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HomeMy WebLinkAboutF2018-0439 - Permits,yl . City of Newport Beach - Building Division "F2018-0439" FIRE Permit: F2018-0439 100 Civic Center Drive, Newport Beach, CA 92660 Project No : 1900-2018 µ Permit Counter Phone (949)644-3288 0) ci �'�4ryY)R�`T Inspection Requests Phone (949)644-3255 Job Address: 3303 VIA LIDO NB Description: MIXED-USE FIRE SPRINKLERS -1 BLDG.4. (X2017-3864) 179 HEADS ( (0 U N 1 r- S> Inspector Area: FIRE Owner: LS -LIDO, LLC Address: 7525 IRVINE CENTER DR, STE 200 Con State Lie: IRVINE CA 92618 Phone: 949.345-8080 Applicant: KURT/FIRE SPRINKLER SYSTEMS Address: 705 E HARRISON STE 200 Worker's Compensation Insurance CORONA CA 92879 Phone: 951-272-2662 Code Edit : 2016 Type of Construction: Occupancy Group: Added /New sq.ft. Bldg: Added /New sq. ft. Garage: No of Stories: No of Units Flood Zone: Bldg Sprinklers: V -B -SPR B 0 0 Legal Description: TR 907 LOT 1201 TO 1204 INC -INC NELY112 OF ABAN ALLEY ADJ- 30 15 - 3o t Contractor: FIRE SPRINKLER SYSTEMS INC Architect: v`��` Address: 705 E HARRISON #200 Address:a•r 3 Issued Date: 09110/2016 0 Setback- Front: Rear: Y Left: Right: CORONA CA 92879 Phone: 800-915-3473 Con State Lie: 684600 Lie Expire: 02129/2020 Bus Lie: BT30027990 Lie Exp Date: 05/20/2019 Worker's Compensation Insurance Carrier: INS CO OF THE WEST Policy No: WSD6031314 - Expire: 1 0101 /2 01 8 3 Issued Date: 09110/2016 0 Setback- Front: Rear: Y Left: Right: TOTAL FEE : $1,077.00 Plan Check Fee PROCESSED BY: ZONING APPROVAL: FIRE APPROVAL:' 1 FEES Construction Valuation: $15,468.00 °"'''�f° mem Building PC Fee: $0.00 Fire Residential Alarm PC Fee Building Overtime PC Fee: $0.00 Planning Counter Review: Building Extention Fee, $0.00 Planning Zoning PC Fee Building Investigation Fee: $0.00 mmm000' m o Fire Plan Check Fee: $701.00 Public Works PC Fee: Fire Permit Fee : $362.00 Public Works Traffic Plan Check Fee; Building Permit Fee: $0.00 ° TOTAL FEE : $1,077.00 Plan Check Fee PROCESSED BY: ZONING APPROVAL: FIRE APPROVAL:' 1 $0.00 Records Management: $14.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $701.00 Fee Due at Permit Issuance : $376.00 OTHER DEPARTMENT: PLAN CHECKED BY:: APPROVAL TO ISSUE: PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION ern ®• Phone: State Lic: °"'''�f° mem Engineer: ee Address: °e®®oe 000c Phone: State Lie: �- Designer: BISHOP JAMIE mmm000' m o Address: 705 E HARRISON #200 m o d e m CORONA CA 92879 ' ' 000 mmom' Phone: 800-915-3473 ° o moo Special Conditions: •o a °°meow o m $0.00 Records Management: $14.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $701.00 Fee Due at Permit Issuance : $376.00 OTHER DEPARTMENT: PLAN CHECKED BY:: 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, as owner of the property, or my employees with wages as their sole compensation, will do L) 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 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 mved 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: They 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 improvementscoveredby this permit, I cannot legal 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,CBde; is available upon request when this application is submitted or at the following Web site:hftp://w .leginfo.ca.gov/calaw.htmi. Signature of Rrbperty Owner or Authorized Agent Date W(;CNSED EONIRACTOR'S DECLARATION I herbby affirrp under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing wi Section 7000) of Division 3 of the Business and Pro ssions C20dii;iand my license is in full force Class License No Datof k) Contractor Signature ERS'L"I ADENSATION DECLARATION FAILUP.%TQ$ECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPILWER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HIdNDRED THOUSAND DOLLARS 1$100,0001, IN ADDITION TO THE :OMPGNSATIOR, DAMAGES AS PROVIDED FOR IN SECTION 3705 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. II affirm u- Mer penalty of perjury one of the following declarations: 'e 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 IN nce of CI&VII('k 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' carrRr.Ar"policy number are: Policy Number ie of Agent Phone I certify that, in the perfor ante of the work which this permit is issued, I shall not employ any person in any manner so as to become su , if I should become su ject to the compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those nature of ApplicantON Date CLARATION REGA DIN ILEN NG AGENCY >reby affirm under ql3nalty of perjury that there is a construction lending agency for the performance of the work for which this permit is is UI 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 h ve provided is correct. I agree to comply with all applicable city and cou y ordinances a e laws relating to building construction. I authorize representatives of this city or county o enter t o Identified prop y for inspection purposes. nature of Property Owner or Authorized Agent Print Proert Owner's or Authorized A ant's Ne ACTION DATE BY DECLARATION OFCOMPLIANCEWITR CODEOF FEDERAL REGULATIONS PART 6f OFTIJLE40AND PERMITEXPIRED AOMORULE1403. © I SUBMITTEDASDESTOS M071FICATION TO: PERMITCANCEUED ❑ EPA PERMITEXTENDED ❑ AOMD [3 ASBESTOS NOUR PERMIT FINAL Ct 1 i