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Home My WebLink AboutX2019-2301 - Permits�w7e City of Newport Beach - Building Division I Ilillllllllllllllllll�llllllllllllillllllllllllllll II 84 k- 100 Civic Center Drive, Newport Beach, CA 92660 COMB Permit: X2019-2301 X 2 0 1 9 2 3 0 7 Permit Counter Phone (949)644-3288 Project No: 1653-2019 u" inspection Requests Phone (949)644-3255 r gwa1e =° Combination Type - BLDG ELEC Issued Date : 08/16/2019 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: 396 SUPERIOR AVE NIS Description: COMM - (1) ILLUM SIGN, (15) NON-ILLUM, FACE CHANGEIDIRECTIONALIPARKING SIGNS "UNION BANK" Legal Desc.: P BK 9 PG 19 PAR A Owner: BANK CALIFORNIA FIRST Contractor: PS SERVICES Architect: .Address: PO BOX 7788 Address: 1320 N RED GUM ST Address: NEWPORT BEACH, CA 92656 ANAHEIM CA 92806 Phone Applicant: ARDS NADINE Address: 1320 N RED GUMS ANAHEIMICA 92806 Phone: 714-683-1120 Code Edit: 2016 Type of Construction: Occupancy Group: 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: Flood Zone:. x Construction Valuation: $4.000.( Building Permit Fee: $136.00. Plan Check Fee: $118.32 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $38.00 Energy Compliance: $56.00 CA Seismic Safety:. $0.00 Disabled Access: $0.00 Hazardous Mat , $0.00 Building Green Fee: $1.00 TOTAL FEE: $407.12 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Phone: 714-683-1120 Con State Lie: 1039459 Lie Expire: 05/31/2020 Bus Lie: BT30064225 Lie Exp Date: 08/31/2019 Worker's Compensation Insurance Carrier: INS. OF THE WEST Policy No: WSA504745000 Expire: 0410112020 Building Setbacks Rear: I $0.00 Front: I PAN Plan Check: Left: I $17.80 Right: I Use Zone: Parkinn Snaracr n Excise Tax: Additional Fee Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: Electrical %: Mechanical %: Plumbing %: Phone: State Lie Engineer: Planning Department - Address: $0.00 Phone: State Lie: Designer: ANGOTTI SCOTT Address: 1320 N RED GUM SJH Trans : ANAHEIM CA 92806 Phone: 714-683.1120 Special Conditions $0.00 Planning Department - $40.00 $0.00 Plan check Fee : Fire Plan Rev $0.00 Fair Share : $0.00 $0.00 SJH Trans : General Service $0.00 In -lieu Housing Fee $0.00 Public Works Department - $0.00 Park Dedication : $0.00 PAN Plan Check: $0.00 $17.80 San Dist: $0.00 $0.00 NMUSD Fee:. $0.00- $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Plan Check Fee: $222.60 Fee Due at Permit Issuance : $184.52 7 d o PUE.Lt(. WORKS APPROVAL: E� PLAN'CHECK BY: i APPROVAL TO ISSUE: 6 (,4L 9v, LGE 6 t.V c. GV Fire Department $40.00 Fire Inspection: $0.00 Fire Plan Rev $0.00 Demolition Fee $0.00 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 Plan Check Fee: $222.60 Fee Due at Permit Issuance : $184.52 7 d o PUE.Lt(. WORKS APPROVAL: E� PLAN'CHECK BY: i APPROVAL TO ISSUE: 6 (,4L 9v, LGE 6 t.V c. GV 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 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 U portions of the work, and the structure is not intended or offered for sale (Section 7044, Business 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 improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner-Builderwill have the burden of proving that it was not built or Im roved 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 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). ❑ I am exempt from licensure under the Contractors' State License Law for the following reason: By 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 sell 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 Professions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. Date Signature of Property Owner or Authorized Agent LICENSED CONTRACTOR'S DECLARATION � license' in full force 1 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 700 f Division 3 of the Business and Pr s e, y and effect. License Class License No Date IC -1 Contractor Signature_C WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE 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 COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I 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 th pert mance of the work for which this permit is issued. Policy No. have and will mail(t@in 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 rance carrier and p IiW number are,1,1—) 'ler - 12 11 Pou it _Expiration Date to of Agent �� Phone # v a certify that, in the performanceorYfor which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compe sati n laws of California, an agree of the w if I should became subjeFt to wo kers'(ompensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. re/l6 �/, Iature of Applicant eY! u t rV 11 CLARATION REGARlVNG-UON5I KUL; I ILJI41Ltnulrvb lamcre. r �reby affirm under penalty of perjury that there is a construction 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 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 county ordinances a state laws relating to building construction. I authorize representatives of this city or county Igen a ov enti ' operty for inspection purposes. :5 _ �.!-. O an ,nature of Pronertv Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name r� i l /: ACTION DATE BY DECLARATION dF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE NOTIFICf,1IbN1'T>;1° PERMIT EXPIRED ems• I SUBMITTED ASBESTOS PERMIT CANCELLED • EPA • • • • ° • • • s PERMIT EXTENDED QMD • • • ` ' PERMIT FINAL ASBESTOS NOTIFICATION IS N TAPPLICABLE TO CERTIFICATE OF P OPOSED D OLITI • • • • ° • ° OCCUPANCYISSUED SIGNATU • • • ° ° • Y Nit; • fY • Y