Loading...
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 00E "�i• PROCESSED BY: ° ° •fi O ° ° i m i • OTHER DEPARTMENT: e^sue— � e , a i ♦ • EE a ZONING APPROVAL: • E ° • ° • ° s ` ...... PLAN CHECKED BY:: FIRE APPROVAL: APPROVAL TO ISSUE: N ••i G£ EC¢ e o cy c��i m N P4R&T !=*PIPE,i 18U„pA'fS° AFFER ISSUANCE OR LAST VALID INSPECTION i• .EN 11 1 Ea ni ••N z BaA Pn 0 0 X $4.00 $0.00 $0.00 $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 8Y DECLARATION OF COMPLIANCE MTH CODE OF FOR OFFICE USEONLY — FEDERAL REGUL4FI9IY§-P,4RTM:YF Tj77_E404198 , AQMDRULE9403.• • •� •� PERM'ITEXPIRED ❑ LSUDMi7TEDaSi;3E.s'iOSN &icAflG1NT0. ❑ EPA ` • "' ` • " ` " ❑ AQMD PROPOSED DEMOLITIOIy.ASBESTOS NO DON �S O. APPLICABLE � O " PERMIT CANCELLED PERMIT EXTENDED PERMIT FINAL CERTIFICATEOF SIGNATURE: .•+ .�• OCCUPANCYGSUED ��'.• ��� ��.