HomeMy WebLinkAboutX2019-1239 - Permits1YJ City of Newport Beach -e9Niloin%Piv1sion
r 100 Civic Center Drive, Newport Beach,=CA b2660' m ® o o o® X 2 0 1 9 - 1 2 3 9
F r1 Permit Counter Phone(949)644-3288:
v R� Inspection Requests Phone (949)644-9265 a o e e e e
Combination Type - CIP ELEC
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o PERMIT o EE Pf1iE 180 D A .AFTER ISSUANCE OR LAST VALID INSPECTION.
Construction Hours: Monday - Fr clay X:00 asn. 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: 3602 E COAST HWY NB
Description: COMM -ILLUMINATED CHANNEL LETTERS. WALL SIGN 'THE BALCONY SALON'
Legal Desc.:.
Owner: FISCHER STEVEN Contractor: SIGNERGY Architect:
Address: PO BOX 343 Address: 6870 SIVA ST Address:
COMB Permit: X2019-1239
Project No: 0890-2019
Issued Date : 04/19/2019
Inspection Area : 7
Code Edit: 2016
Type of Construction: V -B
Occupancy Group: B
Added /New sq.ft. Bldg: 0
Added /New sq. ft. Garage: 0
No of Stories: 0
No of Units: 0
Bldg Height: 0
Bldg Sprinklers:
Building Permit Fee: $162.00
Plan Check Fee: $132.24
Overtime Plan Ck:
CDM CA 92625
Phone:
$0.00
Applicant:
MONTIEL JASEN
Address:
6870 SUVA ST
CA Seismic Safety:
BELL GARDENS CA 90201
Phone:
310-626.5777
Code Edit: 2016
Type of Construction: V -B
Occupancy Group: B
Added /New sq.ft. Bldg: 0
Added /New sq. ft. Garage: 0
No of Stories: 0
No of Units: 0
Bldg Height: 0
Bldg Sprinklers:
Building Permit Fee: $162.00
Plan Check Fee: $132.24
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management:
$0.00
Energy Compliance:
$0.00
CA Seismic Safety:
$0.00
Disabled Access:
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$1.00
TOTAL FEE: $365.03 Plan Check Fee ;
PROCESSED BY: In
'•'
ZONING APPROVAL: M51
$0.00 Fee Due at Permit Issuance : $365.03
PUBLIC WORKS APPROVAL:
PLAN CHECK BY: Vto"
GRADING APPROVAL: APPROVAL TO ISSUE:
BELL GARDENS CA 90201
Phone:
310-626-5777
Phone:
State Lie:
Con State Lie:
1034018
Engineer:
Lie Expire:
' 1 213112 01 9
Address:
Bus Lie:
BT30066973
Lie Exp Date:
04130/2020
Phone:
State Lie:
Worker's Compensation Insurance
Designer:
Carrier:
STATE FUND
Address:
Policy No:
9224773
Expire:
01/2012020
Phone:
Building Setbacks
Rear: I
Special Conditions:
Front: I
e
Left: I
Right: I
Use Zone: Parking Spaces:
0
Fire Hazard Zone : N
Excise Tax:
$0.00
Planning Department -
Fire Department J
'
Additional Fee.:
$0.00
Plan check Feel
$40.00
Fire Inspection:
$0.00
Grading Bonds Fee:
$0.00
Fair Share :
$0.00
Fire Plan Rev
$0.00
Grading PC Consultant :
$0.00
SJH Trans :
$0.00
Demolition Fee
Grading Permit Fee:
$0.00
In -lieu Housing Fee:
$0.00
Building Dept Adm
$0.00
Grading PC Fee:
$0.00
Public Works Department -
General Service
$0.00
WO Insp. Fee:
$0.00
Park Dedication :
$0.00
Refund Deposit
$0.00
PAN Plan Check :
$0.00
Grading Bond:
$0.00
Electrical %:
$39.79
San Dist:
$0.00
Mechanical %:
$0.00
NMUSD Fee:
$0.00
$0.00
Plumbing %:
$0.00
$0.00
TOTAL FEE: $365.03 Plan Check Fee ;
PROCESSED BY: In
'•'
ZONING APPROVAL: M51
$0.00 Fee Due at Permit Issuance : $365.03
PUBLIC WORKS APPROVAL:
PLAN CHECK BY: Vto"
GRADING APPROVAL: APPROVAL TO ISSUE:
OWNER -BUILDER DECLARATION •• "' . ' "
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reasor(V indfc*t4l Itelgvlby the che$(mark(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, d �mplish or?"ir9pp sgtWure, 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
Irofessions 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
of more than five hundred dollars ($500).
7 I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or U porti:ns QPth%work; andfhe structvre:is rot intended or offered for sale (Section 7044,
lusiness and Professions Code: The Contractors' State License Law does not apply to an owner of property whan through empllyees' (r persoQAPaffprttbuilds or improves the property, provided that the
nprovements are not intended or offered for sale. If, however, the building or improvement is sold within one yeacof cowWletion,.the Owner -Builder will have the burden of proving that it was not built or
n 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
pply 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).
1 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 legally
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
Irofessions Code, is available upon request when this application is submitted or at the following Web site:hftp://www.leginfo.ca.gov/calaw.htmi.
signature of Property Owner or Authorized Agent Date
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Pr a ions Cocj , my is I as is in full force
nd effect. License Class License No Date 71 Contractor Signatur
VORKERS' COMPENSATION DECLARATION
FARMING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDREDTH USAP DOLLARS ($100,000), IN ADDITION TO THE
OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3708 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the following declarations:
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 thl
e rmance of the work for which this permit is issued. Policy No.
AS
ave 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' compensatior
ncecarrier and policy number are:
r Policy Number Expiration Date
ne of Agent Phone #
certify that, in the performance of thek 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
I, if I should become subject to th 9wo rs' com nsahon provi ons f Section 3700 of the Labor Code, I shall forthwith comply with those provisions. (
nature of Applicant Date `/H
CLARATION REGARDING CO S ON L NDIN AG NCY lJ�
ueby affirm under penalty of pe1 that there is a constr c on lending agency for the performance of the work for which this permit is issued (Section 3097, Civil 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 ow
I have read this application and the information I have provided
I agree to comply with all applicable city and county ordinances
I authorize representatives of this city or county to enter yke aJN
ACTION
PERMIT EXPIRED
PERMITCANCELLED
CERTIFICATEOF
OCCUPANCY ISSUED
DATE I BY
behalf.
state laws relating to building construction.
Ie -id d ed ere 6 9 Ins ction purposes. mt Property Owner's or Authorized Ag
OF COMPUAN WITH CODE OF FEDERAL FOR OFFICE USE ONLY
PART 61 OF TITLE 40 AND AQMD RULE
I SUBMITTED ASBESTOS NOTIFICATION TO
UASBESTOS NOTIFICATION IS NOTAPPLICABLE TO
PROPOSED DEMOLITION
SIGNATURE: