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Home My WebLink AboutF2022-0356 - PermitsaEWPoR� City of Newport Beach II II I I II I II I II Illlull II II COMB FZO22-0356 D� A Community Development Department- Building Division a �. 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: PC2022-1745 S Permit Counter Phone: (949) 644-3288 Combination Type M Inspection Requests Phone: (949) 644-3255 Work Class : New c"ziFonN`P newportbeachca.gov/inspections Issued Date : Inspection Area : 2 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION, BUT NO LATER THAN 3 YEARS FROM ORIGINAL ISSUANCE DATE NO CONSTRUCTION RELATED NOISE ON SATURDAY OR SUNDAY IN HIGH DENSITY AREAS AND NO WORK ON SUNDAY AND HOLIDAYS IN ALL AREAS Job Address: 365 VIA LIDO SOLD Legal Desc : N TR 907 BLK LOT 923 TR 907 LOT 923 AND SELY 10 FT LOT 922 A ND NWLY '� Description : SFR FIRE SPRINKLERS (X2021-1507) 62 HEADS ,r If 11N Owner: SAILHOUSE LIDO LLC Contractor : ALL STAR PLUMBING & FIRE Architect Address : 170 NEWPORT CENTER DR STE200 Address : 22672 LAMBERT ST #619 LAKE Address NEWPORT BEACH, CA 92660 FOREST, CA 92630 V Phone: Phone: (949)470-0072 Phone: X Con State Lie : 715588 State Lie Applicant : HOLD DOUGHERTY Lie Expire : 08/31/2023 Address : 22672 LAMBERT ST #619 LAKE FOREST, CA Bus Lie: BT30059737 Engineer 92860 Phone: (949) 470-0072 Bus Lie Expire : 07131/2022 Address Workers' Compensation Insurance Phone: Carrier: FALLS LAKE FIRE AND CASUALTY Policy NoCOMP4'1837500 Designer: HOLD DOUGHERTY W. C. Expire : 2/7/2023 Address: 22672 LAMBERT ST #619 LAKE FOREST, CA 92860 Phone: (949)470-0072 Code Edition : 2019 Fire Sprinklers : NO Construction Valuation : $10,000.00 Type of Construction : V-B Fire Hazard Zone : Y Occupancy Groups : No of Units : 1 Added/New sq. ft. Bldg : 0 Bldg Height : No of Stories : 2 Added/New sq. ft. Garage: 0 Building Setbacks : Front: 4, Side: 4, Side: 4 Flood Zone : X Use Zone : RM - Multiple Residential Processed By: Public Works Approval: Zoning Approval: Plan Check By: _ �= Grading Approval: Approval To Issue: SPECIAL CONDITIONS: I hereby affirm under penalty of perjury that i am exempt from the Contractors' State License Law for the reascri(s) indicated below by the checkmark(s) I have placed next to the applicable item(sj 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 theprovisions of the Contractors` State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Passions Code) or that he or she is exempt from licensors 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 compensat€on, will do (J all of or(_) portions of the, work, and the structure is not intended or offered for sale (Section 7044, Iness 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 Pavements 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 roved for the purpose of sale). I, as owner of the property, am excluswely contracting with licensed Contractors to construct the project (Section 7044. Business and. Professions Code: The Contractors' State License Law does not ly to an owner of properly who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). .,f I am exempt from lioensure under the Contractors' State License Law for the following ly my signature below I acknowledge that, except for my personal residence in which 1 must have resided for at least one year prior to completion of the improvements Covered by this permit, I cannot legal]) 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.leginto.ca.gDvlcalElw.html. 'dgnature 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 700 o Division 3 of the Business and Prate Ions C license is in full force no effect. License Class License No Date - Contractor Signatur x VORKERS' COMPENSATION DECLARATION Lr 'ARNING: 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 CS100,000), 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: ehave and will maintain a certificate of consent. to sell -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for th• B mane of the work for which this parmlt Is issued. Policy No. 4 h ve 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' componsatio. hsura Ce carrier and policy number are: am Policy Number Expiration Date a of Agent Phone is �I certify that, in the performance of the work 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 agre haL If I should DaCome ANSTK4RUCTION we tars'ar mpeersation provisions of Section 3700 of the Labor Code, I shall forthwith comply With those provisions. 3gnature of Applicant i/ Oete l -1�Z]ECLARATION REGA G 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 Lenders Address 3y my signature below, I certify to each of Ilia fotlowirig: 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 count. t enter , a -identified property for Inspection purposes. 3i. nature Of Property Owner or Authorized A silt / - -- Print PropertyOwner's or Authorized A ant's Name :.: 7 4L.J.S:.'\ Date 'T ACTION DATE By V DE LARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART FI OF TITLE 40 AND AQMD RULE 1403 PFRMl7 EXPIRED j el5UBMITTFD ASBESTOS NOTIFICATION TO 14 PERMIT CANCELLED � Epp All required alarms, latches Bates and fences which serve as part of a pool/spa barrier, shall c€RMI7'EXTENAfD --�AD � � be In place prior to approval to fill pool/spa & shall remain In place & be maintained for the PERMIT FINAL —YS le of the pDDt, ASHES IS MCI APPLICABLE TO CERTIFICATE OF� I _/� PROPOSED DEMOLITION OCCUPANCY ISSUED //�7 3i'/J��SI SIGNATURE: