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Home My WebLink AboutX2019-1680 - Permits1; City of Newport Beach - Building Division *X2019-1680* $120.00 COMB Permit: X2019-1680 q, 100 Civic Center Drive, Newport Beach, CA 92660 $0.00 Project No : 1197-2019 " .$0.00 Permit Counter Phone (949)644-3288 $4.00 - Energy Compliance: - $56.00 ' 4Y Inspection Requests Phone (949)644-3255 $0.00 Disabled Access: $0.00 Combination Type - BLDG ELEC $0.00 Issued Date :0512812019 $1.00 r` 5° PROCESSED BY: Inspection Area : 7 ZONING APPROVAL: WQ Insp. Fee: $0.00 Park Dedication : $0.00 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. - PNV Plan Check: $0.00 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 $15.71 - Job Address: 2121 E COAST: HWY NB St: 1 FI: 1 Unit: 100 Description:.. COMM- ILLUM. SIGN "NOVUS" Legal Desc.: P BK 152 PG 28 PAR 2 : -, u i ? , Owner COAST BUSINESS CENTER LTD Contractor: PROMOTIONAL SIGNS UNLIMITED Architect: TI Address: 1105 QUAIL ST'. Address. 3301 S SUSAN ST Address: ;;r,. to z r NEWPORT BEACH, CA 92660 ` -SANTA ANA CA 92704 e o o a e Phone: Phone: 714-540-5454 Phone: State Lie: •° o Applicant: CHRISTIE SCOTT Con State Lic:.. 636512 Engineer : a eee • ° ° eeeeee ° ° Address: 33015 SUSAN ST Lie Expire:. -01/31/2020 Address: _ oe. a e ° SANTA ANA CA 92704 Bus Lie: BT30066071 Phone. 714-540-5454 Lie Exp Date: 02/29/2020 Phone: State Lie: o • e ° ° m o Code Edit: 2016 Worker's Compensation Insurance Designer eo o O0 Type. of Construction. Carrier: INS CO OF THE WEST Address: - • ° ° • oe Q o.°o o" Occupancy Group: U Policy No: WSD600131811 - °. °°•°" - Added /New sq.ft. Bldg: 0 .Expire: 0410112020 - Phone: .... Added /New sq. ft. Garage: 0 No of Stories: 0 Building Setbacks Rear: I - Special Conditions: No of Units: 0 Front: l o 0 0 0000° Bldg Height:: 0 Left: I - .... Bldg Sprinklers: Right:.l Flood Zone: Use Zone: Parkina Soaces:. 0 Fire Hazard Zone ; N Building Permit Feel $120.00 Plan Check Fee: $104.40 Overtime Plan Ck $0.00 :Investigation Fee: " .$0.00 Record Management: $4.00 - Energy Compliance: - $56.00 CA Seismic Safety: $0.00 Disabled Access: $0.00 Hazardous Mat.:. $0.00 Building Green as ; $1.00 TOTAL FEE: $ PROCESSED BY: $0.00 ZONING APPROVAL: GRADING. APPROVAL: Excise Tax: $0.00 Planning Department - Additional Fee : $0.00 Plan check Fee : $40.00 Grading Bonds Fee: $0.00 Fair Share : - - $0.00 Grading PC Consultant: $0.00 SJH Trans : $0.00 Grading Permit Fee: $0.00 In -lieu Housing Fee: $0.00 Grading PC Fee: $0.00 Public Works Department -. WQ Insp. Fee: $0.00 Park Dedication : $0.00 - PNV Plan Check: $0.00 Electrical %: $15.71 San Dist • $0.00 Mechanical %: $0.00 NMUSD Fee: $0.00 -P dnlb aq %e: $0.00 Plan Check Fee: $0.00 Fee D i PUBLIC WORKS A PROVAL: _ PLAN CHECK BY: APPROVAL TO ISSU . Fire Department. Fire Inspection: Fire Plan Rev Demolition Fee Building Dept Adm General Service Refund Deposit Grading Bond: Issuance $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $341.11 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) 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 he 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 3rofessions 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 lot 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, 3usiness 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 mprovements 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 5m roved for the purpose of sale). J I, 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 wDly 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). J I am exempt from licensure under the Contractors' State License Law for the following reason: 3y 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 legall, yell 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 Irofessions COW, Ialftlable upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. 3�gnaturg of PropeltyOwner or Authorized Agent Date -46ENOED CONTRACTOR'S DECLARATION nerebaffirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7 of Division 3 of the Business and Professions Code, and my license is in full force waoff qt. Licenss Class License No Da Contractor Signature �Q 'CORKERS' COMPENSATION DECLARATION JARNING:FAILURE TOBECI&E WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE OST OF -COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under�pe natty of perjury one of the following declarations: T-114ve 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 Vce of thg work for which this permit is issued. Policy No. - I,ha a 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' compensatiol u ce carrier &V policy number are: (J /� % rrien� iaao Policy Number W/��Wrl �,V l (D Expiration Date 4 Z_20/ Z D me of Agent Phone # 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 t, if I should become subject to th rs' p ati n provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. G, nature of Applican Date / CLARATION REG RDING CONSTRUCTION LENDING AGENCY Hreby affirm under enalty of perjury that there is a construction lending agency for the performance of the work for which. this permit is issued (Section 3097, (VII Code). Ider's 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 owners 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 county to enter ve-i ifi d property for inspection purposes. nature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name TION DATE BY 11 DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE PERMIT EXTENDED PERMITFINAL kq. 11. 11 CTtr�l� —a,_ UASBESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATE OF PROPOSED DEMOLITION OCCUPANCYISSUED SIGNATURE: