 LAGUNA HILLS CA 92653 Bus Lie: BT30046925 Phone: 714-259-5120 Lie Exp Date: 04/30/2021 Code Edit: 2019 Worker's Compensation Insurance Type of Construction: V -B Carrier: OLD REPUBLIC INS CO Occupancy Group: R31U Policy No: MWC31415819 Added /New sq.ft. Bldg: 0 Expire: 10/0112020 Added /New sq. ft. Garage: 0 $0.00 Grading Permit Fee: No of Stories: 3 Building Setbacks Rear: I No of Units : 1 Energy Compliance: Front: I Bldg Height: 0 - $0.00 Left: I Bldg Sprinklers: CA Seismic Safety: Right: / Flood Zone: Use Zone: Parkino Spaces: 0 Architect: Address: Phone: Engineer: Address: Phone: Designer: Address: Phone: Special Conditions: HIGH DENSITY TOTAL FEE: $236.00 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: State Lie: State Lie: Fire Department Fire Inspection: V ing Dept Adm $0.00 General Service $0.00 Building Permit Fee: $235.00 Excise Tax: $0.00 Planning Department - 00 Plan Check Fee: $0.00 Additional Fee: $0.00 Plan check Fee: $0.00 Overtime Plan Ck: $0.00 Grading Bonds Fee: $0.00 Fair Share : $0.00 Investigation Fee: $0.00 Grading PC Consultant: $0.00 SJH Trans : $0.00 Record Management: $0.00 Grading Permit Fee: $0.00 In -lieu Housing Fee : $0.00 Energy Compliance: $0.00 Grading PC Fee: $0.00 Public Works Department - CA Seismic Safety: $0.00 WQ Insp. Fee: $0.00 Park Dedication : $0.00 Disabled Access: $0.00 PAN Plan Check: $0.00 Hazardous Mat $0.00 Electrical %: $0.00 San Dist: $0.00 Building Green Fee : $1.00 Mechanical %: $0.00 NMUSD Fee: $0.00 Plumbing %: $0.00 TOTAL FEE: $236.00 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: State Lie: State Lie: Fire Department Fire Inspection: Fire Plan ��®�-':0000 D198 ing Dept Adm $0.00 General Service $0.00 Refund Deposit $0.00 Grading Bond: $0.00 $0.00 $0.00 . Plan Check Fee : $0.00 Fee Due at Permit Issuance : $236.00 s a� PL;BQCW gRtCS APPRdVAL. AEU o PLAN CHECK BY: APP,I110VAL"TOeISSUIR.. s c v r C C GGf. 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 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 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 not 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 (_) 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 im 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 apply 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: By 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 sell 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 Professions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000 of ivision 3 of the Business and Pr ess ns CG d my license is in full force and effect. License Class License No Da t9/ ?J2$ Contractor SignatuOf WORKERS' COMPENSATION DECLARATION NARNING: 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 COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 0706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: D 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 the 3Wormance 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 an polic umber are: � � {� came �92 Policy Number Mtl'1 C ` �N LLOW Expiration Date Jy ' 1, -7-Z? 1e of Agent certify that, in the perform ce o 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 we of California, and agree L if I should become su11bje tt the r e ' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applicant n Date 6 CLARATION REGAR�I�1G CONSTRUCTION LENDING AGENCY (�/ Ireby 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). 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 owner's behalf. I have read this application and the informationI h e provided is correct. I agree to comply with all applicable city and countrdin ces and state laws relating to building construction. I authorize representatives of this city or co.°nty to n lh e -identified property for inspection purposes. �'it�j N R"C" {�Itj nature of Prooertv Owner or Authorized Ac416t Print Prooertv Owner's or Authorized Aoent's Name/? 1 Date ACTION DATEI BY DECLARATION OF I REGULATIONS PART 1 OF IT E 40 AND AQMD RULE E WITH CODE OF RAL FOR OFFICE USE ONLY PERMIT EXPIRED 41Jicu@mnrTE1tASBtSTnS NOYwICAliON TO PERMITCANCELLED • • pA • • •' PERMITEXTENDED •LISQMD • `•' PERMITFINAL 422_ Awti. ASBESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATE OF Y PROPOSED pEMOUTION• ••• •• OCCUPANCY ISSUED SIGNATURE:0 • • ••• •• ••• • ••• ••