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Home My WebLink AboutH2016-0581 - PermitsCity of Newport Beach - Building Division 111111 111111111111111111111111111111111111111111111111 Jill 100 Civic Center Drive, Newport Beach, CA 92660 H 2 0 1 6 0 5 8 1 Permit Counter Phone (949)644-3288 Job Address: 367 VIA LIDO SOLID BIdg:1 Floor: Suite: Description of Work: MECH/INSTALL AC/ UNIT 43dE1 (MAYTAG; CSA4BE060K) Inspector Area:1 Code Edit: 2013 Legal Description: TR 907 LOT 924 SELY 20 FT AND NWLY 10 FT LOT ABAND ALLEY Owner: VENUGOPAL VASANTH/K1 Address: 367 VIA LIDO SOUD NEWPORT BEACH,,GA--O( Phone: Issued Date:08/23/2016 fat Processed By: macesBoilers & Compressor to 100K BTU/hr: 0 $0.00 er 100K BTU/hr. 0 $0.00 ill/Floor Heaters: 0 $0.00 at Pumps & Package Units to 100K BTU/hr: 0 $0.00 :r 500K BTU/hr: 0 $0.00 to 1M BTU/hr: 0 $0.00 to 1.75M BTU/hr: 0 $0.00 �r 1.75M BTU/hr: 0 $0.00 HTG n'30°l° O� Worker' p InrPt surance - 0 wVIOMPolicy No: A09 6824RY INS Expire :11/30/2016 MECHANICAL Permit: H2O16-0581 Project No: 2078-2012 Inspection Requests Phone (949)644-3255 � ULAp' 06) W' i $18.00 Bathroom Fan: 0 Fif ;5: 0 HP: 0 $0.00 x uu�an: $O.00I(�2ag'Line: 0 > P to 30 HP: 0 $0.00 t�n� 0 $0.00 Metal Fireplace >30 HP to 50 0 0 n -Draft Fan: 0 $0.00 Record �Fee� iit��9c�1a >50 H 0 a�sidential Hood: 0 $0.00 onal Air and gt��dmm. Hood: 0 t FM: `�,(��'t`yro.b0 Repair/Alter/A $0.00 _ft4ed ver 10K CFM: �' D $0.00 Sup al Fee: V Box: 0 50.00 TOTAL: $80.16\ .-'Aokia'. $0.00 $0.00 10 Investigation: $0.00 Plan Check: $15.66 Issuance: $0.00 $0.00 Fee Due at Permit Issuance: $80.16 EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION Amo m mm m e m m m s o c m c. m o cm o i o c c� c c E me• •m �•• • • umm •• FNER-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) ction 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 permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9ncm with Section 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 appl ant t' r a permit subjects the applicant to a civil penalty of more than five hundred dollars ($500). r, 1, as owner of the property, or my employees with wages as their sole compensation, will do U all of or (_ iness and Professions Code: The Contractors' State License Law does not apply to an owner of eprr paw 'ovements are not intended or offered for sale. If, however, the building or improvement i rt thin one 'oved for the purpose of sale). - _,,,11 I, as owner of the property, am exclusively contracting with y to an owner of property who builds or improves thereon, J I am exempt from licensure under the iy my signature below I acknowledge thal ell a structure that I have built as a 'rofessions Code, is availab req signature of Prop e r or Authoriz .10ENSED,CoTRACTO DE.' r hereby affirm un r pen rJury IN nd effect. icense Class- - /ORKERS' COM NS ON D L 'ARNING: FAILURE TO SE RE w KERS' C OST OF COMPENSATION, MAG ASP hereby affirm under pe Ity o on 7 1 have and will main in a certif art mance of the w rk f whit i p r dl have and will ma tain orke Isumnce carrier and p li y mb arrier ame of Agent 31 certify that, in the Performa a of t mt, if I should become sub'ect the or ignature of Applicant :d C�g9 rs to construct the pkbj& Confracts for the projects with a licf Law for the foason: ;iden ich I must f(e resided structed m itgAL ty licensed VWs of the work, and the structu through employees' or personal e oaf.cbtclpIs ion, the Own gr -Bair 1V.��`"' p'O tai\U�� in 704p;'(3G�ta@Sa and Professions ont4ctbbff''pursuant to the ContragtQ that a copy of the with Section 7000) of Division 3 of the Business and Contractor NSATIOOVERAGE IS UNL N H E LTO CRIMINAL PENALTIES CWIL FI S� FOR IN SECTION 370%OH B - RNEY'S FEES. 1bgtie elf workers' compensation, issued b Ciy o stn/ahl Rel tions a 1i.- S.kalvela tions.urance, as required by Section 3700 of t NOW Code, fQrHormance of the work affirm under penalty of pe that that there is a Name my signature below, certify to as �,ah f'"ing I am the property owner or authori d CD act on the I have read this application and the 'nformation'I I agree to comply with all applicable it Ccu 1 authorize representatives of this cit or o nature of PropertyOwner or Authorize Agent ACTION DA 7E PERMITEXPFRED B9 intended or offered for sale (Section 7044, ilds or improves the property, provided that the ig the burden of proving that it was not built or Contractors' State License Law does not ense Law). w4ments covered by this permit, I cannot legally ble•law, Section 7044 of the Business and 1 Date 9 essiolnls Code, and my license is in full force ED\bv AND DOLLARS ($700,000), IN ADDITION TO THE foaction 3700 of the Labor Code, for the is issued. My workers' I shall not employ any persona manner so 40$9come j�the workers' compensation laws of California, and agree .ction 3700 of the Lab Ede, I shall forthvv mpl ose provis, iops j Date X Z C melirra'agency for the man a work for which this permit is issued (Section 3097, Civil Code). oder' ass i ier's correct. and state laws relating to building construction. ve-id 'fled property for inspection purposes. V,1 /} f_.f'S!I M C r tAN- M Print Property Owner's or Authorized Agent's Name Date I PERMITCANCELLED I I I IV I PERMIT FINAL CERTIFICATEOF OCCUPANCYISSUED --- - - ---- -, —�.. AQMO RULE 940Js • 04: •0. .0. ❑ I SUB@H77ED•A&ES'dOS.WUFICp7fOA(T6:, • ; ❑ EPA ••• :• :•• ••• .�. ••• ❑ AQMO ❑ ASBESTOS NOTIFICATfONISNOT APPLICABLE TO PROPOSEDDEM0UJ-4I%. • • • • • • • • • • SIGNATURE: r •e i i •• •• i