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Home My WebLink AboutX2022-1622 - Permits4 Ntl.CV�IN City of Newport Beach - Building Division .S G 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 Q.,. 2 Inspection Requests Phone (949)644-3255 14r410" Combination Type -BLDG ELEC PLUM COMB Permit: X2022-1 Project No : 1672-2021 Issued Date : 0610812022 Inspection Area : 2 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY OR PERMIT WILL BE INVALID 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: 225 VIA LIDO NORD NB Description: SFR*CHANGE OF CONTRACTOR* ELEC & PLUM FOR EXT WATER FEATURES (2), FIRE FEATURE & BBQ (X2021-1924) Legal Desc.: TR 907 LOT 1059(AND NELY 10 FT LOT 1058 - Owner: VALDER STEPHEN/TERI Address: 5702 MOUNTIAN VIEW AVE YORBA LINDA CA 92886 Phone: Applicant: BARD MARTIN Address: 470 OLD NEWPORT BLVD NEWPORT BEACH, CA 92663 Phone: 949-645-5854 Code Edit : Type of Construction: Occupancy Group: Added /New sq.ft. Bldg: Added/New sq. ft. Garage: No of Stories: 0 No of Units : 0 Bldg Height: 0 Bldg Sprinklers: Flood Zone: Building Permit Fee: Plan Check Fee: $0.00 Overtime Plan Ck: Investigation Fee: Record Management Energy Compliance: CA Seismic Safety: Disabled Access Hazardous Mat Building Green Fee PROCESSED BY: Contractor: TONY VALENTINE CONST INC Address: 567 SAN NICOLAS DR NEWPORT BEACH CA92660 Phone: 949-723-6449 Can State Lic: 467553 Lic Expire: 04/3012024 Bus Lic: BT30071132 Lic Exp Date: 0212812023 2019 Worker's Compensation Insurance VB Carrier: STATE COMP INS FUND U Policy No: 1794693 0 Expire: 0710112022 0 Building Setbacks Rear: / Front: / Left: / Right: / Architect: JEANNETTE BRION S U J Address: 470 OLD NEWPORT BLVD _q NEWPORT BEACH CA 92663 Phone: 949-645-5854 State Lic:C008012 ��9 1 1 Engineer: DEIHIMI AMIR HOSSEIN �t Address: 23172 PLAZA POINTE DR STE 145 V LAGUNA HILLS CA 92653 Phone: 949-954-7244 State Lic:C-078194 Designer: "5"'� Address: V Phone: Special Conditions: $0.00 Excise Tax: $0.00 Planning Department - Additional Fee : $38.00 Plan check Fee $0.00 Grading Bonds Fee: $0.00 Fair Share $0.00 Grading PC Consultant : $0.00 SJH Trans $0.00 Grading Permit Fee: $0.00 In -lieu Housing Fee: $0.00 Grading PC Fee: $0.00 Public Works Department - $0.00 WQ Insp. Fee: $0.00 Park Dedication : $0.00 $0.00 P/W Plan Check: $0.00 $0.00 Electrical W $0.00 San Dist: $0.00 $0.00 Mechanidal %: $0.00 NMUSD Fee: $0.00 Plumbing %: $0.00 TOTAL FEE: $38.00 ZONING APPROVAL: 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 : $38.00 PUBLIC WORKS APPROVAL: PLAN CHECK BY: GRADING APPROVAL: APPROVAL TO ISSUE: 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 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 tram 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). ❑ 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). ❑ I 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 I must have resided for at least one year prior to completion of the impro, 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 applicab Professions Code, is available upon request when this application is submitted or at the following Web site:http://w .leginfo.ca.govlcalaw.html. Signature of Property Owner or Authorized Agent LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 00 ) of Di I on 3 of the Business and Pra and effect. License Class License No Date ;Xontractor Signature WORKERS' COMPENSATION DECLARATION NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINA PENALTIES AND CIVIL FINES UP TO ONE HUNG 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: Tents covered by this permit, I cannot law. Section 7044 of the Business and is in.full force THOUSAND DOLLARS ($100,000), IN Abc(nON TO THE I 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 th prmance of the work for which this permit is issued. Policy No. have and m ti tain workers' .a pensation insuranc as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensatiol trance carrie nd p�glicy numbe are _ vier P Ic er Expiration Date ne of Agent J' Phone # certify that, in the performance he 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 if I should become su ct to a orke�s' pens provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applicant Date O nature of Applicant REGA ING STRUCTI LENDING AGENC �reby affirm under penalty of perjury that there is a construction a ing agency for the performance of the work for which this permit is issued (Section 3097, vil 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 c�ou'rp or antes and state laws relating to building construction. , I authorize representatives of this city or counrp en er h,^ b5y€jideyntifie8lfoperty for inspection purposes. , , /� - /S nature of Prooerty Owner or Authorized Agent JXC �I"'�� /� (��C�,�/ Print Property Owner's or Authorized Agent's Nam / v % l� L i Date ACTION DATE BY DECLARATION OF COMPLIANCE WiFH�ODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 610E TITLE DAQMD RULE 1403 PERMITEXPIRED U I SUBMITTED ASBESTOS NOTIFICATION To - PERMIT CANCELLED UEPA PERMIT EXTENDED nQMD PERMITFINAL U ASBESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATE OF (�/� PROPOSED DEMOLITION OCCUPANCY ISSUED I I SIGNATURE: — -- In