HomeMy WebLinkAboutX2019-3614 - PermitsCity of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2019-3614
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100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 7 9 3 6 1 4 Project NO
Permit Counter Phone (949)644-3288
i} Inspection Requests Phone (949)644-3255
; a•< ` Combination Type - MFP Issued Date : 2019
Inspection Arearea :'% 4
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: 2800 PACIFIC VIEW DR NB ,/*p q
Description: MFR WINDOW (157) 8 DOOR (103) CHANGE OUT *LIKE FOR LIKE* NO HEADER CHANGE I EC � V
Legal Desc.: P BK 149 PG 25 PAR 1I
Owner:
SEAVIEW LUTHERAN PLAZA
Address:
2800 PACIFIC VIEW DR
Record Management:
CORONA DEL MAR, CA 92625
Phone:
$0.00
Applicant:
HARDY WINDOW COMPANY
Address:
3425 E LA PALMA AVE
Hazardous Mat
ANAHEIM CA 92806
Phone:
714-996-1807
Code Edit : 2016
Type of Construction: V -A -SPR
Occupancy Group: R1
Added /New sq.ft. Bldg: 0
Added /New sq. ft. Garage: 0
No of Stories: 3
No of Units : 1
Bldg Height: 0
Bldg Sprinklers:
Flood Zone:
Construction
Building Permit Fee: $3,028.00
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:
$17.00
TOTAL FEE: $3,830.00
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Contractor:
HARDY WINDOW COMPANY
Address:
3425 E LA PALMA AVE
o®momm
ANAHEIM CA 92806
Phone:
714-996.1807
Con State Lic:
904342
Lic Expire:
1013112021
Bus Lic:
BT30061762
Lic Exp Date:
0113112020
Worker's Compensation Insurance
Carrier: MIDDLESEX INS
Policy No: A0109380004
.Expire: 0713112020
Building Setbacks
Zone:
Excise Tax:
Additional Fee
Grading Bonds Fee:
Grading PC Consultant
Grading Permit Fee:
Grading PC Fee:
WQ Insp. Fee:
Electrical %:
Mechanical %:
Plumbing %:
Rear: I
Front: I
Left: I
Right: /
king Spa
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Architect
Address:
Phone:
State Lic:
0
Plan check Fee
$0.00
o®momm
$0.00
Engineer:
°
m
Address:
° m
memoro
$0.00
oommmm
•
° �
Phone:
State Lic: •
°
o oe
$0.00
Refund Deposit
om o
Designer.
0 0
me•m••
m
Address:
° ®�
eo m
o0 0
Phone:
a m
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000ae
Special Conditions:
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0
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¢ �
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Planning Department -
Fire Department
Plan check Fee
$0.00
Fair Share
$0.00
SJH Trans
Fire Plan Rev
In -lieu Housing Fee:
$0.00
Public Works Department -
Park Dedication :
$0.00
PMI Plan Check:
$0.00
San Dist:
$0.00
NMUSD Fee:
$0.00
Plan Check Fee : $0.00 Fee Due at Permit Issuance : $3,830.00
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
APPROVAL TO ISSUE: / �.
Fire Department
$0.00
Fire Inspection:
$0.00
$0.00
Fire Plan Rev
$0.00
$0.00
Demolition Fee
$0.00
Building Dept Adm
$24.00
General Service
$197.00
Refund Deposit
$564.00
Grading Bond:
$0.00
$0.00
$0.00
Plan Check Fee : $0.00 Fee Due at Permit Issuance : $3,830.00
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
APPROVAL TO ISSUE: / �.
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)
fiction 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
ifessions 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 L) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044,
ainess 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
Iroved 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 Iegalh
a structure that I have built as an owner -builder if it has not been constructed in its entirely by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and
�fessions Code, is available upon request when this application is submitted or at the following Web site:http://w .leginfo.ca.gov/calaw.htmi.
nature of Pr�part Owner or Authorized Agent Date
TENSED COR WOOR'S DECLARATION /
IgipL affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 700w) of ivisi n 3 of the Business and Pr a sio s Cod d my license is in full force
I effect. LiC2nSe Caass License No Date Iii l Contractor Signa e
)RKERS' COMPENSATION DECLARATION
IRI17G: FAILUREJO SEQURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMI AL PENALTIES AND CIVIL FINES UP TO ONE UNDRED AND DOLLARS ($10D,000(, IN ADDITION TO THE
IT QF COMPENSAINIrt, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
'rgby affirm undereenalty of perjury one of the following declarations:
-1-Mye and%jjTnajntain 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
kxmance of th ework for which this permit is issued. Policy No.
;IT41i; 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' compensatioi
Irande carrier'a?M policy number are:
Y3r?V ; Policy Number Expiration Date
\IM8 t)f Agent' . Phone #
�I certify that, in the perfor ence 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
:hat, if I should become sub' the workers' c p nsation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
11T2`��l
Signature of Applicant Date�
DECLARATION REGA` DI CO STRUCTION LENDING AGENCY
hereby affirm under yenalt of p 'ury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097!. Civil Code).
_ender's Name ( Lender's Address /
3y 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 is correct.
I agree to comply with all applicable city and county ordiKances and state laws relating to building construction.
I authorize representatives of this city or county to r the above -i tif'edro erty for inspection purposes. r
Si nature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Warne date 11 2
ACTION DATE BYEC RATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY f'
RE TIONS PART 61 OF TITLE 40 AND AQMD RULE f
PERMITEXPIRED �'" IJISUBMITTED ASBESTOS NOTIFICATION TO
PERMITCANCELLED / _ EPA
PERMITFINAL ASBESTOS TIFICATION IS NOT APPLICABLE TO
CERTIFICATE OF I+p OPOEST ITION
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