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HomeMy WebLinkAboutF2021-0496 - PermitsCity of Newport Beach - Building Division 111p111111111p111111111111111111p11111111111111111 100 Civic Center Drive, Newport Beach, CA 92660 F 2 0 2 1 0 4 9 6 Permit Counter Phone (949)644-3288 �"�itPtliY�A Job Address: 601 LIDO PARK DR NB i s Inspector Area: � I/1 �{ � Owner: LIDO CONDOMINIUM Address: 601 LIDO PARK DR NEWPORT BEACH, CA 92663 Phone: FIRE Permit: F2021-0496 Project No:2461-2021 Inspection Requests Phone (949)644-3255 Description: MFR FIRE ALARM (3) DEVICES @ ELEVATOR Legal Description: TR 7695 LOT 1 UNIT 7E G-1-28 OF PROJ LOCTD ON AP 47-021-29 Contractor: H C I SYSTEMS INC Architect: Address: 1354 S PARKSIDE PL Address: ONTARIO CA 91761 Phone: 909.628.7773 Phone: Applicant: SRIPPIPAT SARINTIP Con State Lic: 905493 Address: 1354 S PARKSIDE PL Lic Expire: 02/28/2022 ONTARIO CA 91761 Bus Lic: BT30042287 Phone: 909-628-7773 Lic Exp Date: 02128/2022 Code Edit: 2019 Worker's Compensation Insurance Type of Construction: Carrier: FEDERAL INSURANCE Occupancy Group: R2 Policy No: 54309498 Added /New sq.ft. Bldg: 0 Expire: 03/02/2022 Added /New sq. ft. Garage: 0 No of Stories: 11 Issued Date: 1011912021 No of Units : 0 Setback- Front: Flood Zone: X Rear: Bldg Sprinklers: N Left: Right: FEES Construction Valuation: $2,138.00 Building PC Fee : $222.00 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 Fire Plan Check Fee: $0.00 Public Works PC Fee Fire Permit Fee : $0.00 Public Works Traffic Plan Check Fee; Building Permit Fee : $269.00 • TOTAL FEE : $495.00 Plan Check Fee Engineer: Address: Phone: State Lic: State Lic: Designer: SUNWANRAT EVE Address: 1354 S PARKSIDE PL ONTARIO CA 91761 Phone: 909-628-7773 Special Conditions: $0.00 Records Management $0.00 $0.00 $0.00 $0.00 $0.00 Fee Due at Permit Issuance PROCESSED BY: �1,. X V r U ... +• o •• • O1MR DEPA04F4ENT: ZONING APPROVAL ( °, F, 6• • ` ` • PLAN CHEQKEDwEfY:: w • • FIRE APPROVAL: APPROVAL TO ISSUE: •mn • o • o•o u a m • m • PERMIT EXPIRES 180 DAYS AI rER,l SfIASVCNOR L+4ST VALID INSPECTION o $4.00 $0.00 $0.00 $495.00 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 ie 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 U all of or C_) 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 nproved for the purpose of sale). 1 I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Cade: 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). 7 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 I 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.htmi. ;ignature 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 the Business and Professions Code, and my license is in full force nd effect. ense Class License No Date �/ I I/t2 Contractor Signetu r VORKERS' COMPENSATION DECLARATION 'ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUgAD DOLLARS ($100,000), IN ADDITION TO THE DST 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: 7 I 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 fh( erfgfmance of the work for which this permit is issued. Policy No. and will Int 'n workers' pensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' carrier a polic numbe re: � r /f1� A ,� c^`Roltcv Nfm,i'ber _ _ Expiration Date of Agent �I certify that, in the performance of the 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 lat, if I should becom%s(ybject to the wo ers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those prows ns. q fir, ignature of Applicant/ `��� Da X O/I I /; /2' IECLARATION REG DING CONSTRUCTION LENDING AGENCY hereby 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). Ender's Name Lender's Address y 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 this city or county tolenter the above -identified property for inspection purposes. (7 lonature of Prooertv Owner or Authorized Agent g Print Property Owner's or Authorized Agent's Name �SAgN—Elf SA LPJ- T Daje'C I(J/�y I l/ ACTION DATE BY UZUL v IIVIv yr rrl I ry wV.= yr '; • • •FEDER4tsRFQULAT1Q0f, P,4ff 61 OF TITLE40AND PERMITEXPIRED . QMDI/LE 9�47: • • Ia •I {�SMIgTffDASBtfTO$ NOTIFICATION TO. PERMIT CANCELLED • LJ • EAA • • • • . PERWiTEXTENDED ❑ AQMD ❑ ASBESTOS NOTIFICATION IS NOT APPLICABLE TO PERMIT FINAL DSMObfaojR CERTIFICATEOF OCCUPANCYISSUED SfQ14ATgRE: