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HomeMy WebLinkAboutX2019-3956 - PermitsCity of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 - v q Inspection Requests Phone (949)644-3255 Combination Type - CIP ELEC Construction Hours: Monday Job Address 1035 NEWPORT CENTER DR NB Description: COMM ILLUMINATED SIGN "100% PURE" Legal Desc.: P BK 221 PG 30 PAR 2 Owner: IRVINE CO Address: 550 NEWPORT CENTER DR NEWPORT BEACH, CA 92660 Phone: Investigation Fee: Applicant: LEWIS DAVID Record Management: Address: 3411 W LAKE CENTER DR SANATA ANA, CA 92708 Phone: 714-556-0990 CA Seismic Safety: Code Edit: 201 Disabled Access : Type of Construction: Occupancy Hazardous Mat Group: Building Green Fee : Added /New sq.ft. Bldg:" 0 Added /New sq. ft. Garage 0 e a No of Stories 0 oe e No of Units : 0 •, 4r: Bldg Height: 0. - m oe Bldg Sprinklers: - Flood Zone: m Construction Valuation: _$,4,890.00 Building Permit Fee: $15200; 1 Plan Check Fee: $132.24 Overtime Plan Ck: $0.00 Investigation Fee: $0.00' Record Management: $14.00 �- Energy Compliance: $56.00 CA Seismic Safety: $0.00 Disabled Access : $0.00 Hazardous Mat $0.00 'j Building Green Fee : $1.00 TOTALFEE: PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: COMB Permit: X2019-3956 IIIIIIIIIIIIIIIIIIIII�IIIIIIIIIIIIIIIIIIIIIIIIII II Project No: 2731-2019 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID h Friday 7:00 a.m. to 6:30 P.m. and Saturday from 8:00 a.m, to Contractor: Address: Phone: .t 0APState Lic: Lic Expire: Bus Lic: THIRD TER DRO r�p�\�G Add�ee�ct:�O�0'0 S A ANA CA 92704 �{ r� ono a°/r�n'6.09 7 Qa�O�O PRone: ;COB MW ETaz: $0.0 nal Fee : 0' 9 ` ' Grading Bonds Fee: ''����0. I'll Grading PC Con%ulta t� q 0 Grad' g er i�aF'e, Electrical °/m: $3 Mechanical %: $0.00 -i Urn ✓ / f heck Fee Issued Date : 12/12/2019 Inspection Area : 7 Sundays or Holidays n neer �� �� 'ss: O X 802050 SANTA CLAR TA CA 91 Phone: 661-259-0700 St: Designer: LEWIS DAVID Address: 3411 W LAKE CENTER DR SANATA ANA, CA 92708 Phone: 714-566-099\tp''�: Special Condition 'l ^' anning DepartmenN Plan check Fee: Fair Share SJH Trans In -lieu Houma ee : blit ous Depart ign - �k IDedicatio � 0 P/W -Clo. heck 0.00 n-B1"st $0.00 ee: $0.00 DCIV DrHiolition Fee Building Dept Adm General Service Refund Deposit Grading Bond: oe • e 0 memmoo o • m o e em e o e o e ee 0 0 0 meeeem e o 0 0 � ee o oe e e . m emo0n m oe o oemor m oomoco m m o r 10°0eoo < <, 000000 mo 0 0 ® `ococ oaoo $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Fee Due at Permit Issuance : $435.03 PUBLIC WORKS APPROVAL: PLAN CHECK BY: 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 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 `) 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 improved for the purpose of sale). ❑ 1, 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 build's orimproves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). ❑ 1 am exempt tjo��rr}} yJensure under the Contractors' State License Law for the following reason: By my sig naturebepb% [-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 sD4 a SVGcture 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 F7ofessi0ns Cod9.ys-av'pilable upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. Signature of Property Owner or Authorized Agent Date L3CEN&D CONT'RACTOR'S DECLARATION I hjreby affirm updarpeealty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 700 of Division 3 of the Business and ProfeACOde, y (iceda is in full force al d bledt. License Cla%s License No Date 2 ` Contractor Signature w(QMRS' C01WRl!lISATION DECLARATION NBBWI'11i TAILURE TE %ECUTIE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNG ED 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 her®by �ffirm under e�l�alty of perjury one of the following declarations: qJWE 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, r m once of t7,?*grk:or 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 insu nce carrier and policy number are: Carrier Policy Number Expiration Date Name of Agent Phone # ❑I certify that, in theperform nce 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 workers' compensation laws of California, and agree that, if I should become su t to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Signature of Applicant Date DECLARATION REGAR CONSTRUCTION L NG AGENCY I hereby affirm under pe alty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 309 ,Civil Code). Lender's Name - Lender's Address By my signature below, 1 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 [pave provided is correct. I agree to comply with all applicable city and co my ordinances and state laws relating to building construction. I authorize representatives of this city or coun t nter the abovgAidel"tified property for inspection purposes. t� Sinnature of PmDerty Owner or Authorized Aoen �-�1�=�— Print Property Owner's or Authorized Agent's mey( 0 a L_ to 12 12 l 1 DATE BY,. DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY REGUI A,T10NS PART 61 OF TITLE 40 AND AQMD RULE ASBESTOS NOTIFICATION TO PERMIT EXTENDED QMD PERMITFINAL BESTO NOTIFICATION IS NOTAPPLICABLE TO CERTIFICATE OF OPO ENteLIITION� OCCUPANCYISSUED SIGNATU ��