HomeMy WebLinkAboutF2019-0515 - PermitsCity of Newport Beach- Building Division IIIIIIIIIIIIIIIIII�IIIIII�IIIIIIIIIIII II FIRE Permit: F2019-0515
a4 4. 100 Civic Center Drive, Newport Beach, CA 92660 F 2 0 1 0 5 1 5
h Permit Counter Phone (949)644-328!1 Project No :2025-2019
'rz7ra5a}y Inspection Requests Phone (949)644-3255
NO CONSTRUCTION NOISE
Job Address: 3303 VIA LIDO NB
Inspector Area :00
Owner: LS -LIDO, LLC
Address: 7525 IRVINE CENTER DR#200
IRVINE CA 92618
Phone: 949-346-8080
Applicant. ASHANTEIF S S ALRMS
Address: 706 E HARRISON ST#200
CORONA CA 92879
Phone: - 951-452-5936
Code Edit .2016:
Type of Construction: V -B -SPR
Occupancy Group: R21U
Added /New sq.ft.. Bldg: 0
Added /New sq. ft. Garage: 0
No of Stories: 3
No of Units : 0
Flood Zone: X -
Bldg Sprinklers: Y
.Issued Date: 0 911 112 01 9. Special Conditions: LIQUEFACTION AREA
Setback- Front
Rear. _..
Left:
Right:: jn ._! ✓..»�t"�O `-�_
FEES
Description. MFR:(BLDG #OINSTALL FIRE SPRINKLER MONITORING SYSTEM
Construction Valuation:
Legal Description:
LOT 1 OF TRACT NO 17555
®N. Ty.E WEEKEND 3ooi -3 o I I
Contractor:
F S S ALARMS INC
- Architect:
$0.00 Records Management:
Address:
705 E HARRISON SUITE 200
Address:.
Planning Counter Review:
$0.00
CORONA CA 92879
Building Extention Fee :
$0.00
Phone:
800.915-3473
Phone: State Lie:
Building Investigation Fee:.
$0.00
V
Con State Lie
854971
Engineer:
$0.00
Lie Expire.
02128/2021
Address:
Public Works Traffic Plan Check Fee;
Bus Lie:
BT30027990
Building Permit Fee:
/1
Lie Exp Date:
0513112020
Phone: State Lie
TOTAL FEE :
Worker's Compensation Insurance Designer: RODGERS CHRIS
Carrier: INSURANCE CO OF THE WEST Address: 705 EHARRISON ST #200
Plan Check Fee :
Policy No:
Expire:
WSD50311403
10101/2019
CORONA CA 92879
Phone: 951-452-5936
.Issued Date: 0 911 112 01 9. Special Conditions: LIQUEFACTION AREA
Setback- Front
Rear. _..
Left:
Right:: jn ._! ✓..»�t"�O `-�_
PROCESSED BY:
ZONING APPROVAL:
FIRE APPROVAL :
° ° • r ° WHERAEPARTMENT:
&N.
CKECKED BY:
OE
C APPROVAL TO ISSUE:
PERMIT EXPIRES 180.DAYSAF61tiSUANCE 6R &AST VALID INSPECTION - -
°
FEES
Construction Valuation:
$2,800.00 -
-
Building PC Fee :
$202.00
Fire Residential Alarm PC Fee:
$0.00 Records Management:
$14.00
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 Fee:
$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 :
$456.00
Plan Check Fee :
$0.00 Fee Due at Permit Issuance :
$456.00
PROCESSED BY:
ZONING APPROVAL:
FIRE APPROVAL :
° ° • r ° WHERAEPARTMENT:
&N.
CKECKED BY:
OE
C APPROVAL TO ISSUE:
PERMIT EXPIRES 180.DAYSAF61tiSUANCE 6R &AST VALID INSPECTION - -
°
1WNER-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
is 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
'rofessions 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
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 U portions of the work, and the structure is not intended or offered for sale (Section 7044,
lusiness 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
nprovements 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
n roved 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
pply 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 taw). - -
I I am exempt from licensure under the Contractors' State License Law for the following reason:
ly my signature below I acknowledge that, except for my personal residence in which 1 must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legally
ell 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
'rofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. -
lignatureofProperty Owner orAuthorized Agent Date
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Se Ion 7000) of Division 3 of the Business and Professions Code, and my license is in full force
is C_Q
ense Class C effect.
(cl 0 License No �1-'� f-'
C 1 l Cjj �'1 1" 1 Date - ` ( 1 Contractor Signatur��T_
VORKERS' COMPENSATION DECLARATION
DARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,00D), IN ADDITION TO THE
OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
her y affirm under penalty of perjury one of the following declarations:
1 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
erformance of the work for which this permit is issued. Policy No.
11 have and will m Ikfain 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' compensatiol
Isurance carrier an of number ar�`i, q U f�
:arrior X V _ A / )Q / �oFicv IIJrhBer _ Expiration Date
1e of Agent M C"y e �J &eL`r_ _ vnone v
certify that, in the performance of the 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
if I should become, ssUblect to the workerp' compensation provisions off Section 3700 of the Labor Code, I shall forthwith. comply with those rovisions.
/\ k1c, I
lature of Applicant 1h)✓f'�AT3..• `-�I" " Y Date.
CLARATION REGAFDING CONSTRUCTION LENDING AGENCY V
Ireby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil 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 owners 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 relating to building construction.
I authorize representatives of this city or county to ter t b ve-id tified 3roperty for inspection purposes. I y
nature of Prooertv Owner or Authorized Aaent J\ _ Print Property Owner's or Authorized Agent's Name 4 U
ACTION DATE BY
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FEDERAL REGULATIONlS,PART g1.OF V TL.E40AND
A(.#ARD RijNE 140.3.'• `i
PERMITEXPIRED
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PERMITCANCELLED
PERMITEXTENDED
ASBESTOS NOTIRCAHOMIS NOT APPLICABLE TO
PROPOSED DEMOLIT19M • , ,
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S1GN.1TWRE:
PERMIT FINAL
CERTIFICATEOF
OCCUPANCYISSUED