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Home My WebLink AboutX2018-3775 - Permits,� City of Newport Beach Building Division IIIIIIIIIIIIIIIIIII�IIIIIIIIIIIIIIIIIIIIIIIIIIIII COMB Permit: X2018-3775 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 1 8 3 7 7 5 Project No: 2921-2018 E '±' Permit Counter Phone (949)644-3288 '$ . Inspection Requests Phone (949)644-3255 orr, s1s Combination Type -BLDG - Issued Date : 12/1412018 0xsna 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. Pio work on Sundays or Holidays Job Address: 3740 CAMPUS DR NB Cts - Description: COMM NON ILLUM SIGN "STATE FARM" Legal Desc.: N TR 3201 LOT 6 Owner: ICI PROPERTIES Contractor: TRULITE SIGNS INC Architect:it': s ECQ ° • •/ "- Address: 3740 CAMPUS DR Address: 2990 HALF MOON CT Address: n� 9 ° %:... NEWPORT BEACH, CA 92660 NORCO CA 92860 ° • • ° ° e •e Phone: Phone: 951-735-5525 Phone: State Lic: Applicant: TRULITE SIGNS INC Con State Lie: 846189 Engineer: ° Address: 2990 HALF MOON CT Lie Expire: 1 013112 01 9 Address: o`• °d° m ° o ° NORCO CA 92860 Phone: 951-735-5525 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 TOTAL FEE: $325.24 PROCESSED BY: �_ f4 ZONING APPROVAL: GRADING APPROVAL: Bus Lie: Construction Valuation: $5.000.00 .Lie Exp Date: Building Permit Fee: $152.00 Worker's Compensation Insurance. Plan Check Fee:. $132.24 STATE COMP Overtime Plan Ck $0.00 9222821 Investigation Fee: $0.00 0810212019 Record Management: '$0.00 Designer: Energy Compliance: $0.00 ° CA Seismic Safety: $0.00 Address: Disabled Access: $0.00 • mPP.mmm Hazardous Mat _ $0.00 PAN Plan Check: Building Green Fee : $1.00 TOTAL FEE: $325.24 PROCESSED BY: �_ f4 ZONING APPROVAL: GRADING APPROVAL: Bus Lie: BT30065392 .Lie Exp Date: 12131/2019 - Worker's Compensation Insurance. Carrier: STATE COMP Policy No: 9222821 Expire: 0810212019 Building Setbacks Excise Tax: Additional Fee Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Feer WQ Insp. Fee Electrical %: Mechanical %: Plumbing %`. Rear: I Front: I Left: I Riaht: I $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Planning Department - m° C Phone: State Lie: • °°°°O $0.00 SJH Trans : m1P• P ®tltltl° Designer: ERWIN VICTORIA ° Public Works Department -' Address: 232 N SHERMAN AVE #F • mPP.mmm P m ° • m„ ° PAN Plan Check: CORONA CA 92882 m Phone: 951-735-5525 NMUSD Fee: $0.00 Special Conditions:'✓) ° mmmo Planning Department - Plan check Fee : $40.00 Fair Share $0.00 SJH Trans : $0.00 In -lieu Housing Fee: $0.00 Public Works Department -' - Park Dedication : $0.00 PAN Plan Check: $0.00 San Dist: $0.00 NMUSD Fee: $0.00 Fire Department Fire Inspection: Fire Plan Rev Demolition Fee Building Dept Adm General Service Refund Deposit Grading Bond: Plan Check Fee : $0.00 Fee Due at Permit Issuance PUBLIC WORKS APPROVAL: PLAN CHECK BY:. APPROVAL TO ISSUE: $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $325.24 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) )ction 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 permit to file asigned 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 rfessions 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 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, siness 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 )rovements 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 xoved 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 )ly 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 exemptfsw» N'censure under the Contractors' State License Law for the following reason: my ygnature belowl 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 P3 Slucture Jltat j Rive 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 lfesslons Codepis available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. paduie of Property Owner or Authorized Agent Date I04SED CQNTRACTOR'S DECLARATION Irei y affirm IIIAMtEnalty Of that I am licensed under provisions of h pte 9 (commencing with S do 7 0 of .I isi n of the Busines and Professions Code, and my license is in full force I effect. License Class (i�IS License Nola I ��j to `I iy P Contra( ignature 9@FK€RS' COj)I6XNSATION DECLARATION tNI G: FAILURE TQ SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE �TAFCOMPENSA 0N, DAMAGES AS PROVIDED FOR IN SECTION OTOS OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.. IFebl affirm 61&p; p®nalty of perjury one of the following declarations: 1"2e and VII Wintain 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 ante of -the -work for which this permit is issued. Policy No. i i• ve 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 trancec rrler''anned poliber Tier Policy Number "IZ%� ' �) g Expiration Date 2' Te of Agent Phone # certify that, in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the orkers' compensation laws of California, and agree a if I should becof/f{@ u)bplec to thew compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ,,rtby 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 and state laws relating to building construction. I authorize representatives off his city or county to Qn� th a v identified property for inspection purposes. nature of Prooertv Owner orZhorized AGent r� v Print Propertv Owner's or Authorized _ nt's Name ACTIONI DATE I BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE PERMITEXP/RED LJISUBMITTED ASBESTOS NOTIFICATION TO PERMITCANCELLED Epp PERMITFINAL 0 U ASBESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATE OF r- ) PROPOSED DEMOLITION OCCUPANCYISSUED SIGNATURE: