HomeMy WebLinkAboutF2019-0227 - PermitsCity of Newport Beach Building Division
+rE 100 Civic Center Drive, Newport Beach, CA 92660
N + Permit Counter Phone (949)644-3288
Job Address: 3300 NEWPORT BLVD NB
Inspector Area: FIRE
Owner:
LIDO HOUSE, LLC
Address:.
520 NEWPORT CENTER DR #600
Worker's Compensation Insurance
NEWPORT BEACH CA 92660
Phone:
Policy No:
Applicant:
DOUGIBROWNING FIRE PROT
Address:
2335 ABALONE AV 4110
06113/2019
TORRANCE CA 90501.
Phone:
310-212-0622
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:
1AIVAIVBSPK
B
0
0
4
0
X
Y
iiiiiii7 II
FIRE Permit F2019-0227
Project No: 0853-2019
Inspection Requests Phone (949)644-3255
Description;. COMM FIRE SPRINKLER TI - ROOFTOP BAR @ LIDO HOUSE HOTEL
Legal Description: 1117 LOT 3 FOR OF LOT AND LANCASTERS ADD AND POR THE HUDSON
Contractor: BROWNING FIRE PROTECTION INC Architect:
Address: 2335 ABALONE AVE UNIT 110 Address:
TORRANCE CA 90501
Phone:. 310-212.0622 Phone: State Lie:
Con State Lie: 619731
Lie Expire: 10/31/2019
Bus Lie:
BT30067704
Lie Exp Date:
0613012020
Worker's Compensation Insurance
Carrier:
DEPT. OF INDUSTRIAL
Policy No:
45030253.
Expire:
Issued Date:
06113/2019
Setback- Front:
$2.00
Rear:
Building Overtime PC Fee:
Left:
Planning Counter Review: $0.00
Right:
Engineer:
Address:
FEES
Phone:
State Lia
Designer:
VANYAIBROWNING FIRE PROTECTION
Address:
2335 ABALONE AV #110
TORRANCE CA 90501
Phone:
Fire Residential Alarm PC Fee: $0.00 Records Management :
Special Conditions:
FEES
Construction Valuation:
$700.00
Building PC Fee:
$0.00
Fire Residential Alarm PC Fee: $0.00 Records Management :
$2.00
Building Overtime PC Fee:
$0.00
Planning Counter Review: $0.00
Building Extertion Fee :
$0.00
Planning Zoning PC Fee : $0.00
Building Investigation Fee:
$0.00
$0.00.
Fire Plan Check Fee:
$140.00
- Public Works PC Fee : $0.00
$0.00
Fire Permit as :
$179.00
Public Works Traffic Plan Check Fee; $0.00
Building Permit Fee :
$0.00
TOTAL FEE :
$332211j.0�0j
Plan Check Fee: $140.00 Fee Due at Permit Issuance :
$181.00
PROCESSED BY:.
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. OTHER•DBPARTMENT:
ZONING APPROVAL:
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FIRE APPROVAL:TAW
APPROVAL TO ISSUE:
PERMIT EXPIRES 180 DAYS-AFTIFMSWWC;OR,-ASST VALID INSPECTION
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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 asigned 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 `) 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
improved 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: 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).
❑ 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 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.htmi.
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 Professions C F nd my Ii ens s in full force
and effect.
License Class License No Date (D Contractor Signatu
WORKERS' 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 HU DRED 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
oerfgNmance of the work for which this permit is issued. Policy No.
have and willrrrr��aintain 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'
rance carrier �tldwolicv number an
Date
Tie of Agent ' ' \ "`'' r �, J dC✓T vnone s
certify that, in the performance of the work for whicq 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
t, if I should become s b'ec a wor p alio provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
nature of Applican Date��
CLARATION REG C UCTIO NDIN AGENCY °�
�reby affirm underof perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
p Ity
ider's Name Lender's Address
my signature belols, 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 aws relating to building construction.
I authorize representatives of this city or cout to o ' e d roperty for inspection purposes. yy� 1
nature of PrODertv Owner or Authorized AGent _ _. Print Property Owner's or Authorized Agent's Nam ���l�//i>i" /° l � � Dai r!!z :-/-9��
ACTION DATE BY DtCCHtrA rtury ur wlBr•utirv�c Pw r n wuc yr
j EDERAL REGULATIONS PART 61 OF TITLE40AND
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