HomeMy WebLinkAboutX2022-1160 - Permits00111.1111,111 City of Newport Beach - Building Division II IIII IIIIIII �I IIIIIIIIII IIIIII IIII II
100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 2 2 1 1 6 0
Permit Counter Phone (949)644-3288
u Inspection Requests Phone (949)644-3255 Combination Type -BLDG ELEC NO CONSTRUCTION
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. fppill MNXI
Construction Hours: Monday- Friday 7:00 a.m. to 6:30 p.m. an rday fro 1�o 6:6
Job Address: 410 VIA LIDO NORD INS N '��� WEt IIw\Description: SFR (2) ENERGY STORAGE SYSTEMS !�V\V06 `�
Legal Desc.: TR 907 LOT 478 SELY 15 FT AND NWLY 15 FT LOT 479 R ABAND ALLE O U
Owner: 410 VIACON LLC
Address: 410 VIA LIDO NORD
NEWPORT BEACH CA
Phone:
Applicant: FISHER ZACK
Address: 4085 E LA PALMA A E
ANAHEIM CA 92807
Phone: 9511285-9828
Code Edit: 2019
Type of Construction:
Occupancy Group: R3/U
Added /New sq.ft. Bldg: 0
Added/New sq. ft. Garage: 0
No of Stories: 0
No of Units : 0
Bldg Height: 0
Bldg Sprinklers:
Flood Zone: X
Building Permit Fee: $416.00
Plan Check Fee: $361.92
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management:
$0.00
Energy Compliance:
$0.00
CA Seismic Safety:
$0.00
Disabled Access :
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$1.00
PROCESSED BY:
0 a ttu
Li
Worker's
Ca
le
TOTAL FEE: $933.87
ZONING APPROVAL:
..� R�1:^ 10.00
1 Fee : 0 $0.00
Bonds Fee. $0.0
PC Consultant : 00
Pemdt•Fee $0.00
Fee:
rig %:
$54.45
$0.00
$0.00
S\*A
s: 0
91T
�k�� e
7� ess:
COMB Permit: X2022-1160
Praiect No: 1067-2022
: 05/1212022
Area : 2
BY �� �PERMI WILL bb INVALIU
'_Y•tl.�YD on Sunda s or Holidays
State Lic:
HAKHAMANESHIMANOUCHEHR
317 N SAN"F6R'NANDO BLVD
BURBANK CA 91504 ✓1�
747-333-5991 %;ft IYc:C-088
.2S x n
v - ntK 5
Skmll6& itions:
Housing Fee :
Public Works Department
-
Park Dedication :
$0.00
P/W Plan Check:
$0.00
San Dist:
$0.00
NMUSD Fee:
$0.00
0009-
Fire Department
$52.00
Fire Inspection:
$0.00
Fire Plan Rev
$0.00
Demolition Fee
$0.00
Building Dept Adm
General Service
Refund Deposit
Grading Bond:
$0.00
$48.50
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Plan Check Fee : $487.75 Fee Due at Permit Issuance : $446.12
PUELIC WORKS APPROVAL:
PLAN CHECK BY:
GRADING APPROVAL: APFRO'.'� •L TO ISSUE:
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law%f the reason(s) indicated below by the checkmark(s) I have placed next to the applicable item(s)
ction 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any stru rI torts issuance, also requires the applicant for
permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 encing with ection 7000) of Division 3 of the Business and
fessions Code) or that he or she is exempt from licensure and the basis for the alleged exemption. Any violation of Section 703 any applicant for a p mit subjects the applicant to a civil penalty of
more than five hundred dollars ($500).
I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or s of the work, gnd the structure is
;iness and Professions Code: The Contractors' State License Law does not apply to an owner of pro v o, through e���]]gg�`'�"' or personal eff�tt
�rovements are not intended or offered for sale. If, however, the building or improvement is s in one year of.tuniaWn, the Owr ♦Slur er0�1'
roved for the purpose of sale). `{ 2 1
I, as owner of the property, am exclusively contracting with licensed
y to an owner of property who builds or improves thereon, and whql.
LJ I am exempt from licensure under the Contractors'
By my signature below I acknowledge that, except f
sell a structure that I have built as an owner- r if it
Professions Code, is available upon st when t Is
Signature of Property OwneLaoililMorized Agent
LICENSED CONTRACTI 'S D C
I hereby affirm under penalty pert
and effect. License Class _—
to construct the project (Section 7��,pfAysQs�nd Professions C
for the projects licensed 06un r t{drr j�i�-ursuant to the Contra
hfEh I must ha e r at least one- �(� o5rWto completion of the
in its a Ice�e ntractD11� erstand that a copy of the al
3 of thaqusiness and Pro
d. 6ni ractor Signature
ad or offered for sale (Section 7044,
improves the property, provided that the
?urden of proving that it was not built or
State License Law does not
Law).
nent covered by this permit, I cannot
law, Vction 7044 of the Business and
my license is in full force
NARNING: FAILURE TO SECURE WORK S' C ENSATIO OVERA�uNLAWFUL, AND S Nnation,
LO IRRRCPENALTIES AND CIVIL FINES UP I tNIHNUSAND O LARS IE100,000), IN ADDITION TO THE
COST OF COMPENSATION,'URE Os A ' D FOR IN TION 3706 OF THE LABOR `` V��hereby affirm underpenalty of'pe ry o wing decla ��++have and willmaintain'e certi ate of copse self or s' mpissued byoect�I�aw�IJJafionha, vided r b Section 3 0 of the Labor Code, for thysurtce
rmance of the work for which thi perrm olic ``�v+'�t a``Gve and will m ' ain workers' c pe tin ce, quired by Section 3700 of the Labor Cthe perrq�mre• the wodc f whi is i sue My workers' compensatior
carrier d po number ar-
--anner y e t - FIN
ate
Vame of Agent one #
�I certify that, in the VCONSTAUCTldt)4E1WlNG
k for Is' I s�ha{l qn¢��mploy any person in any me o as to becomIA ct t rkers' compensation Is
of California, and agree
'.hat, if should becomactrk ns ion ro s of Se bD of the Labor Cade, I s orthwith compl os Ions.
Signature of Applican�K 5�
7ECLARATION REGUCT1 E ING AGEWYhereby affirm underhat theis a construction lending agenc a performance a wo ich this permit is issued (Section 3097, Civil Code).
-ender's Name Lender's as
3y my signature below, I certify to each of the to[ wing: qq�
I am the property owner or authorized to act D ttl��%-Y owner's beh
I have read this application and the information have provided 1 ect.
agree to comply with all applicable city and co ty rdi as a e laws relating to building construction.
I authorize representatives of this city or county t er t v ' entified property for inspection purposes. l 1s
3i nature of Property Owner or Authorized nt Print Property Owners or Authorized Agent's Na P^ L�`� �S •Da IZ
ACTION DATE B DECLARATI OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIO PART61 OFTITLE 40 ANDAQMD RULE
1403 _
PERMIT EXPIRED I SUBMITTED ASBESTOa NOTI HCATION r0
PERMIT CANCELLED EPA '
PERMIT EXTENDED EIQMD
PERMIT FINAL U ASBESTOS NOTIFICATION IS NOT APPLICABLE TO
CERTIFICATE OF PROPOSED DEMOLITION
OCCUPANCY ISSUED SIGNATURE: