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Home My WebLink AboutS2019-0177 - PermitsCity of Newport Beach - Building Division I 111�11111111111111111111111111111111pp111p11p11111 il 100 Civic Center Drive, Newport Beach, CA 92660 S 2 0 1 9 0 1 7 7 Permit Counter Phone (949)644-3288 Date: POOLPermit : S2019-0177 Project No : 2472-2019 """""In`5`peCtlSfl Reryuests Phone (949)644-3255 If applicable: 41 Job Address: 26 VENEZIA�'Floo : Bld 0 0 Description of Work:SFR RE-PLAST R (E , NE DRA N C S, L H s '�� /o or (] 100 /o refund Inspector Area: 6 P 'a9}VOM: Code Edit: 2016 Legal Description: N TR 15467 LOT Owner: HENRY ROBERT M nt PRANM92 ASTE Architect: Address: 26 VENEZIA dr Address: } NEWPORT COAST, CA 9 57 E ;1 Phone: Phone: 714-628-9494 Phone: State Li . 0 Applicant: JAIME/ALAN SMITH Con State Lic: 571196 Engineer: - !l.�� Address: 227 E CARLETON AVE Lic Expire: 6/30/2021 Address: p Phone: 7114--448-0 37ANGE CA 92867 ump D 0 02 sca rd plan nState Li 7 �?.. Building Rear. \W�iker3''B'dd+p tion Insurance (nowaliCdatII11�$ed) Setbacks: Front: Carrier: ARCH INS. CO. FUEL MOD, LANDSLI E,VHFHSZ Left: E�' Policy No: ZAWC12645401 Right: Mote•--F*pir2f a-, nA1n4mn n Issued Date' 11/0812019 Construction Type : VB - S. Construction Valuation: $28,184.00 - Building Permit Fee : $515.00 Record Management: $6.00 Water Quality - Permit Issuing Fee: $0.00 Building Dept Inspection Fee: $0.00 Investigation Fee: $0.00 Drainage Permit Fee: $0.00 Water Quality Dept Insp Fee: $0.00 Building Green Fee: $2.00 Drainage Plan Check: $0.00 Building Dept WQ Plan Check: $0.00 Plan Dept Plan Check: $40.011 Grading Consultant Fee: $0,00 Others Building Dep Plan Check: $448.05 $0.00 Building PC Investigation : $0.00 Additional Fee : $294.00 $0.00 Plan check Ext. Fee : $0.00 WQ Compliance Insp Fee: $0.00 TOTAL FEE PROCESSED BY: ZONING Plan Check Fee : $ d CPU WUV 6 6 . v u� P'WN-CHECKED BY:: co ,APPFOIAL TO ISSUE s PERMIT EXPIRES 180 DAYS AF ir-Z ISSUANCE 6RLASY.�VALID INSPECTION "'O to 0o c w cec mcu Fee Due at Permit Issuance : 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 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 dolls I, as owner of the property, or my mployeas with wages as eIr so '(bdo4- ). 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 Contr ctors' fate License Law does not apply to an owner of property who, through employees �o'iYStfrt�Y-efivrtq�builds:u4,i operty, provided that the improvements are not intended o offerQ. If, however, the building or improvement is sold within one year of completion, the Owner-Builderwill have the burd of proving that it was not built or improved for the purpose of sell ❑ I, as owner of the property, apply to an owner of property wl ❑ 1 am exempt from Iicensure By my signature below I acknov sell a structure that I have built Professions Code, is available L Signature of Property Owner or LICENSED CONTRACTOR' I hereby affirm under penalty of and effect. License Class INORKERS' COMPENSATI( NARNING: FAILURE TO SECURE WORI COST OF COMPENSATION, DAMAGES, hereby affirm under penalty of 1 have and will maintain a Arformance of the work for whi have and will ,ance carrier ; 1e of Agent —N� certify that, in the pi if I should become Iature of Applicant _ exc ontracting with licensed Contractors to construct the project (Section 7044a�Sinle saan�dlPFOfessions Code: The Contr ctors' State License Law does not bull m s the w riff for e p s w' ensed Contr r }f�nt to the Contractors' State License aw). rder e r rs' a Licens a or rea�" �V Or o dge a or m rs e I st h ve f t least one year prior to completion of the improvement covered by this permit, I cannot legally an o if it ha con d i e c tractors}} unQQ' stand that a copy of the applicable law, action 7044 of the Business and m request when this application is submitted or at the fol owmg .1�iriltlacalaw.html. Ithor' Date DE LARA N :rju hat I a ens r pr on s t 9 om n i wI h 00 ) of Divi ion 3 of the Business and P fe i o e, a my '� rise is in full force Lice �' D v Contractor Signatur DE ON .;, iS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES ANP,C1iy L•FIfJF;S qP TO QNE'RUNDRED THO SAND DOLLARS ($100,000), IN ADDITION TO THE PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES..<- rju f th lowing declarations: .., _v f rtifi ate cos o r u�°) f al to pensation, y tl�°�jrictor ofIndustrialR atio�nsy provided for by action 3700 of the Labor Code, for IN s is i a 4Jd y 1611 p�/ 1 P Y P -r com ensatiol( kUs fli. b Section 3700 of the Labor Code, for the erfo ce the r I this a it is issued. M workers' com ensatior ;rare / (no work startgqq� r n l l Wlicu N a�) �Ekb)ration Date _ for which this it is issued, I shall not employ any per er-�=me subject to the workers' ompensation laws of California, and o rovisions of Section 3700 of the Labor Code I shall forthwith comply with those provisions: Insp, initials:' D,�tf ✓ !i/rz•/ia :reby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this Ider's Name Lender's Address Code). By 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 plating to building construction. I authorize representatives of this city or co ty e a ve-iden roperty for inspection purposes. L Signature of PropertOwner or Authorized Agent " int Property Owner's or Authorized Agent's Name iew er7e ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 _ .•• ••. PERMIT EXPIRED PERMITCANCELLED POOLALARMS INSTALLED I SUBMITTED • LJ ASBESTOS NOTIFICATION IS NOT APPLICABLE TO PROPOSED DEMOLITION. • • . • • • • • ° ° SIGNATURE: • ° °