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Home My WebLink AboutX2017-0390 - Permits��wxoP City of Newport Beach - Building Division Address: 100 Civic Center Drive, Newport Beach, CA 92660 p Permit Counter Phone (949)644-3288 s Inspection Requests Phone (949)644-3255 caraa�'a ; Combination Type - SFP ELEC MECH PLUM I�IIIIIIIIIIIIIIiIIIIIIIIIIIIIIIIIIIIII IICOMB Permit: X2017-0390 x 2 9 1 7 9 3 9 9 Project No : 0269-2017 Dome Issued Date : 02/07/2017...... °°°°m ° emoo.. Inspection Area :1 °° m ° mm°° m ms PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. ss lkl� JobAddress: 7208 W OCEAN FRONT NBm Description: SFRREMODEL 111 SF @RES& 346 SF @GAR W/ ELECTRICAL, PLUMBING, AND MECHANICALLegalDesc.: SEASHORE COLONYTR LOT5 BILK L SWLY60 FT -INC POROFSTADJ• Owner: GREANEY PATRICIA RAY Address: 7208 OCEAN FRONT W Planning Department - NEWPORT BEACH, CA 92663 Phone: 714.8484668 Applicant: D'AMBRA DENNIS Address: 7752 WARNER AVE Bus Lic: HUNTINGTON BEACH CA 92647 Phone: 714-648-9668 Code Edit : 2016 Type of Construction: V -B Occupancy Group: R3/U Added /NewfTl sq.ft. Bldg: Added /New sq. ft. Garage: No of Stories: 2 No of Units : 1 Bldg Height: 0 Bldg Sprinklers: Contractor: D'AMBRA INCORPORATED Address: 7752 WARNER AVE Planning Department - HUNTINGTON BCH CA 92647 Phone: 714.8484668 Con State Lic: 281750 Lic Expire: 02/28/2019 Bus Lic: ST30057960 Lic Exp Date: 0 212 8/2 01 8 Worker's Compensation Insurance Carrier: STATE COMP FUND Policy No: 9037373 Expire: 01/01/2018 Building Setbacks Rear: I Front: / Left: / Right: / Architect: $692.00 Address: m ° o commmm ° o 0 Planning Department - omo°mo Phone: State Lic:° ° Additional Fee : o momo oe Engineer: MIRJAHANGIR FRANK Address: 18141 BEACH BLVD #120 Grading Bonds Fee: HUNTINGTON BEACH CA 92648 Phone: 714-596-5570 State Lic:C-020435 Designer: $0.00 Address: $0.00 Phone: Special Conditions: LIQUEFACTION AREA Fire Hazard Zone : N Building Permit Fee: $692.00 Excise Tax: $0.00 Planning Department - $0.00 Plan Check Fee: $602.04 Additional Fee : $0.00 Plan check Fee 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 : $22.00 Grading Permit Fee: $0.00 In -lieu Housing Fee: $0.00 Energy Compliance: $56.00 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 W $48.44 San Dist : $0.00 Building Green Fee : $2.00 Mechanical %: $27.68 NMUSD Fee: $0.00 Plumbing %: $62.28 TOTAL FEE: $1,549.94 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Plan Check Fee: $0.00 Fee Due at Permit Issuance : $1,549.94 PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: Fire Department $37.50 Fire Inspection: $0.00 $0.00 Fire Plan Rev $0.00 $0.00 Demolition Fee $0.00 Building Dept Adm $0.00 General Service $0.00 Refund Deposit $0.00 Grading Bond: $0.00 $0.00 $0.00 $0.00 Fee Due at Permit Issuance : $1,549.94 PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: OWNER -BUILDER DECLARATION I hereby affirm nder 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 peapit to file 9Slg1`led 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) ojllat 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 fiv"undred dollars ($500). ®.I, asowner of the property, or my employees with wages as their sole compensation, will do (_) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, Business and Prof®ssions 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 iMioftients are ppt,intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner-Builderwill have the burden of proving that it was not built or mproved for the ggrP4se of sale). Q 1,•2s owner of thq ploperty, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not aW"o an owner if property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). Ri 8tneexempt from licensure under the Contractors' State License Law for the following reason: By my signature-bett" tacknowledge 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 legall, sell a."r6icture that Ihave built as an owner -builder if it s not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and PrgfE55de✓s idns Co, available upon request whis ap ion is submitted or at the following Web site:http:/lwww.leginfo.ca.gov/calaw.html. Signature of Pr*&rty Owner or Authorized Agent _ DaX f I LICENSED CONTRACTOR'S DECLARAT I hereby affirm under penalty of perjury that I am license der r isions of Chapter mencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class License No Date Contractor Signature WORKERS' COMPENSATION DECLARATION WARNING: 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 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm under penalty of perjury one of the following declarations: 111 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 thl rmance of the work for which this permit is issued. Policy No. ave 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' compensatior surancecarrier and policy tuber are: /� �Q c Carrier I./1-�i Im" Policy Number V`0 v qQf Expiration Date !J Name of Agent Phone # ❑1 certify that, in the pe a of the 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 agree that, if I should becom1e ' com ovisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. n I Signature of Applican DECLARATION REGARDING 'CON CTION LENDING AGENCY I hereby 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). Lender's Name - Lender's Address By 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 ces and state laws relating to building construction. I authorize representatives of this city ter the s -identified property for inspection purposes. t /' ,..t Signature of Property Owner or Authorized Print Property Owner's or Authorized Agent's Name K -f �r Y / 4,Date ACTION DATE BY FbIrtAftAtION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 15UBM ITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED PERMIT EXTENDED CERTIFICATE OF Y Y OCCUPANCY ISSUED �� All required alarms, latches gates and fences which serve as part of a pool/spa barrier, shall be in place prior to approval to fill pool/spa & shall remain in place & be maintained forthe TD life of the pool.