HomeMy WebLinkAboutX2019-2156 - Permits,� City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIII�IIIIIIIIIIIIIIIIIIIIIIIIIIIII COMB Permit :x2019-2156
100 Civic Center Drive, Newport Beach, CA 92660 x 2 0 1 9 2 1 5 6 Project No: ( 617.-
E; 1 -.'Permit Counter Phone (949)644-3288
ci Inspection Requests Phone (949)644-3255
Ta,�,e d = Combination Type - BLDG ELEC Issued Date : 07126/2019
0
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: 980 W COAST HWY NB
Description: COMM SIGNS.WIELEC "THE ADDRESS" -
Legal Desc.: P BK 71 PG 18 PAR 1
C
CORP
ArchitecAddress:
1®
I
Address: 11 RIDGENINE DR Addressor
2 31 S. DUPONTT DR.
Building Permit Fee:
■ _SPC
- NEWPORT BEACH, CA 92660
$0.00
.ANAHEIM CA 92805
Fire Department
Phone: -
Phone:
714491-0299
Phone:
State Lie: -
'Applicant: GLEDHILL CANDI
Con State Lie:
608238
Engineer:
Overtime Plan Ck
Address. 2231 S DUPONT DR
Lie Expire:
12/3112020.
Address:
° • ®°.O °
ANAHEIM CA 92806
- Bus Lie:
BT30063310
$0.00
e o e
Phone:.. 714-318-7654 _
Lie Exp Date:
0613112020
Phone:
State Lic: • • • • m °o ° ° • °„
Code Edit : 2016
Worker's Compensation Insurance
Designer:
°0
: M. REIMAN
Type of Construction:
Carrier:
EVEREST NATIONAL
Address:
2231 S DUPONT DR
Occupancy Group: U
Policy No:
CA10003542
Public Works Department-
ANAHEIM CA 92808 ®
°
Added /New sq.f . Bldg: 0
Expire:,
.01/0112020
Phone:
714.491-0299 ° 0 •
®° o
Added/New sq. ft. Garage: 0
Park Dedication : $0.00
Refund Deposit
$0.00
No of Stories: 0
Building Setbacks
Rear: /
Special Conditions:
LIQUEFACTION &
No of Units: 0
Grading Bond:
Front: I
Hazardous Mat
LANDSLIDE AREA °
Bldg Height: 0
$11.76
Left: I
PLANS ATTACHED TO PERMIT
Bldg Sprinklers:
Building Green Fee :
Right:. I
Mechanical %:
$0.00
Flood Zone: X
Use Zone: Parking Spaces: 0
Fire Hazard Zone : N ......
$0.00
V I $5 500 00
Plumbing %:
$0.00
o m ° o e w
onslructlon sue on.
Building Permit Fee:
$168.00
Excise Tax:
$0.00
Planning Department-
Fire Department
Plan Check Fee: $146.16
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.
Demolltlon Fee
Record Management:
$18.00
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
PNV Plan Check : $0.00
Grading Bond:
$0.00
Hazardous Mat
$0.00
Electrical %:
$11.76
San Dist: $0.00.
Building Green Fee :
$1.00
Mechanical %:
$0.00
NMUSD Fee: $0.00
$0.00
Plumbing %:
$0.00
$0.00
TOTAL FEE : $440.92
Plan Check Fee:
$242.16 Fee Due at Permit Issuance :
$198.76
PROCESSED BY:
PUBLIC WORKS APPROVAL:. "
ZONING APPROVAL:
-
z
:
PLAN CHECK 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 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
ie 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
'rofessions 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
otmore than five hundred dollars ($500).
I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044,
lusiness 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
hprovements 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
Jroved 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 net
pply to an ownerof.Rroperty who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).
7 I am exempt from licensure under the Contractors' State License Law for the following reason:
ly 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)
ell 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
'rofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html.
signature of Property Owner or Authorized Agent Date
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm ufltl8i0 ftnally of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 700 ) of ivision of the Business and Profs ion d9ya=eIs 'fi full force
nd effect. License-Olass License No Date-
71 Contractor Signature
[ 0RKjRS' C$)I,QFENSATION DECLARATION
',JNINF: FAILURL•IV SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRININ L PENALTIES AND CIVIL FINES UP TO ONE HUND ED TH U ND DOLLARS (EI00,000), IN ADDITION TO THE
p =O QOMPENSATIIPN, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm unger pApalty of perjury one of the following declarations: _
hive 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, forth
e o�mance of thaw"k for which this permit is issued. Policy No.
Ity JIayB and vAll m9lTtain 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' compensatool
s rants carrier and policy number are:
Policy Number
Date
I c@Ai?y that, JAN penaltpeoury
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 agree
t, if I should bEcbwork rs' com sation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
>
nature of Applican/7C
/ h/ �
CLARATION REGT UCTION LENDING AGENCY
�reby affirm under that there is a construction lending agency for the performance of the work for which this permit is issued (Section 30 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 owner's behalf.
I have read this application and the information I have provided is correct. - -
Iagree to comply with all applicable city and co rd' antes and stats laws relating to building construction.
I authorize representatives of this city or coun t e r Irate/gbove a/,'(i if! roperty for inspection purposes. //1
nature of Prooertv Owner or Authorized AGen� // f7 w Print Property Owner's or Authorized Agent's Name//-i4X 1D/ ZeZJ26,.,
OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY
PART 61 OF TITLE 40 AND AQMD RULE
NOTIFICATION TO
PERMITCANCELLED
UEPA
PERMIT EXTENDED
qMD
PERMITFINAL
%G.j,,t
BESTOS FIIWIONN�O A PLICABLE TO
CERTIFICATE OF
PROP D EM���///////
OCCUPANCYISSUED
SIGNATU