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Home My WebLink AboutF2019-0512 - Permitswrr, City of Newport Beach -Building Division IIIIIIIIII�IIIIIII�II(IIIII�IIIIIIIIIIIIIIIII II 100 Civic Center Drive, Newport Beach, CA 92660 F 2 0 1 9 0 5 1 2 Permit Counter Phone (949)644-3288 FIRE Permit: F2019-0512 Project No : 2021-2019 Inspection Requests Phone (949)644-3255 3351-33s-1 VkA- Ltiz)o X;R D 4"71.��Z�1 .Job Address: 3303 VIA LIDO NB Description MFR (BLDG #1) INSTALL FIRE SPRINKLER MONITORING SYSTEM Inspector Area: '% i %Wt Owner:. LS -LIDO, LLC Address:. 7525 IRVINE CENTER DR STE 200 IRVINE CA 92618 Phone: Applicant: ASHANTEIF S S ALARMS INC Address: 705 E HARRISON #200 CORONA CA 92879 Phone; 951-452-3473 Contractor: Code Edit: 2016 Address: 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 Legal Description: LOT 1 OF TRACT NO 17555 Contractor: F S S ALARMS INC Address: 705 E HARRISON SUITE 200 $2,800.00 CORONA CA 92879 Phone: 800-915.3473 Con State Lic: 854971 Lic Expire: 02128/2021 Bus Lic: BT30027990 Lic Exp Date: 05131/2020 Worker's Compensation Insurance Carrier: INSURANCE CO OF THE WEST Policy No: WSD50311403 Expire: 10/01/2019 Architect: INSPECTOR Address: Phone: State Lic: Engddr ne AesN®s: CONSTRUCTION NOISE Addres Phone: State Lic: NN,, 0000 Address: 7��IA '$JE Kr, ....m -- NNN ��7 X86 mmm® CORO A A 7 Phone: 951452-3473 0000 m Issued Date: 09/23/2019 Special Conditions: LIQUEFACTION AREA Setback- Front: ° Rear o0 Left: o o m o Right % o 0 moe000 0 ommoo 0 000co PROCESSED BY: OTHER DEPARTMENT: ZONING APPROVAL: PLAN CHECKED BY:: FIRE APPROVAL: _ APPROVAL TO ISSUE: PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION FEES Sdds v. C mmmmmm m Construction Valuation: $2,800.00 o o m 0 Building PC Fee : $202.00 Fire Residential Alarm PC Fee : - $0.00 Records Management, 0 0 mm0• omoo� $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: OTHER DEPARTMENT: ZONING APPROVAL: PLAN CHECKED BY:: FIRE APPROVAL: _ APPROVAL TO ISSUE: PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION )WNER-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, amexclusively 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 Law). from ng reason: ly exempt ilContractors'censu're 'under the State my signaturebel wx l acknowledge that, ceptfor mypers nal recd residence in whithe ch Ilmust 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. 1 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:hftp://w .leginfo.ca.gov/calaw.html. signature of Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of th Business and Professions Code, and my license is in full force nd effect. / ( S. G Or G icense Class C 0 C(U C SSU License No ) S � l� I ` �� Contract r S nature 1Z/ rY— VORKERS'.COMFENSATION DECLARATION 'ARNIIjG: FAILURt.TO. SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL sUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($700,000), IN ADDITION TO THE QST.OF COMPENSA TION. DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: eIr9ve and X11 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 the ormance of the Atk for which this permit is issued. Policy No. �Le and wllrmaintain 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' compensation I%uj%nce cafrkf �aad policy numb rare: l_ r� 1 ,F lrv%� 10 �� i • V w �T Policy Number �I V O c�1%� I — 1 Expiration Date `o /Q 1 1 iXr1%J Agent Phone # 71 certify that,•if1 IlVierformance 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 agree lai,.iI.1 d beco�m; subject to t/h7eg w,o, rkke_rs'co,.mQp–ensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with t e provisions/./ �1 � Igfi�a re of Agien! ate CLkR,AFItSN REGARDING COT4STRUCTION LENDING AGENCY ( - r veby 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 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 relating to building construction. !!- I authorize representatives of tf)i or county to e t r ab� degtified p o e fo inspection purposes. �y ' L nature of ProDertv Owner or Au( rize Dent 1= Print Property Owner's or Authorized Age s Name 10 h ACTION DATE BY IDDECLEDERAtRIEGULAT/0N PART6 QFTI7L 9AND I FOR OFRCE USE ONLY P€RM1T£XPIRED •--I--- .."'". I SUBMITTEDASBESTOS NOTIFICATLONTO.' 0 EPA 0 AQMD PERMtTCANCELLED PERMITEXT£NDED D ASBESTOS N077RCA770HIS NOT APPLICABLE TO PROPOSED DEMOLITION. PERMITFINAE .+ D O1/ZIOA CERTIFICATEOF SIGNATURE. OCCUPANCYISSUED