HomeMy WebLinkAboutF2021-0450 - Permits^ City of Newport Beach - Building Division IIGIIIIIIIIIIIIIIIIIIII�III'IIIII�II II FIRE Permit: F2021-0450
100 Civic Center Drive, Newport Beach, CA 92660 F 2 0 2 1 0 4 5 0 Project No: 2249-2021
Permit Counter Phone (949)644-3288
n NO C®1ySTRpriifs hone(949)644-3255
NOISE
Job Address: 605 VIA LIDO SOLID NB Description: SFR FIRE SPRINKLERS 24 HEADSkJ'iX&Q1933 0. �EE���®
Inspector Area: 2 Legal Description: N TR 907 LOT 2 t it S
Owner: CAMPBELL ARGYLE
Address: 605 VIA LIDO SOLD
NEWPORT BEACH CA 92663
Phone:
Applicant:
CASEY MONTY
Address:
1101 KINGSTON DR
LA HABRA, CA 90631
Phone:
714-476-5370
Code Edit : 2019
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-BSPR
R3/U
0
0
Contractor:
FIREPROOF FIRE PROTECTION
Architect:
Address:
1101 KINGSTON DR
Address:
LA HABRA CA 90631
Phone:
714-476-5370
Phone:
State Lic:
Con State Lic:
876004
Engineer:
Lic Expire:
0413012022
Address:
Bus Lic:
BT30040107
Lic Exp Date:
07/3112022
Phone:
State Lic:
Worker's Compensation Insurance
Designer:
CASEY MONTY
Carrier:
SECURITY NATIONAL INS
Address:
1101 KINGSTON DR
Policy No:
SWC1325710
LA HABRA, CA 90631
Expire:
02/15/2022
Phone:
2 Issued Date: 09/2712021
0 Setback- Front:
AE Rear:
Y Left:
Right:
Special Conditions: HIGH DENSITY
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FEES
Construction Valuation:
$2,400.00
Building PC Fee :
$222.00
Fire Residential Alarm PC Fee :
$0.00 Records Management :
$4.00
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 :
$269.00
TOTAL FEE :
$495.00
Plan Check Fee :
$0.00 Fee Due at Permit Issuance :
$495.00
PROCESSED BY:
E
OTHER DEPARTMENT:
ZONING APPROVAL: PLAN CHECKED BY::
FIRE APPROVAL: 4" E' APPROVAL TO ISSUE:
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION
ER -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)
ction 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
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
fessions 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
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 U portions
ainess and Professions Code: The Contractors' State License Law does not apply to an owner of property who, throu
Irovements are not intended or offered for sale. If, however, the building or improvement is sold within one year of a
(roved for the purpose of sale).
I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7C
)ly to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contra
I am exempt from licensure under the Contractors' State License Law for the following reason:
my signature below I acknowledge that, except for my personal residence in which I must have resided for at least o
a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors.
de ifessions Co, Is available upon request when this application is submitted or at the following Web site: http://www.If
naWre of Prl!lllxl Owner or Authorized Agent
SENSED gU%TIjACTOR'S DECLARATION
ereby affirm ertdBT penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 700i
Class License No Date
)AKERS'Y;AITAPQ=NSATION DECLARATION
MG: FAILURE TOSFGURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL
WOF COMPENSATON, DAMAGES AS PROVIDED FOR IN SECTION 3706.OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
:eby affirm under penalty of perjury one of the following declarations:
FWe and Will maintain a certificate of consent to self -insure for workers' compensation, issued by the Direi
nr,Mlance of UIgWc:k for which this permit is issued. Policy No.
the work, and the structure is not intended or offered for sale (Section 7044,
employees' or personal effort, builds or improves the property, provided that the
)letion, the Owner -Builder will have the burden of proving that it was not built or
Business and Professions Code: The Contractors' State License Law does not
pursuant to the Contractors' State License Law).
year prior to completion of the improvements covered by this permit, I cannot
nderstand that a copy of the applicable law, Section 7044 of the Business and
ifo.ca.gov/calaw.html.
Date
of Division 3 of the Business and Professions Code, and my license is in full force
Contractor Signature /
III -
TIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
of Industrial Relations as provided for by Section 3700 of the Labor Code, for
and vAi maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for th� performance of the work for which this permit is issued. My workers'
a•
career•an• policy number are:
Policy Number
TIE of Agent
certify that, in the performance of the work for which this permit is issued, I shall not employ any person in any ma
I, if I should becomebject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall fo
nature of Applicant-
CLARATION REGARDING CONSTRUCTION LENDING AGENCY
Ireby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for
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 ordinan s and state laws relating to building construction.
I authorize representatives of this city or county to enter t�bove-identified property for inspection purposes.
Date
so as to become subject to the workers' compensation laws of California, and
i comply with those provisions.
nit. / i / 1-1 11 1
this permit is issued (Section 3097, Civil Code).
t 11
AC77ON
DATE
BY
DECLARATION OF COMPLIANCE KgTN CODE OF
FOR OFFICE USE ONLY
FEDERAL REGULATIONS PART 61 OF T17LE40AND
AQMD RULE1403, 1
PERMITEXPIRED
❑ 1 SUBMITTED ASBESTOS M071FICATIOON TO:
❑ EPA
❑ AQMD'
PERMIT CANCELLED
PERMITEXTENDED
❑ ASBESTOS NODOCA71ON IS NOT APPLICABLE TO
PROPOSEDDEMOLITION.
PERMIT FINAL
CERTIFICATEOF
OCCUPANCYI55UED
SIGNATURE_