HomeMy WebLinkAboutF2022-0201 - Permits"fry City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II
100 Civic Center Drive, Newport Beach, CA 92660 F 2 0 2 2 0 2 0 1
Permit Counter Phone (949)644-3288
FIRE Permit: F2022-0201
Project No : 1017-2022
Inspection Requests Phone (949)644-3255
Job Address: 601 LIDO PARK DR NB
Description: MFR FIRE SPRINKLERS: RELOCATE (8) HEADS FOR INSTALL OF
Inspector Area: r- �� �C
Legal Description:
TR 7695 LOT 1 UNIT 7E G-1-28 OF PROJ LOCTD ON AP 47-021-29
Owner: LIDO HOA
Contractor:
SHIELD FIRE PROTECTION Architect:
Address: 601 LIDO PARK DR
Address:
29391 VALERIO CT Address:
NEWPORT BEACH, CA 92663
LAGUNA NIGUEL, CA 92677 i
Phone:
Phone:
949.388.6556 Phone: State Lic:
Applicant: - GONZALEZ EDGAR
Con State Lic:
916743 Engineer:
Address: 29391 VALERIO CT
Lic Expire:
06/30/2022 Address:
LAGUNA NIGUEL, CA 92671
Bus Lic:
BT30077002
Phone: 949.388-6556
Lic Exp Date:
10/31/2022 Phone: State Lic:
Code Edit: 2019
Worker's Compensation
Insurance Designer: SHIELD FIRE PROTECTION
Type of Construction: V-B-SPR
Carrier:
TECHNOLOGY INSURANCE CO INC Address: 29391 VALERIO CT
Occupancy Group: R2/1.1
Policy No:
TWC4003709 LAGUNA NIGUEL, CA 92677
Added /New sq.ft. Bldg: 0
Expire:
07/1512022 Phone: 949-388.6556
Added /New sq. ft. Garage: 0
No of Stories: 11
Issued Date: 05/17/2022 Special Conditions: HIGH DENSITY ZONE
No of Units : 54
Setback- Front:
LIQUEFACTION
Flood Zone: X-0.2PCT
Rear:
Bldg Sprinklers: Y
Left:
Right:
FEES
Construction Valuation: $16,960.00
Building PC Fee :
$222.00
Fire Residential Alarm PC Fee : $0.00 Records Management
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
Fire Plan Check Fee:
$0.00
Public Works PC Fee: $0.00
Fire Permit Fee :
$0.00
Public Works Traffic Plan Check Fee; $0.00
Building Permit Fee :
$269.00
TOTAL FEE :
$4995.00
Plan Check Fee : $222.00 Fee Due at Permit Issuance
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FIRE APPROVAL:
APPROVAL TO ISSUE:
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$273.00
DWNER-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).
❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do U all of or (_) 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).
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
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).
❑ I am exempt from Iicensure 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://www.leginfo.ca.gov/calaw.html.
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 with Section 7000) of Division 3 of the Business and Profes ions glodnd my license is in full force
and effect. !J
License Class License No Date �I T L�Z� contractor Signature N
INORKERS' COMPENSATION DECLARATION
NARNING: 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 ($100,000), IN ADDITION TO THE
COST OF COMPENSATION, 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:
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(
73erfor ance of the work for which this permit is issued. Policy No.
have and will Intain 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' compensatior
nsurance carrier a=icy number ar9;-1 _
Date
of Agent
certify that, in the performance of the wor 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 ogre
t, if I should become su Iect to workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those rovisions.
natureof Appli-- -9 Date) L1' �Z'L
CLARATION REG DI T TION LENDING AGENCY
;reby affirm under penalty of perju�hat 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 w elating to building construction.
I authorize representatives of this city or county to jute the a I roperty for inspection purposes.
nature of Prooertv Owner or Authorized ADent ,/ __ Print Property Owner's or Authorized Agent's NameA:::L1 -( -cax (1 -i— Data�l �' 0, 2t
ACTION
DATE
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DECLARATION OF COMPLIANCE MTH CODE OF
FOR OFFICE USEONLY
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PERMIT CANCELLED
PERMIT EXTENDED
PERMIT FINAL
CERTIFICATEOF
SIGNATURE:
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OCCUPANCYGSUED
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