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HomeMy WebLinkAboutX2018-3386 - Permitsw1� City of Newport Beach Building Division IIIIIIIIIIIIIIIIII�IIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2018-3386 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 1 8 3 3 6 6 Project No : 2628-2018 F Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 fi"Llriaw�'�• Combination Type - BLDG ELEC Issued Date: 11108/2018 Inspection Area : 7 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. Construction Hours: Monday - Friday 7:00 a.m. to 6:30 p.m. and Saturday from 8:00 a.m, to 6:00 p.m. No work on Sundays or Holidays Job Address: 888 SAN CLEMENTEDR NB Description: COMM ILLUMINATED MONUMENT SIGN "888 SAN CLEMENTE" Legal Desc.: IRVINE SUB. FOR OF BLOCK 55.. Owner: IRVINE COMPANY Contractor:. TRUEMARK INC Architect: I Ffl �,.,� I Address:. 550 NEWPORT CENTER DR Address: 731 N MAIN STREET Address: NEWPORT BEACH, CA 92660 ORANGE CA 92868 s " Phone: Phone: 714-204-0079 Phone: State Li¢ ° Applicant: KERBY DAVE Con State Lic 926653 Engineer: JACOB TONY ° Address: 731 N MAIN ST Llc Expire: 12131/2018 Address: P.O. BOX 802050 • • o. s o s o o•me•e • o ORANGE, CA 92868 Buslic. BT30055601 SANTA CLARITA CA 91380 • Phone: 714.231.8293 Lic Exp Dater 06/30/2019 Phone: 661-259-0700 State Lic:C-059022 • • ° s"° •• • •mmo Code Edit: 2016 Worker's Compensation Insurance Designer: BECERRA HELEN • • • • Type of Construction: Carrier: EVEREST NATIONAL Address: 731 N MAIN ST Occupancy Group: U Policy No: 7600008388181 ORANGE, CA 92868 Added /New sq.ft. Bldg: 0 Expire: 0910112019 Phone: 714.744.2300 ssm•o Added /New sq. ft. Garage: 0 • No of Stories: 0 Building Setbacks Rear: I Special Conditions: No of Units; 0 Front: I m••sm• s " Bldg Height 0 Left: I - °s s o••"'� Bldg Sprinklers: Right: / ° • • •••• 00 ° Flood Zone: Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $5.000.00 Building Permit Fee: -$152.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $132.24 .Additional Fee $0.00 Plan check Fee : $40.00 Fire Inspection: $0.00 Overtime Plan Ck: $0.00 Grading Bonds Fee: $0.00 Fair Share : $0.00 Fire Plan Rev $0.00 Investigation Fee: $0.00 Grading PC Consultant.:. $0.00 SJH Trans : $0.00 Demolition Fee Record Management: $8.00 Grading Permit Fee: $0.00 In -lieu Housing Fee : $0.00 Building Dept Adm $0.00 Energy Compliance: $56,00 Grading PC Fee: $0.00 Public Works Department - General Service $0.00 CA Seismic Safety: $0.00 WQ Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $0.00 Disabled Access : $0.00 P/W Plan Check: $41.25 Grading Bond: $0.00 Hazardous Mat $0 Electrical W $19.90 San Dist: $0.00 Building Green Fee : 1.00 Mechanical %: .$0.00 NMUSD Fee: $0.00 .$0.00 Plumbing %: $0.00 - $0.00 TO AL FEE : $450.39 Plan Check Fee : $278.75 t Permit Issuance : $171.64 PROCESSED BY: PUBLIC WORKS APPROVAL: ZONING APPROVAL: PLAN CH BY: GRADING APPROVAL: APPROVAL TO ISSUE: OWNER -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) action 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 i 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 of the work, and the structure is not,intended or offered for sale (Section 7044, siness 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 )rovements 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). - 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 Dly 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 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 one year prior to completion of the improvements covered by this permit, I cannot legally I 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 )fessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. (nature of PrQ4%V4wner or Authorized Agent Date 'ENSED CONTRACTOR'S DECLARATION ?r�Ul;affirm yQry�nalty o ry t InJ�eRsed under provisionspf,Cjp r� (co mencing with Sects 7 D' 'si of the Business and Pro, ss' d my I se is i fl f i effect. License Clsss C�—Z` S License No ;IG/�( ��i Da "� Contractor Signature' 7gi;(ERS' COMPENSATION DECLARATION RNID: FAILUR@ TO SOCyRE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (E700,0001, IN A001 ION TO THE J.T OFCOMPEN 4TJQr4 DAMAGES AS PROVIDED FOR IN SECTION 8706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. rre-ly affirm urador p9nalty of perjury one of the following declarations: •. • • . and wilt £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 thi _ _ ance of th©work for which this permit is issued. Policy No. and 4ia jg8yr$ain woXers' compensatiopinsurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' is of Agent ' " ' r certify that, in the perfoa the , if I should become sub' to a wo isture of Applicant ;reby affirm under16enalty of perjury that there is a corn )der's Name 11 my signature below, I certify to each of the following: I am the property owner or authorized to act on the pr, I have read this application and the information I have I agree to comply with all appUcable city and county of I authorize representatives of this city or county to* NumberZ:g �6 60 Expiration Date 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 ) provisi s of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date NCY Iction lending agency for the performance of the work for which this permit is issued (Section 309 ,Civil Code). Lender's Address _. owner's behalf. Ind is corrects , yfo building construction. for inspection purposes. signature of Property Owner or Authorized AgentPrint Propert ACTION DATE BY DECLARATION F COMPLIANCE WITH CODE OF FEDERAL REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE PERMITEXPIRED V I SUBMITTED ASBESTOS NOTIFICATION TO PERMITCANCELLED OEPA PERMIT EXTENDED` QMD PERMITFINAL CERTIFICATE OF OCCUPANCYISSUED £{. 1l . ASBESTOS NOTIFICATION IS NOT APPLICABLE TO PROPOSED DEMOLITION SIGNATURE: mer's or Authorized Aaent's Name FOR OFFICE USE ONLY