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Home My WebLink AboutX2019-2725 - Permitswrr„� City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII�I ,II COMB Permit: X2019-2725 Record Management: NEWPORT BEACH CA 92660 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 1 9 2 7 2 Project No : 1942-2019 Iw 0 Address: Permit Counter Phone (949)644-3288 Hazardous Mat SAN MARCOS CA 92078 er 760-736-6070 Inspection Requests Phone (949)644-3255 Carrier: Issued Date 09/0312019 "Lxs rmS UB31(227774 Combination Type - CIP ELEC .04/01/2019 : caoo c oo mo 0 Inspection Area : 7 0 o c. PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. o ooe•o 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: 177 RIVERSIDE AVE NB St: 1 FI: 1 Unit: B c c o o u Description: COMM ILLUMINATED WALL SIGN "THE BAR METHOD" Legal Desc.: TR 919 LOT F FOR OF LOT Owner: MARINERS CENTER M2 LLC Address: 2220 UNIVERSITY DR Record Management: NEWPORT BEACH CA 92660 Phone: $56.00 Applicant: DEL GATTO TIFFANY Address: 261 S PACIFIC ST Hazardous Mat SAN MARCOS CA 92078 Phone: 760-736-6070 Code Edit: 2016 Type of Construction: Occupancy Group: U 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: Building Permit Fee: $152.00 Plan Check Fee:$132.24 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 Fee: $1.00 TOTAL FEE: $425.03 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Contractor: WESTERN SIGN&AWNING Address: 2556 FAIVRE ST Fair Share CHUTA VISTA CA 91911 Phone: 619-423-6200 Con State Lic:. 863570 Lic Expire: 08/3112019. Bus Lic: BT30064284 Lic Exp Date: 08/31/2019 Worker's Compensation Insurance Carrier: TRAVELERS PROPERTY Policy No: UB31(227774 Expire: .04/01/2019 Building Setbacks Excise Tax: Additional Fee Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: Electrical %: Mechanical W Plumbing %: Rear: / Front: / Left: I Right: I $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.06 $39.79 $0.00 $0.00 Architect: Address: Phone: Engineer: Address: Phone: Designer: Address: Phone: I [ � State Lic: State Lic: DEL GATTO TIFFANY 261 S PACIFIC ST SAN MARCOS CA 92076 Special Conditions: Fire Hazard Zone : N Planning Department - Fire Department Plan check Fee: Fire Inspection: Fair Share Fire Plan Rev SJH Trans Demolition Fee In -lieu Housing Fee Building Dept Adm Public Works Department - Park Dedication : $0.00 PAN Plan Check : $0.00 San Dist: $0.00 NMUSD Fee:. $0.00 Plan Check Fee: $0.00 Fee Due at Permit Issuance PUBLIC WORKS APPROVAL: - i PLAN CHECK BY: APPROVAL TO ISSUE: ommm Fire Department $40.00 Fire Inspection: $0.00 Fire Plan Rev $0.00 Demolition Fee $0.00 Building Dept Adm o • 0 General Service oomm Refund Deposit Grading Bond: Plan Check Fee: $0.00 Fee Due at Permit Issuance PUBLIC WORKS APPROVAL: - i PLAN CHECK BY: APPROVAL TO ISSUE: ommm 0 0 mmom 0 0 00 ommmer o • 0 0 n oomm 0 0 o 0 o n 0o c 0000 0 0 o c caoo c oo mo 0 o m 0 o c. coomo cc ec o ooe•o 0 000000 c c o o u c000co c 00000u $0.00 $0.00 $6.00 $0.00 $0.00 $0.00 $0.00 $0.00 $425.03 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). ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) 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 -Builder will 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). ❑ 1 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:hltp://www.leginfo.ca.gov/calaw.html. Signature of Property Owner or Authorized Agent Date LICENSED COjJ,TRACTOR'S DECLARATION I hereby affirm u, de rpenalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 709.0) of ivision 3 of the Bust and Professions de, and my license is in full force and effect. License Class License No Date, Contract ignature - WC;4AIeRS' O(5 AF4ISATION DECLARATION NARNIN6: FAILURE TO..SECURE.. WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CFM NAL PENALTIES AND CIVIL FINES UP TO ONE HONORED TI ANO LLARS ($700,000), IN ADDITION TO THE e,OSYPg COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm jitlel•pmalty of perjury one of the following declarations: Theve and wArmaintain 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 the ppance of jhewdr(t for which this permit is issued. Policy No - 044 e 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 Xer JasurA carrier number are: Policy Number Expiration Date T— 1ARify that, %too plrformance of the rk hich this permit is issued, 1 shall not employ any person in any manner so as to become subject to the workers; compensation laws of California, and agre I, if I should become subject to the work co provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. r/ D " 7 nature of Applicant CLARAT RE ING CONSTRUC I N E DING AGENCY :reby affi er penalty of perjury that t re t 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 Lhave provided is correct. l I agree to comply with all applicable city-d"county ordinances and state laws_ relating to building construction. I authorize representatives of this r county to enter t d property for inspection purposes. of Prooertv Owner or ACTION PERMIT EXTENDED PERMIT FINAL CERTIFICATE OF OCCUPANCVISSUED Print Prooertv Owners or Authorized WITH CODE OF FEDERAL I FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 L1 I SUBMITTED ASBESTOS NOTIFICATION TO UASBESTOS NOTIFICATION IS NOT APPLICABLE TO PROPOSED DEMOLITION SIGNATURE: