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Home My WebLink AboutX2019-1434 - Permitst y _ City of Newport Beach - Building Division *X2019-1434* COMB Permit: X2019-1434 = i1` 100 Civic Center Drive, Newport Beach, CA 92660 Building Permit Fee: Project No : 1001-2019 t San Dist: Permit Counter Phone (949)644-3288 NMUSD Fee: Overtime Plan Ck: $0.00 Inspection Requests Phone (949)644-3255 Investigation Fee: $0.00 Combination Type - BLDG - - $0.00 Issued Date: X0510212019 Energy Compliance: $0.00 Inspection Area : 7 $0.00 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. ° Disabled Access l 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: 4343 VON KARMAN AVE N8 $0.00 oenoee Description: COMM NON -ILLUMINATED MONUMENT SIGN Legal Desc.: NTR 9063 LOT - .Owner: MIZAN LLC Contractor FREEHAND SIGN COMPANY Architect Address: 4343 VON KARMAN AVE Address 947 N ELM STREET Address:.3 NEWPORT BEACH, CA 92660 - ORANGE CA 92867 Phone: Phone: 714.633-7446 Phone: State Lica: Applicant: BAINES MARK. .Con State Lie: 989436 : Engineer: YUNGMAN MICHAEL Address: 947 N. ELM ST - Lie Expire: 12131/2019 Address: 2172.5 FELSPAR STB ®° ° •"" o. ` �' ORANGE,CA' 92867 Bus Lie: BT30063718 - SAN DIEGO CA 92109 Phone: 714-633-7446 - Lie Exp Date:. 07131/2019 Phone: 858-705-0557 State Lic:C-079617 "®O® too, Code Edit: .2016 Worker's Compensation Insurance Designer: BAINES. MARK Type of Construction: Carrier: OHIO SECURITY Address: 947 N. ELM ST Occupancy Group:. U ` - Policy No: XWS56799786 ORANGE, CA 82867 'Added /New sq.8.. Bldg: 0 : Expire: ` 10/01/2019 - Phone: 714.633-7446 Added /New sq. ft. Garage:: 0 No of Stories: 0 Building Setbacks Rear: I Special Conditions:.PjJs No of Units: 0Front: / t� Bldg Height: 0. Left:. / Bldg Sprinklers: Right;. / < Flood Zone:. Use Zone: Parkino Soaces: 0 Fire Hazard Zone: N TOTAL FEE: $516.09 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Excise Tax: Additional Fee Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: Electrical %: Mechanical %: Plumbing %: $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Plan Check Fee Planning Department Plan check Fee :. $40.00 Fair Share : $0.00 SJH Trans : $0.00 In -lieu Housing Fee $0.00 Public Works Department - Construction Valuation: $9.500.00 $0.00 Building Permit Fee: $232.00 San Dist: Plan Check Feer $201.84 NMUSD Fee: Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $0.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access l $0.00 Hazardous Mat $0.00 Building Green Fee :. $1.00 TOTAL FEE: $516.09 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Excise Tax: Additional Fee Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: Electrical %: Mechanical %: Plumbing %: $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Plan Check Fee 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: $41.25 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 $516.09 PUBLIC WORKS APPROVAL: PLAN CHECK BY: or APPROVAL TO ISSUE: I 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 itemW, (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). ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, Business and j9r5felsssions 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 aretlot 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 i 'Mg*d for the rulpose of sale). El 1, Is 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 applytg an ownexof property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). J R %m examtfidm licensure under the Contractors' State License Law for the following reason: y m9 yignatux 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 impro ell ®structure t4at I Oave built as an owner -builder if it has not been constructed in•its entirety by licensed contractors. I understand that a copy of the applicab lIQfQssions Callp,is available upon request when this application is submitted or at the following Web site:http://v w .leginfo.ca.gov/calaw.html. @4'e of Property Owner or Authorized Agent ,'C...ED COPiRACTOR'S DECLARATION herebyaffirm yl�dP.c penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70 O) of iv'sion 3 of the Business and Pro ind effect. license C19ss License No Date 2 Contractor Signature (/b�iK ERS' C�JNIB�NSATION DECLARATION M IARNING: FAILURE'IbSLURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, ANO SHALL SUBJECT AN EMPLOYER TO CRIMIN L PENALTIES AND CIVIL FINES UP TO ONE HUNDRE :OST 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: rents covered by this permit, I cannot law, Section 7044 of the Business and Date force THOUSAND DOLLARS ($100,000), IN ADDITION TO I 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 'ormance of the work for which this permit is issued. Policy No. 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' carrier and policy number are: Policy Number Date ne of Agent Phone 8 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 I, if I should become s 'act t w kers' o ensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. o� / nature of Applicant Date v0 4 CLARATION REGA DING ONSTRUCTI LENDINGAGENCY weby affirm under nalty o perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 309 , Civil Code). Iders Name Lender's Address 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 coun ordinances and state laws relating to building construction. // I authorize representatives of this city or county f or tfja�b9/ejdeptified2rroperty for inspection purposes. ,� . `. !� 7 C00 eq DATE I BY / I DECLARATION OF CMPLIACE WITH CODE OF FEDE REGULATIONS PART OI OF NTE 40 AND AQMD RULERAL FOR OFFICE USE ONLY PERMIT EXPIRED I SUBMITTED ASBESTOS NOTIFICATION To PERMIT CANCELLED - EPA PERMIT EXTENDED QMD PERMITFINAL CERTIFICATEOF OCCUPANCY ISSUED 1 - BESTOS N TIFICATION IS NOT PLICABLE TO OP DDELJTJO SIGNATURE: