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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:. e.JrV . OTHER•DBPARTMENT: ZONING APPROVAL: @ `� ` { "{PL`AN.FHEEKED BY:: v ` { y •{Y { ° ° { FIRE APPROVAL:TAW APPROVAL TO ISSUE: PERMIT EXPIRES 180 DAYS-AFTIFMSWWC;OR,-ASST VALID INSPECTION v oo{ 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 PERMIT EXPIRED • AQUORULF• l403s • • , .❑ y SUPUTI•ED4Si3ESPO-9-NofikrCATION TO:- PERMITCANCEIIED •' • ❑ EP"A PERMITEXTENDED •❑ AUXI) •• •.• ❑ ASBESTOS N077RCA770MIS NOT APPLICABLE TO PERMITFINAL b , eRQPOSED DEMOLITION. CERTIFICATE OF° j • • • • • • • • • . • • S( 4-1UIE: • . OCCDPANCYISSDED ,� o • . ,