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Home My WebLink AboutF2019-0163 - Permitsve City of Newport Beach - Building Division 1111 II 100 Civic Center Drive, Newport Beach, CA 92660 F 2 6 1 9 6 1 6 3 ._ Permit Counter Phone (949)644-3288 Job Address: 3303 VIA LIDO NB Inspector Area: FIRE Owner. LS -LIDO, LLC - Address: ` 7525 IRVINE CENTER DR, STE 200 IRVINE CA 92618 Phone; 949-345-8080 Applicant: RODGER CHRIS Address: 705 E. HARRISON ST #200 CORONA, CA 92879. Phone: 800-915-3473 Code Edit: 2016 Type of Construction: V-BSPR: Occupancy Group:... - R3/U Added /New sq.ft. Bldg:. 0 Added/New sq. ft. Garage: 0 No of Stories: 3 No of Units : 0 --Flood Zone: Bldg Sprinklers: Y FIRE Permit: F2019-0163 Project No: 0710-2019 Inspection Requests Phone (949)644-3255 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION F> FEES Description: MFR FIRE MONITORING SYSTEM pr � ^ �AA30 Building PC Fee: Legal Description: LOT 1 OF TRACT NO 17555 ° $20.00 Building Overtime PC Fee: .$0.00 Contractor: F S S ALARMS INC Architect Building Extention Fee : $0.00 Planning Zoning PC Fee : $0.00 Address: 705.E HARRISON SUITE 200 Address:. $0.00 $0.00 CORONA CA 92879 $0.00 Public Works PC Fee: $0.00 $0.00 Phone: 951-272-2571 Phone: State Lic: Building Permit Fee [ Con State Lic: $54971 Engineer. TOTAL FEE : $462.00 Lic Expire: 02128/2021 : Address: OTHER DEPARTMENT: Bus Lic: BT30027990 PLAN CHECKED BY:: FIRE APPROVAL: 1' 7 , Lic Exp Date: 05131/2019 Phone: State Lic: Worker's Compensation Insurance Designer: RODGERS CHRIS Carrier: INSURANCE CO OF THE WEST Address: 705-E. HARRISON ST #200 Policy No: WSD50311403 CORONA, CA 92879 .... Expire: 10101/2019 Phone: 800-915-3473 Issued Date: 0411112019 Special Conditions: Setback -.Front °°.. Rear Left: .°°eo• o 0 0 Right PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION FEES Construction Valuation:. $2,000.00 Building PC Fee: . $202.00 Fire Residential Alarm PC Feer $0.00 Records Management: ° $20.00 Building Overtime PC Fee: .$0.00 Planning Counter Review; $0.00 Building Extention Fee : $0.00 Planning Zoning PC Fee : $0.00 Building Investigation Fee: $0.00 $0.00 Fire Plan Check Feer $0.00 Public Works PC Fee: $0.00 $0.00 Fire Permit Fee : $0.00. Public Works Traffic Plan Check Fee; $0.00 Building Permit Fee [ $240.00 TOTAL FEE : $462.00 Plan Check Fee: $202.00 Fee Due at Permit Issuance : $260.00 PROCESSED BY: OTHER DEPARTMENT: ZONING APPROVAL: PLAN CHECKED BY:: FIRE APPROVAL: 1' 7 , J� APPROVAL TO ISSUE: PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION 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 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 dollars ($500). ❑ I, asowner of the property, or my employees with wages as their sole compensation, will do U all of or L) 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 im roved for the purpose of sale). 1, 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). ❑ 1 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 improvements covered by this permit, I cannot legally 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 applicable law, Section 7044 of the Business and Professions Code, is available upon request when this application is submitted or at the following Web site:http://w .leginfo.ca.gov/calaw.htmi. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing th Section 7000) of Division 3 of the Business and Profes ode, a (cense is in full force and effect. r / (� - License Class License No D L O 1! ( l Y11IL r Signature WORKERS' COMPENSATION DECLARATION NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES ANDS UP TOONE HUNDRED THOUSAND DOLLARS ($700,000), IN ADDITION TO THE COST OF COMPENSPFrMpDAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby aff mn underpenalty of perjury one of the following declarations: 000- I have and WIi(haintain 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 TArrnance of thawerk for which this permit is issued. Policy No. and will 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' carriQl;"rfolicy number are: t✓" u10rrrLc4y 2 Policy Number Expirati f Agenf :.. ' Phone i ify that, irythe performance of th rk for which this permit is issued, I shall not employ any person in any manner so as to become su should become me subject e w era' comp Ion ovisions of Section 3700 of the Labor Code, I shall forthwith comply with those .: .. /fly a�f Annlinani ! Dail PLRRATIOUR AARBM1®-CONSTRUCTION LENDING AGENCY :reby affirm? ypQefpenalty of perjury that there is a construction lending agency for the performance of the work for which this permit is 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 county ordinance state law ting to building construction. I authorize representatives of this city or county to enter abo .idem pr erty for inspection purposes. of or Date to the workers' compensation laws of California, and Sim%V III I( l e r (Section 3097, Civil Code). ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FOR OFFICE USEONLY FEDERAL REGULATIONS PART 61 OF TITLE40AND AQMO RULE 1403. PERMITEXPIRED I SUBMITTED ASBESTOS NOTIFICATION TO: ❑ EPA ❑ AQMD PERMITCANCELLED P€RMITEXTENDED ASBESTOS NOTLFLCARONIS NOT APPLICABLE TO PROPOSED DEMOLITION PERMfTFINAL 1lAC r2 CERTIRCATE OF SIGNATURE: OCCUPANCYISSUED