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HomeMy WebLinkAboutX2015-2741 - Permits (2)City of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 u Inspection Requests Phone (949)644-3255 Combination Type - SFP 11111111111111111111111111111111111111111111111111 it JillCOMB Permit: X2015-2741 x 2 0 1 5 2 7 4 1 Project No: Issued Date : 09/18/2015 Inspection Area : 3 PERMITS EXPIRE 180 DA YS AFTER ISSUANCE OR LAST VALID INSPECTION. INSTALL OR VERIFY SMOKE/CARBON MONOXIDE DETECTORS /PLUMBING FIXTURES TO BE UPGRADED Job Address: 20092 ORCHID ST NB Description: SFR- REMOVE FRENCH DOORS AT SUNROOM AND INSTALL BI FOLD DOOR IN SAME LOCATION, (STD PLAN) Legal Desc.: N TR 1500 LOT 45 Owner: DE LA TORRE JESUS & JASMINE Contractor: WIN -DOR INC Architect: Address: 20092 ORCHID ST Address: 450 DELTA AVE Address: • e r{ NEWPORT BEACH, CA 92660 BREA CA 92821 Phone: Phone: 714-385.1202 Phone: State Lic: Applicant: WIN -DOR INC/ DAN Con State Lic: 545553 Engineer: Address: 450 DELTA AVE Lic Expire: 02/28/2017 Address: BREA CA 92821 Bus Lic: BT97027424 Phone: 714-385-1202 Lic Exp Date: 11/3 012 01 5 Phone: State Lic: Code Edit : 2013 Worker's Compensation Insurance Designer: °oom ° Type of Construction: V -B Carrier: CALIFORNIA INS Address: °O°°° ° Occupancy Group: R3/U Policy No: 7391178001 Added /New sq.ft. Bldg: 0 Expire: 01/01/2016 Phone: ° o Added /New sq. ft. Garage: 0 No of Stories: 2 Building Setbacks Rear: / Special Conditions: I No of Units: 1 Front: I Bldg Height: 0 Left: / Bldg Sprinklers: Right: / Flood Zone:. X Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $6.796.00 0 0 0 000000 ° o Building Permit Fee: $174.00 Excise Tax: $0.00 Planning Department- Fire Department Plan Check Fee: $125.28 Additional Fee : $0.00 Plan check Fee : $32.00 Fire Inspection: .$0%@& ..... ` Overtime Plan Ck: $0.00 Fair Share : $0.00 Fire Plan Rev ° o$O.Om Investigation Fee: $0.00 Grading PC Consultant : $0.00 SJH Trans : $0.00 Demolition Fee Record Management: $2.00 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 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 $0.00 Plumbing %: $0.00 $0.00 TOTAL FEE: PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Plan Check Fee $0.00 Fee Due at Permit Issuance : $334.28 PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: OWNER -BUILDER 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 ie 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 penally of of 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, 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 nproved 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 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: ly 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 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://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 Section 7 0) of Division 3 of the Business and Pr esslon ode, and y I'cerkse is in f 11 force nd effect. License Class License No Date Contractor Signatu YORKERS' COA pfNSATION DECLARATION 'ARNING: FAILURE?V.,VpORE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL EN LTIES A O CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($700,000), IN ADDITION TO THE OST OF OOMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. ke`eoyaffirm Lnoer p4alty of perjury one of the following declarations: .... �e 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, far the YSUrr?c the work for which this permit is issued. Policy No. e and willFrA�ahjain 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' compensatior e mea policy num areG_ Policy Number 3 9/ / 7,?� /l> { Expiration Date ;ame of Agent Phone # artily that, irl•thg Performance of the wor whir,�I this rmit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree if I should becom9subject to the worke ' ompFl a ti pr 9 slogs of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ;:re of Ap;licnrrC :reby affirm under penalty of perjury th/aT 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 information I have provideV is correct. I agree to comply with all applicable city and county ordina 5VS a d s to awes r -eating to building construction. I authorize representatives of this city or county me t a'iled property for inspection purposes. 11 nature of Property Owner or Authorized Agent Print Property Owners or Authorized Agent's Na e,5//J2 AC7YYJ !)ATF V RY DECLARATfON OF GOMPLLANCE WR'H CODE OF FUR U1.14L* USL ONLY FEDER4L REGULAT(ONS PART 6f OF T17LE40 AND AGN ORULE 1403. PFq&fFT FYP1RFt) JSlR1NlTTFnARfYSTliS P�)TlFM-dTfnN TO_ ❑ EPA ❑ AOTrlD PF�9fvlJTGdP/CLLiL'U PERIOrTEXTEN'DEG 5BE5T09 NOHPIS TPPPLlCABLE TO ROPOS€ODEMO N. _. PlRMYTr1NAL F©O CERTiF1Cl/TEOF OCCUP,ANCYrssUEc. / 1GNA1Ultt: