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Home My WebLink AboutX2018-3442 - Permits�r1�,4r City of Newport Beach - Building Division vf' 100 Civic Center Drive, Newport Beach, CA 92660 krt Permit Counter Phone (949)644-3288 ' Inspection Requests Phone (949)644-3255 Combination Type - BLDG 11111p11111111In111111111111111111111111111111 COMB Permit: X2018-3442 x 2 0 1 6 3 4 4 2 Project No : 2672-2018 Issued Date: 11/1312018 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: 20241 BIRCH ST NB Description: COMM NON -ILLUMINATED WALL SIGN "OVIO" Legal Desc.: TR 706 LOT 92 POR OF LOT & LOT 93 NELY 112 Owner: RK EQUITIES LLC. Contractor: B K SIGNS INC Address: 3857 BIRCH ST #470 Address: 1028 KIRK WALL ROAD NEWPORT BEACH, CA 92660 $0.00 AZUSA CA 91702 Phone: Phone: 626-295-0624 Applicant: B K SIGNS INC Con State Lic: 746856 Address: 1028 KIRK WALL ROAD Lic Expire: 03/31/2020 AZUSA CA 91702 Bus Lic: BT30065102 Phone: .626.295-0624 Lic Exp Date: 11/30/2019. Code Edit'. 2016 Worker's Compensation Insurance Type of Construction: Carrier: STATE COMP INS Occupancy Group: U Policy No: 9055130. Added /New sq.ft. Bldg: 0 Expire: 03101/2019 Added /New sq. ft. Garage: 0 No of Stories: 0 Building Setbacks Rear: / No of Units : 0 Front: / Bldg Height:. 0 Left: / Bldg Sprinklers: Right: I Flood Zone: Use Zone: Parkins Spaces: 0 Building Permit Fee: $104.00 Plan Check Fee: $90.48 Overtime Plan Ck: $0.00 Investigation Fee:. $0.00 Record Management: $8.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access: $0.00 Hazardous Mat $0.00 Building Green Fee : $1.00 TOTAL FEE: $243.48 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Excise Tax: $0.00 Additional Fee: $0.00 Grading Bonds Fee: $0.00 Grading PC Consultant: $0.00 Grading Permit Fee: $0.00 Grading PC Fee: $0.00 WQ Insp. Fee: $0.00 Electrical %: $0.00 Mechanical %: $0.00 Plumbing %: $0.00 Plan Check Fee Architect: Address: Fair Share: Phone: State Lic: Engineer: Address: In -lieu Housing Fee : Phone: State Lic: Designer: CLARKE.WILLIAM Address: 1028 KIRK WALL ROAD AZUSA, CA 91702 Phone: 626.334-5600 Special Conditions: Planning Department - Plan check Fee: $40.00 Fair Share: $0.00 SJH Trans: $0.00 In -lieu Housing Fee : $0.00 Public Works Department - Park Dedication : $0.00 PAN Plan Check: $0.00 San Dist: $0.00 NMUSD Fee: $0.00 Fire Department Fire Inspection: Fire Plan Rev Demolition Fee Building Dept Adm General Service Refund Deposit Grading Bond: $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Fee Due at Permit Issuance : $243.48 PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: 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 items) (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 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 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). ❑ 1, 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). I am exemptfrom jcensure under the Contractors' State License Law for the following reason: my signatule•belot-rl acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the improvements coven 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 h@Sgons Cq*, 0.*ailable upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. nature of Property Owner or Authorized Agent Date _ AE 16ED CONTRACTOR'S DECLARATION :reby affirm ueder penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7 00) of ivisi 3 of the Business and Profess' n e, j effect. LiISeh%g Mass License No Date (f` Contractor Signature HERS' COMPENSATION DECLARATION .his permit, I cannot of the Business and license is in full force 4141114G FAILU4.T0,B9CURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMI AL PENALTIES AND CIVIL FINES UP TO ONE HUNDR THOUSAND DOLLARS ($100,000), IN ADDITION TO THE Ce91b0F COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. Mereb affirm under penalty of perjury one of the following declarations: 1 hale and'IR 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 �Srf&Mpnce of the gvprk for which this permit is issued. Policy No. grave and AN iRaintain 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' compensatiol nsura a arrier and policy number are: _ ;arrier% vf"T-/ �' Policy Number,9 O SS 7 U (� Expiration Date r .1-0117 flame of Agent Phone # :1I certify that, in the/DING ance 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' c pensation laws of California, and agre hat, if I should becomct to thew ensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. signature of Applican, Date )ECLARATION REGCONSTRUCTION LENDING AGENCY hereby 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). -ender's Name Lender's Address 3y 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 cou ty ordinances and state laws relating to building construction. I authorize representatives of this city or county er ab ntified property for inspection purposes. /y / Signature of Property Owner or Authorized Agent - - Print Property Owner's or Authorized Agent's Nae 5 z - t ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE PERMIT EXPIRED U I SUBMITTED ASBESTOS NOTIFICATION TO PERMITCANCELLED DEPA PERMITEXTENDED - QMD PERMITFINAL CERTIFICATEOF OCCUPANCYISSUED ,Ta.�� BESTOSN IFICATION IS NOT APPLICABLE TO ROPO DDE 01 ITIQf� SIGNATURE: �...