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Home My WebLink AboutX2016-3702 - Permitsxvn City of Newport Beach - Building Division *X20163702* COMB Permit: X2016-3702 a# 100 Civic Center Drive, Newport Beach, CA 92660 Project No Permit Counter Phone (949)644-3288 :. Inspection Requests Phone (949)644-3255 mtreay. ° Combination Type - SFP Issued Date : NH0/2016 Inspection Area : 1 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. Job Address: 6406 W OCEAN FRONT NB Description: SFR -REPLACE EXP PERMIT X2016-1106 -WINDOW C/O (5) WINDOWS "LIKE FOR LIKE" (CITY STD PLAN) Legal Desc.: SEASHORE COLONY TR LOT 4 BILK D SWLY 60 FT -INC 15 FT ADJ ON SW - Owner: STEIN MIRA Contractor: T H D HOMESERVICES INC Architect: Address: 6406 OCEAN FRONT W Address: 13250 GREGG ST #A2 Address: NEWPORT BEACH, CA 92663 POWAY CA 92064 Phone: Phone: 858-859-4147 Phone: Applicant: T H D HOMESERVICES INC Address: 13250 GREGG ST #A2 POWAY CA 92064 Phone: 858-859-4147 Code Edit : 2013 Type of Construction: V -B Occupancy Group: R3/U Added /Newrrl sq.ft. Bldg: 0. Added /New sq. ft. Garage: 0 No of Stories: 2 No of Units : 1 Bldg Height: 0 Bldg Sprinklers: Con State Lie: 836021 Lie Expire: 04/30/2018 Bus Lic: BT30026741 Lic Exp Date: 07/3112017 Worker's Compensation Insurance Carrier: NEW HAMPSHIRE INS CO Policy No: WC016519216 Expire: 03/01/2017 Building Setbacks Rear: / Front: / Left: / Right: / Use Zone: Engineer: Address: Phone: Designer: Address: Phone: State Lie: State Lic: Special Conditions: INSPECTOR TO FIELD VERIF "OFFICE"WINDOW IF EGRESS Building Permit Fee: $0.00 Excise Tax: $0.00 Planning Department - $0.00 Plan Check Fee: $0.00 Additional Fee : $32.00 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: $2.00 Grading Permit Fee: $0.00 In -lieu Housing Fee Energy Compliance: $0.00 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 PfW Plan Check: $0.00 Hazardous Mat $0.00 Electrical %: $0.00 San Dist: $0.00 Building Green Fee : $0.00 Mechanical %: $0.00 NMUSD Fee: $0.00 Plumbing %: $0.00 TOTAL FEE: $34.00 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: e e •esooT-- e • o oeeeee m 0 e e oomome 0 oeoo • e omoo e O Oemm Om m 0000 0 0 0 00 0 $0.00 $0.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $34.00 PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: e o o • o mm o emeoo 0 om000 DoocOo O D O 0 0 Dc0000 0 0 .moo Fire Department $0.00 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 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $34.00 PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: e o o • o mm o emeoo 0 om000 DoocOo O D O 0 0 Dc0000 0 0 .moo LDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason (a) 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 ($500). ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, Business and Professions. Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or improved for the purpose of sale). 0 -1, as -owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). ❑ 1 am exempt from licensure under the Contractors' State License Law for the following reason: By my signature glow tacknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legalll sell a structure that-14mve built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and 4rofessiens Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw,htmi. tgAlt!r$ of PrgpDgy Ppner or Authorized Agent Date LI&EIySED CONTRACTOR'S DECLARATION jlet lylaffirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Profession CgSie, and my license is in full force and effect. License. glass License No Date �l f Contractor Signature VCFRjERS' COMPENSATION DECLARATION Yl U4C.: FAILURE 1V8ECURE 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 .OST OF OOMPENS/yT".&AMAGES AS PROVIDED FOR IN SECTION 3708 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. Yeteby affirm under penalty of perjury one of the following declarations: ' t hale 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 rtormanoe of the wor% for which this permit is issued. Policy No. ; and 41?�'?Nain 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 � rance carrier and policy number are: is of Agent certify that, in the p if I should become lature of Applicant _ Policy Number Date of the work forwhich 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 Ike workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. / , :reby 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). 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 provided is correct. I agree to comply with all applicable city and county ordinances and state laws relating to building construction. I authorize representatives of this city or county/�tmep1he above -identified property for inspection purposes. nature of Propertv Owner or Authorized ADent T LG-._...---- Print Prooertv Owner's or Authorized Aaent's Name AJ 1 r"" k Lie DATE I BY PERMITCANCELLED PERMITEXTENDED PERMIT FINAL CERTIFICATE OFOCCUPANCY ISSUED DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART fit OF TITLE 40 AND AQMD RULE I SUBMITTED ASBESTOS NOTIFICATION TO M 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 for the NOTIFICATION IS NOTAPPLICABLE TO life of the pool.