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Home My WebLink AboutX2019-1025 - Permits (2)�,$W1k} ; City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII COMB Permit: X2019-1025 o 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 1 9 1 0 2 5 Project No : 0706-2019 C; n Permit Counter Phone (949)644-3288 v°" dt Inspection Requests Phone (949)644-3255 `r'a .r;e Combination Type - SFP Issued Date : 04/02/2019 Inspection Area : 2 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: 543 TUSTIN AVE NB Description: SFR -REPLACE DECK RAILING & RESURFACE DECK W/DEX O TEX & TILE, REM&REP STUCCO AT DECK AND IST FLR WINDOWS j F. -, Legal Desc.: FIRST ADD TO NEWPORT HEIGHTS BILK 35 LOT 14 Owner:. HICKMAN RICH Contractor: D'AMBRA INCORPORATED Architect:, Address: 543 TUSTIN AVE 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 Con State Lie: 281750 Engineer: MIRJAHANGIR FRANK Address: 7752 WARNER AVE Lie Expire: 02/28/2021 Address: 27281 WESTRIDGE LANE Hazardous Mat HUNTINGTON BEACH CA 92647 Bus Lic: BT30066719 $0.00 LAGUNA HILLS CA 92653 Phone: 714-848-9668 Lie Exp Date: 04/30/2020 Phone: 714-596-5570 State Lie C-020435 Code Edit: 2016 Type of Construction: VB Occupancy Group: R3/U Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 2 No of Units : 1 Bldg Height: 0 Bldg Sprinklers: Construction Building Permit Fee: $392.00 Plan Check Fee: $341.04 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $4.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access: $0.00 Hazardous Mat $0.00 Building Green Fee : $1.00 TOTAL FEr: $778.04 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Worker's Compensation Insurance Carrier: STATE COMP FUND Policy No: 9037373 Expire: 01/01/2020 Building Setbacks Excise Tax: Additional Fee Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: mho: al %: I%: Rear: / 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 0 Designer: Address: Phone: 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 P/W Plan Check : $0.00 San Dist: $0.00 NMUSD Fee: $0.00 Plan Check Fee: $778.04 Fee Due at PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: emoe o m einem •ee• m emmm c c msoeoo $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 m b®meso o c OO60V 0 oomoc c0000c o v cc0000 Fire Department $40.00 Fire Inspection: $0.00 Fire Plan Rev $0.00 Demolition Fee $0.00 Building Dept Adm General Service Refund Deposit Grading Bond: Plan Check Fee: $778.04 Fee Due at PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: emoe o m einem •ee• m emmm c c msoeoo $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 m b®meso o c OO60V 0 oomoc c0000c o v cc0000 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 be 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 U all of or U 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 1 must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legall) 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 ate LICENSED CONTRACTOR'S DECLARATION I hereby affirm undarpenalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 700 f Ivisio 3 of the Business and Profe CodLmye isin full force and effect. LiceAsa Qlaass License No Dat Contractor Signatu W®RKERS' COMPENSATION DECLARATION NARNING: FAILURE TO GBOURE 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 C9b r•OFtQMPENSATIO•N, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I Rereb?affirm untie; penalty of perjury one of the following declarations: ®•I.have and wily miainlain 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 2nce of the worjcfor which this permit is issued. Policy No. e•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' compensatiol sur nce 'eraad-policy number are: •mer • • • Policy Number Expiration Date • • • • ormanc of 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 t, if I should i eCo"Ll s t, if I should beCdhlO subject t the rkers' compensation provisions of e -Leber -Cede II forthwith comply with those provisions. nature of Applicant �a ) �' CLARATION REGA DING CO UCTION LENDING AGENCY - :reby affirm under pe ally 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 information I have 4vided is correct. I agree to comply with all applicable city and coujordi nces and state laws relating to building construction. I authorize representatives of this city or county t 'ter t above -identified property for inspection purposes.. �\ A nature of ProDertv Owner or Authorized Agate �— Print Property Owner's or Authorized Agent's Naln¢—iC.\ ACTION PERMIT EXPIRED PERMIT CANCELLED PERMIT EXTENDED BY DEb AHATION OF COMPLIANCE WITH CODE OF FEDERALI FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE I SUBMITTED TO PERMITFINAL�W C El ASBESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATE OF '�-(r FOR G7 PROPOSED DEMOLITION OCCUPANCY ISSUED SIGNATURE: