HomeMy WebLinkAboutX2020-0316 - Permits1w,a City of Newport Beach - Building Division / IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2020-0316
off. 100 Civic Center Drive, Newport Beach, CA 92660 �/ X 2 0 2 0 0 3 1 6 4
g Project No: 0250-2020
Permit Counter Phone (949)644-3288
v Inspection Requests Phone (949)644-3255
Combination Type - CIP ELEC
Issued Date : 0210412020
Inspection Area : 7
TOTAL FEE: $421.03
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Plan Check Fee
$0.00 Fee Due at Permit Issuance : $421.03
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
APPROVAL TO ISSUE: C'1-.(/ A A,^
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: 2350 BRISTOL ST NB
Description: COMM ILLUMINATED SIGN "AVREK LAW"
Legal Desc.: TRACT NO 1499 LOTS 4523 AND 24
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Owner: 2350 BE BRISTOL LLC
Contractor:
P V L SIGNS & GRAPHICS
Architect:
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Address: 9180 IRVINE CENTER DR
Address:
1420 E. ST ANDREW PL #F
Address:
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IRVINE, CA 92618
SATA ANA 92709
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Phone:
Phone:
714-557 3500 A
Phone:
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Applicant: P V L SIGNS & GRAPHICS
Con State Lie:
907464
Engineer.
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Address: 1420 E. ST ANDREW PL #F
Lic Expire:
06130/2021
Address:
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SANTA ANA CA 92709
Bus Lic:
BT30065020
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Phone: 714-557-3500
Lic Exp Date:
11/3012020
Phone:
State Lic:
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Code Edit: 2019
Worker's Compensation Insurance
Designer:
LACHEV PLAMEN
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Type of Construction:
Carrier:
STATE COMP
Address:
1420 E. ST ANDREW PL #F
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Occupancy Group: U
Policy No:
9019249
SANTA ANA CA 92709
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Added /New sq.ft. Bldg: 0
Expire:
10/20/2020
Phone:
714-557.3500
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Added /New sq. ft. Garage: 0
No of Stories: 0
Building Setbacks
Rear: /
Special Conditions:
No of Units : 0
Front: I
Bldg Height: 0
Left: I
Bldg Sprinklers:
Right: I
Flood Zone:
Use Zone: Parking Spaces: 0
Fire Hazard Zone: N
Construction Valuation: $5.000.00
Building Permit Fee: $152.00
Excise Tax:
$0.00 Planning Department -
Fire Department
Plan Check Fee: $132.24
Additional Fee :
$0.00 Plan check Fee:
$40.00 Fire Inspection:
$0.00
Overtime Plan Ck: $0.00
Grading Bonds Fee:
$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: $56.00
Grading PC Fee:
$0.00 Public Works Department -
General Service
$0.00
CA Seismic Safety: $0.00
WO Insp. Fee:
$0.00 Park Dedication :
$0.00
Refund Deposit
$0.00
Disabled Access: $0.00
PNV Plan Check :
$0.00
Grading Bond:
$0.00
Hazardous Mat $0.00
Electrical %:
$39.79 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: $421.03
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Plan Check Fee
$0.00 Fee Due at Permit Issuance : $421.03
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
APPROVAL TO ISSUE: C'1-.(/ A A,^
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)
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 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
fessions 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 (—) portions of the work, and the structure is not intended or offered for sale (Section 7044,
iiness 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
roved for the purpose of sale).
I, as owner 2ttpe property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not
ply 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 frQrq licensure under the Contractors' State License Law for the following reason:
rRQ 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
a structure4Rat Piave 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
fessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html.
htture of Property Owner or Authorized Agent Date
TENSED WNAACTOR'S DECLARATION
Y@by affirnk4r4der penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70 0) of Division 3 of the Business and Profess' n Code, and my license is in full for
'•affect. Liceq*.Qlass License No Date — O — Qyntractor Signature
YRKERS' COMPENSATION DECLARATION
:NMB: FAILURF.TO SpRURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED /HOUSAND DOLLARS ($100,000), IN ADDITION TO THE
T OCCOMPENSATION,9AMAGES AS PROVIDED FOR IN SECTION 5706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
rgby affirm unrierpenalty of perjury one of the following declarations:
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I•trave and%Ijl,p�alntain 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 thi
'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'
Fance carrier and policy number are:
Tier Policy Number Expiration Pate
Tie of Agent ` /Q ( Phone # �Y c� J — 3 C/
certify that, in the p=ofperjury
e work for which this permit is issued, I 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 becomorkers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
nature of Applicant Date
CLARATION REGAUCTION LENDING AGENCY
weby affirm under p,hat there is a construction lending agency for theperformance of the work for which this permit is issued (Section 309 ,Civil Code).
idel'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 ha provided is correct.
1 agree to comply with all applicable city and count ordinances and state laws relating to building construction. /
I authorize representatives of this city or county t e ter the above -identified property f inspection purposes. f/G � -„ f ®Z — D
—him of arnnmr %i nt.,nor nr Ai Uhnrivarl Anan1 IA1 a — Print Prooertv Owner's or Authorized ADent's Name 90o/JJ d Date
EXPIRED
DATE BY DECLARATION OF REQUdTIONS PART 610E RLE 40 AND AQMD RULE E WITH CODE OF AL FOR OFFICE USE ONLY
SUBMITTED ASBESTOS NOTIFICATION TO
PERMIT EXTENDED LJAQM D
PERMITFINAL / /' SBESTOS N IFICATION IS NOT APPLICABLE TO
CERTIFICATE OF / C� PRO EDD LITION
OCCUPANCYISSUED SIGNATURE: ,J, '�