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Home My WebLink AboutX2017-3154 - Permits� wPri City of Newport Beach -Building Division *X2017-3154* COMB Permit: X2017-3154 - 100 Civic Center Drive, Newport Beach, CA 92660 Project No : 2195-2017 h ', a, Permit Counter Phone (949)644-3288 v... y Inspection Requests Phone (949)644-3255 '-`"abpnypti Combination Type - SFP Issued Date: 10125/2017 Inspection Area : 3 Applicant: PERMITS•EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. Address: 7752 WARNER AVE Record Management : Construction Hours: Monday - Friday 7:00 a.m. to 5:30 p.m. and Saturday from 8:00 a.m. to 6:00 p.m. No work on Sundays or Holidays Phone: Job Address: 7208 W OCEAN FRONT NB $0.00 Disabled Access : Description: SFR REMOVE & REPLACE DECK RAILING & DECKING WIDEX-O-TEX, C/O GLASS DOOR (208 SF) $0.00 Building Green Fee : Legal Desc.: SEASHORE COLONY TR LOTS ELK L SWLY 60 FT -INC POROF ST ADJ- NMUSD Fee: $0.00 Owner: GREANEY PAT Contractor: D'AMBRA INCORPORATED Architect Address: 7208 OCEAN FRONT W Address: 7752 WARNER AVE Address: NEWPORT BEACH, CA 92663 HUNTINGTON BCH CA 92647 Phone: Phone: 714-848-9668 Phone: State Lie: Applicant: D'AMBRA DENNIS Address: 7752 WARNER AVE Record Management : HUNTINGTON BEACH, CA 92647 Phone: 714-848.9668 Code Edit: 2016 Type of Construction: VB Occupancy Group: R31U Added /New sq.ft. Bldg: Added/New sq. ft. Garage: No of Stories: 2 No of Units : 1 Bldg Height: 0 Bldg Sprinklers: Valuation: Building Permit Fee: $292.00 Plan Check Fee: $254.04 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management : $6.00 Energy Compliance: $0.00 CA Seismic Safety : $0.00 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee : $1.00 TOTAL FEE : $590.54 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Con State Lie: 281750 Lie Expire: 0 212 812 01 9 Bus Lic: BT30057960 Lie Exp Date: 02/2812010 Worker's Compensation Insurance Carrier: STATE COMP FUND Policy No: 9037373 Expire: 0110112018 Building Setbacks 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: I $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Engineer: MIRJAHANGIR FRANK Address: 27281 WESTRIDGE LANE Fair Share LAGUNA HILLS CA 92653 Phone: 714.596.5570 State Lic:C-020435 Designer: D'AMBRA DENNIS Address: 7752 WARNER AVE. $0.00 HUNTINGTON BEACH, CA 92647 Phone: 714-848-9668 Special Conditions Planning Department - Fire Department Plan check Fee: Fire Inspection: Fair Share Fire Plan Rev SJH Trans Demolition Fee In -lieu Housing Fee Building Dept Adm Public Works Department - Park Dedication : $0.00 PNV Plan Check: $0.00 San Dist: $0.00 NMUSD Fee: $0.00 Plan Check Fee : $291.54 o m c °c o .$0.00 o $0.0Q o $0.00 ° $0.00 $0.00 $0.00 $0.00 Fee Due at Permit Issuance : $299.00 PUBLIC WORKS APPROVAL: l.{✓(� PLAN CHECK BY: 1+� APPROVAL TO ISSUE: 000000 c ° 0 0 0 0 00 0 c 0<0 0 0000a 0 0000c 0000c, 0 0 ° 00000 0 ooc0 Fire Department $37.50 Fire Inspection: $0.00 Fire Plan Rev $0.00 Demolition Fee $0.00 Building Dept Adm General Service Refund Deposit Grading Bond: o m c °c o .$0.00 o $0.0Q o $0.00 ° $0.00 $0.00 $0.00 $0.00 Fee Due at Permit Issuance : $299.00 PUBLIC WORKS APPROVAL: l.{✓(� PLAN CHECK BY: 1+� APPROVAL TO ISSUE: 000000 c ° 0 0 0 0 00 0 c 0<0 0 0000a 0 0000c 0000c, 0 0 ° 00000 0 ooc0 OWNER -BUILDER DECLARATION I I -tea 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 L) 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 improved for the purpose of sale). - ❑ 1, 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). ❑ I 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 legalh 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.htm]. 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 7 0) of Divisio 3 of the sin f Sion ode, and my I R is in full force and effect. License Class License No i—QOntracto Signatur WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUWECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($700,000), IN ADDITION T HE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3705 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm under penalty of perjury one of the following declarations: 4 I have and will V2114tain 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 P raLeBce of the rook for which this permit is issued. Policy No. ye and will•maiatain 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 IV. ante mer a d ggolicy n bar are: Carriers �� Y.� . Policy Number /J � i��l � Expiration Date IIJarfil 9PAgent • . * Phone # 01•oeitify that, jrf ofrformance 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 work rs' compensation laws of California, and agre �Ihak if l9hensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions $fa$fitUje te��' t)ECLARATION G NDIN - f+Iereby affirm under penalty of perlu ere is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). teBder's NamPt ... Lender's Address By my signatu" elow, I certify to each of the following: I am the property owner or authorized to act on the property owner's behalf. t I have read this application and the information I have provided is correct. C I agree to comply with all applicable cit wand cou iRaRces_and state laws relating to building construction. I authorize representatives of Sbi ci or cou y enter erty for inspection purposes. Sicnature of Prooertv Owner or Aut 'zed Agent _. "�,P.,,�nt Property Owner's or Authorized Age I Da V ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY / REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED PERMITCANCELLED ASBESTOS NOTIFICATION TO PERMIT EXTENDED LJAOMD PERMITFINAL 8 (b ASBEST��000S NOTIF NJS..�QJ APPLICABLE TO OCCUPANCYISF ,p L� R OCCUPANCYISSUED / SIG