The URL can be used to link to this page

Home My WebLink AboutX2017-2117 - Permitsnot City of Newport Beach - Building Division Building Permit Fee: 100 Civic Center Drive, Newport Beach, CA 92660 E s� Permit Counter Phone (949)644-3288 vs Inspection Requests Phone (949)644-3255 Overtime Plan Ck: Combination Type - BLDG ELEC Job Address Description: Legal Desc.: Owner: Address: Phone: Applicant: Address: Phone: Construction Hours: Monday 1332 BISON AVE NBCOMM - PM326-48 8 MSIGN '�TH PAR Date` � ` ontractor: GENIUS SIG L1GHTlNaaP'ORATION Architect: ' eCENTER DR dre 424 OET A dress• ,CH ._ OS LES7 to Wj1o{ d ,-,...:_.. rn e. Phone: N 6 Con State Lic: 999802 Engineer: N SA811100 Lic Expire:R11,8ED Address: 0246 rq Friday 7.00 a.m. to 6:30 p.m. and COMB Permit: X2017-2117 x 2 0 1 7 2 1 1 7 Project No : 1493-2017 Issued Date : 07/1312017 Inspection Area : 7 a.m. to 6:00 p.m. Ho work on IRVINE CO 550 NEWPI NEWPORT MONTIEL JAS 15000 S AVALGARDENA CA 310-626-5777 Code Edit: Type of Construction: Occupancy Group: Added /New sq.ft. Bldg: Added /New sq. ft. Garage: No of Stories:No of UnitsBldg Height:Bldg Sprinklers: EPhone: WXoCaensaDesigner rrier: STATE COMP Address: U Policy No: 913475417 yam® 0 Expire: 06/10/2018 SSC �' ■ d 0 0 ey Sltsl ar: / (no Workps��df2� na: 0 9_ nt: / 0LJ Left: / r.•rnrk started) Right: I _- Construction Valuation: 2 985.00 Building Permit Fee: $112. Bete; _ E=iee�ax"--`� Plan Check Fee: $97.44 Park Dedication : Additional Fee Overtime Plan Ck: $0.0 Gradin Dods -Fee: Investigation Fee: $0.0• � gg,6ldk Record Management: $10.0 g ermit Fee: Energy Compliance: $56.00 Grading PC Fee: CA Seismic Safety: $0.00 WQ Insp. Fee: Disabled Access: $0.00 o m , e ° ° Hazardous Mat $0.00 Electrical %: Building Green Fee : $1.00 Mechanical %: Plumbing %: TOTAL FEE: $328.60 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: $0.00 $� $0.00 $0.00 $0.00 $0.00 $14.66 $0.00 $0.00 Plan Check Fee insp. initials. SJH Trans : Fire Inspection: In -lieu Housing Fee: m•eom Public Works Department - Park Dedication : $0.00 PM Plan Check: $0.00 San Dist: $0.00 NMUSD Fee: $0.00 undays or Holidays Fire Inspection: $0.00 m•eom Fire Plan Rev $0.00 m moms Demolition Fee $0.00 Building Dept Adm $0.00 m m me000c $0.00 Refund Deposit $0.00 e • e e $0.00 • e a mmeeme ems �; State Lia � - �` 5 • e o m , e ° ° $0.00 7.?0 oe ee eom000 F •� o •aomo oe0000 ° Ste Lic: o c • e _ dmy a m®mono ,i ..4o mmeee° 3715-0 Fire Inspection: $0.00 $0.00 Fire Plan Rev $0.00 $0.00 Demolition Fee $0.00 Building Dept Adm $0.00 General Service $0.00 Refund Deposit $0.00 Grading Bond: $0.00 $0.00 $0.00 $104.26 Fee Due at Permit Issuance : $224.34 PUBLIC WORKS APPROVAL: PLAN CHECK BY: v 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 applicablAtem(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 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 'rofessions 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 penally of of more than five hundred dollars ($500). I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044, lusiness 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 nprovements 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 nproved fgrihe.purpose of sale)._ I, as Ariar-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 p ply to ar`owrwof property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). 1.1 am essmpt from licensure under the Contractors' State License Law for the following reason: 1j6 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 pg% structurp that.l 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 'rofessions.Gade! � available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. ;igneture of Property Owner or Authorized Agent Date MENSEaC014TRACTOR'S DECLARATION 'ITel%by affir"udr%r penalty of perjury that I am licensed under provisions ofIng with Section 70 ) Division 3 of the Business and P etre my 'dens is in full force ntYeffect. License Class C—c-1� License No - /�[`"f X C5 L Date � Contractor Signal r J01&ERS'.(;QJ4AENSATION DECLARATION FARNAG: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRI NAL PENALTIES AND CIVIL FINES UP TO ONE HU . HOUSAND DOLLA 100,0001, IN ADDITION TO THE QSTOf COMPE41SATdMPDAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. 4r0y affirm',Upder 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 the ormance of the work for which this permit is issued. Policy No. - have 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 Isuran frier and policy number are: :arrier Policy Number Expiration Date lame of Agent - Phone # ]I certify that, in the performance of th jork for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' co ensation laws of California, and agree Iat, if I should become s ject to the omp tion provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ignature of Applicant Da /)7?b iECLARATION REG RDI CO RUCT ON LIMPING AGENCY hereby affirm under penalty rjury that the ' - construction lending agency for the performance of the work for which this permit is issued (Section 30 7, Civil Code). ender's Name Lender's Address y 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 coun ordinance nd state laws relating to b ilding construction. I authorize representatives of this city or county enter the v e 'fie party for pectic purposes. ignature of Property Owner or Authorized Agent Property Owner's or Authorized Agent's Name �� Dat 1CTION DATE BY I DLARATION OF COMPLIAN E WITH CO OF FEDERAL FOR OFFICE USE ONLY REGEC-U PART 61 OF TITLE 40 AND AQMD RULE NOTIFICATION TO PERMITEXTENDED PERMITFINAL U ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO CERTIFICATEOF PROPOSED DEMOLITION OCCUPANCYISSUED SIGNATURE: