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Home My WebLink AboutX2019-0434 - PermitsCity of Newport Beach - Funding Division IIIIIIIIIIIIIIIIIII�IIIIIIIIIIIIIIIIIIIIIIIIIIIII i COMB Permit: X2019-0434 rs 100 Civic Center Drive. Newport Beach CA 92660 p x 2 0 1 9 0 4 3 4 Project No: 2078-2012 Permit Counter Phone(949)644-3288 Inspection Requests Phone (949)644-3255 �zxrws ,= Combination Type - SFP ELEC PLUM MECH Issued Date: 02/07/2019 Inspection Area : 1 PERMITS EXPIRE 480 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: 367 VIA LIDO SOLID NB - Description: DEMO OF INT NON -LOAD BEARING PARTITIONS &DRYWALLIREMODEL/ROOF DECK"REPLACE EXPIRED PERMIT. X2018 -2428/X2018-2429` - Legal Desc :..TR 907 LOT 924 SELY 20 FT AND NWLY 10 FT LOT 925 AND POR ABAND.ALLEY r . Owner. VENEGOPAL VASANTH Contractor: OWNER/BLDR Architect: Address: 367 VIA LIDO SOUD Address: AUTH AGENT: Address: NEWPORT BEACH, CA 92663 TREVOR HARRISON Phone: Phone: Phone:. State Lie: Applicant: CANNATA CONSTRUCTION INC Con State Lie:.. O/B Engineer. 'Address:. 2386 VIA MARIPOSA IN 3F Lie Expire: Address: ,r`�2 LAGUNA WOODS CA 92653- Bus Lie: .... ° 4.: Phone. 949-951-4999 Lie Exp Date: Phone: State Lie: "m•• •° ;,°�„°. Code Edit: 2010 Worker's Compensation Insurance Designer: VENEGOPAL VASANTH ° •• Type: of Construction: V -B Carrier: Address: 367 VIA LIDO SOUD ° ° •. o Occupancy Group: - R3/U Policy No: NEWPORT BEACH CA 92663 ° ° Added /New sq.ft. Bldg: 0 Expire' Phone:.... Added /New sq. ft. Garage: - 0 e °. ° ° p ° No of Stories:'; 2 Building Setbacks - Rear. I - Special Conditions: No ofUnits: 1 Front: I Bldg Height 0 Left: / Bldg Sprinklers: Right / °. • ° Flood. Zone: Use Zone: Parking Spaces: 0 Fire Hazard Zone: N' s ° Construction Valuation: $0.00' _ Building Permit Fee: :$0.00 Excise Tax .'$0.06- Planning Department - Fire Department ` Plan Check Fee: $0.00 Additional Fee :- .$1,334.00 Plan check Fee : - $0.00 Fire Inspection: ' $0.00 Overtime Elan Ck: $0.00 Grading Bonds Fee: $0.00 Fair Share; -. $0.00 Fire Plan Rev $0.00 Investigation Fee: $0.00 Grading PC Consultant : $0.00 SJH Trans : $0.00 Demolition Fee - Record Management; $0.00 Grading Permit Fee: .. $0.00 In -lieu Housing Fee : $0.00 Building Dept Adm. $0.00 Energy. Compliance. $0.00 Grading PC Fee: $0.00 Public Works Department- General Service $0.00 CA Seismic Safety: $0.00 WO Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $0.00 Disabled Access: $0.00 PNV Plan Check: - $0.00 Grading Bond: - $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 $0.00 Plumbing %°: $0.00 - $0.00 - TOTAL FEE : $1,334.00 Plan Check Fee: $0.00 Fee Due at Permit Issuance: $1,334.00 PROCESSED. BY: PUBLIC WORKS APPROVAL: ZONING APPROVAL: PLAN CHECK BY: - GRADING APPROVAL: APPROVAL TO ISSUE: i i i i 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 permit to construct, alter, improve, demolish, or repair any structure, prior to its. issuance, also requires the applicant for he 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 Irofessions 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. fora permit subjects the applicant to a civil penalty of lot more than five hundred dollars ($500): J I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, 3usiness 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 mprovements 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 mproved for the purpose of sale). I, as owner of the property, am exclusively contracting with licensed Contractors to constru t 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 wp contracts for the pr j is with a licensed Contractor pursuantto the Contractors' State License Law). I am exempt from licensure under the Contractors' State Lice s/ aw for the followin , "ason: 3y.... my signature below I acknowledge that, except for my person esidence in whic u t have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legall ;ell a structure that I have built as an owner -builder if it has not an constructed i Its. rely by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and )rofessions Code, is available upon request when this pplic f n' submitted or th` lowing eb sit ttp://www. leginfo.ca.gov/calaw.htmi. -7A/ signature of Property Owner or Authorized Agent Date _ICENSED CONTRACTOR'S DECLARAT16N hereby affirm urrierpenalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division.3 of the Business. and Professions Code and my license is in full force Ind effect. 1-ftrySia.0ass License No Date Contractor Signature yppXERS' COMPENSATION DECLARATION - YARNING: FAILURE.TO SE®URE 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 GF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. h¢rPWy affirm under penalty of perjury one of the following declarations: I Kaye. and vyi: owintain 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 IN le(%rmance of jhe wgrk for which this permit is issued. Policy No. 31•llAo and 41116 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' compensatio 9awslTce carrier apd policy number are: _ prods. - , Policy Number Expiration Date lame ofAgent ••...: Phone# 2.... 1 certify that, ip`t0qpgrformance 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 ogre hai,*iF ishould betmnt subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Signature of Applicant Date )ECLARATION REGARDING CONSTRUCTION LENDING AGENCY 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). ' .ender's Name Lender's Address 3yl,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 I authorize representatives of this city or countyto r the above -identified property for inspection purposes... 7 3i nature of Pro any Owner or Authorized Agent Print Pro ert Owner's or Authorized Agent's Name Date ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 610E TITLE 40 AND AQMD RULE - "5�,..�-- 1403 PERMITEXPIRED (SUBMITTED ASBESTOS NOTIFICATION TO PERMITCANCELLED LIEPA PERMITEXTENDED QMD - - PERMIT FINAL RESTOS NO I ATION IS NOT PP CABLE TO CE TIFICATEOF /]� PROPOSED ION OCCUPANCY ISSUEDl/� SIGNATU