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Home My WebLink AboutX2019-3458 - Permits. „ City of Newport Beach - Building Division IIIIIIIIIIilllllllllllllllllllllllllllllllllllllll COMB Permit: X2019-3458 cs -+ 100 Civic Center Drive; Newport Beach CA 92660 x 2 0 1 9 3 4 5 8 Project No :2391-2019' _ Permit Counter Phone .(949)644 3288 I Inspection Requests Phone (949)644-3255 _ r Combination Type BLDG �Wrnul+x� Issued Date : 10/30/2019 it 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: 5140 BIRCH ST N13 St:'1 Ft: I Unit: 100. Description: - COMM NON -ILLUMINATED SIGN "BIRCH DENTAL" Legal Desc.`. P M 142-31 PAR 1 UNIT 2 OF PROJECT LOCATED ON AP 445-161-01 TOGETHER Ig t� rt6�� At- Owner EGGHART EUNJOO _ Contractor. - CALIBER SIGNS & IMAGING INC Architect: I 1 EC 1 Address: 5140 BIRCH ST - Address: ` 17751 SKYPARK EAST 92F Address: . o NEWPORT BEACH, CA 92660 IRVINE CA 92614 0 • e° om Phone Phone: 949-746-1070 Phone -State Lice o°.• ° ° Applicant NEIL MARY Con State Lic : 972755 Engineer: °OB ° :.".Address 17981 SKY PARK CIR STE M `- Lic Expire: - 05131/2020. Address; • ®O n IRVINE, CA 92614 'Bus Lic: BT30061163 -• ° °O ° Phone: 949-748-1070 Lic Exp Date: 05/31/2020Phone:: State Lic: Code Edit: 2016 Worker's Compensation Insurance Designer: NEIL MARY oO000m o°olio Type of Construction Carrier: FOREMOST INS COMP. Address: - 17981 SKY PARK CIR STE M Occupancy Group: U '.Policy No: WC008330021 IRVINE, CA 92614 - Added /New sq.ft. Bldg. 0 Expire: 11/23/2019 Phone 949.748-1070 Added/New sq. ft. Garage - 0 No of Stories 0 Building Setbacks Rear: I Special Conditions o '0 °.... No of Units: 0 Front I ° 000c •oob` Bldg Height: 0 left Bldg Sprinklers: Right: Flood: Zone: Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation' $1.300.00: - Building Permit Fee: $104.00 Excise Tax $0.00 Planning Department - Fire Department ` - Plan Check Fee: $90.48 -: Additional Fee :.: $0.00 Plan check Fee :.-' -$40.00 Fire Inspection $0.00 Overtime Plan Ck: - $0.00 Grading Bonds Fee: _C$0.00 Fair Share :. $0.00 Fire Plan Rev -..$0.00 Investigation Fee: $0.00 Grading PC Consultant: $0.00 SJH Trans : $0.00 Demolition Fee Record Management: $0.00 Grading Permit Fee: ...$0.00 In -lieu Housing Fee: $0.00 Building Dept Adm - $0.00 Energy Compliance: $0.00 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 P/W. Plan Check - $0.00-- Grading Bond: _.$0.00 ' Hazardous. Mat - $0.00 - Electrical %. $0.00 - 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 : $235.48 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $235.48 PROCESSED BY:� PUBLIC WORKS APPROVAL: i ZONING APPROVAL: \ PLAN CHECK BY: l� 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 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 itsissuance, also requires the :applicant for the permit to file a signedstatement that he orshe 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). - BuI 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, Bu siness and Professions Code: The Contractors' State License Law does not apply town 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 improvementis sold within one year. of completion, the Owner-Builderwill have the burden of proving that it wasnot built or improved for the purpose of sale). ❑ 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 apply toan 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). ByY 1 am exempt from licensure underthe Contractors' State License Law for the following reason: ', 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 legal) sell a structureolal.1.11eve. 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 Profes%ions Code, is available upon request when this application is submitted or at the. following Web site:http://www.leginfo.ca.gov/calaw.htmi. Signature of Property Qwner or Authorized Agent - ate ICEIISED CONTRACTOR'S DECLARATION hereby affirm under penalty. of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70 ) of Division 3 of the Business and Professi fid y c nse s In II fo ce land effect. License Glass License No DateContractor Signature Ilk y7QRKERS' diDURE`NSATION DECLARATION LVARraft: FAILUREJG CECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLRS (}100,000), IN ADDITION TO THE GGST.GF COMPENS A I ONE DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I 6liaroby affirm under penalty of perjury one of the following declarations: 1t19te and Q11 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 per( rmance of thidAgCr: for which this permit is issued. Policy No. _ kl'Mabg and wilLmainhain 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' compensatio arfce carrier @p$ policy number are: Ca mer Policy Number Expiration Date Name of Agent !, Phone # Ell certify that, in the perfor o the work for wh' h his p€rmi is issued, I shall not employ any person In any manner so as to become subject to the workers' mpensation laws of California, and agre work ' c ns tion rovIi io s of Section 3700 of the Labor Code I shall forthwith com I with those provisions. that, if I shouldbecome sub' ct h p p pY p� 1 Signature of Applicant Da DECLARATION REGA ING CO S C E I AG I hereby affirm under p _ ally of perjury that th re i a construction lending agency for the performance of the work for which this permit is issued (Section 309/7, Civil Code). Lender's Name: Lender's Address Byllmy signature below, I certify to each of the Ilo ing I I am the property owner or authorized to ac o the rop y owner's behalf. I have read,this application and the information.) h v p oYkled is correct. I agree to comply with all applicable city and co nt n nces an state 1 relating to uilding construction. I authorize representatives of this city or coun to r t v ide tifi roperty f r spection purposes signature of Property Owner or Authorized A en rint PropeL Owner's or Authorized Agent's Na e /v ✓ to ACTION DATE$Y DECLARATION F COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REG TIONS ART 1 OFTITLE 40 AND AQMD RULE ;AD3 PERMITEXPIRED ISUBMITTED A ESTOS NOTIFICATION TO PERMITCANCELLED EPA PERMITEXTENDED 0AQMD PEPMIT FINAL \•Z(a r,t . SBESTOS O I I TION IS NOT PLI ABLE TO - CERTIFICATE OF RO D. MO I OCCUPANCYISSUED GNATU , I