HomeMy WebLinkAboutX2020-0427 - Permits1af'1,a City of Newport Beach - Building Division IIIIIIIIIIIII�IIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2020-0427
100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 2 0 0 4 2 7
., / Project No: 0334-2020
F _ � � Permit Counter Phone (949)644-3288
i1 srr Inspection Requests Phone (949)644-3255
r'��Fz�x�c° Combination Type -BLDG ELEC
Issued Date : 02/2612020
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. No work an Sundays or Holidays
Job Address: 1300 BISON AVE NB
Description: COMM SIGN REMOVEIREPLACE (E) (1) CORNER MONUMENT SIGN & (2) CHANNEL SIGN(S) "THE BLUFFS"
Legal Desc.: PM 326-48 PAR 1 FOR OF PAR
Owner:
IRVINE COMPANY
Address:
PO BOX 2450
Record Management:
NEWPORT BEACH, CA 92658
Phone:
$56.00
Applicant:
KERBY DAVE
Address:
731 N MAIN ST
Hazardous Mat
ORANGE CA 92868
Phone:
714-231-8293
Code Edit : 2019
Type of Construction: VB
Occupancy Group: U
Added /New sq.ft. Bldg:
Added /New sq. ft. Garage:
No of Stories: 0
No of Units : 0
Bldg Height: 0
Bldg Sprinklers:
Flood Zone: X
Building Permit Fee: $312.00
Plan Check Fee: $271.44
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management:
$10.00
Energy Compliance:
$56.00
CA Seismic Safety:
$0.00
Disabled Access :
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$1.00
TOTAL FEE: $772.53
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Contractor:
TRUEMARK INC
Address:
731 N MAIN STREET
Fair Share
ORANGE CA 92868
Phone:
714-204-0079
Con State Lic:
926653
Lic Expire:
12131/2020
Bus Lic:
BT30055601
Lic Exp Date:
06/3012020
Worker's Compensation Insurance
Carrier: EVEREST NATIONAL
Policy No: 7600008388181
Expire: 09101/2020
Building Setbacks
Use Zone:
Excise Tax:
Additional Fee:
Grading Bonds Fee:
Grading PC Consultant
Grading Permit Fee:
Grading PC Fee:
WQ Insp. Fee:
Electrical %:
Mechanical %:
Plumbing %:
IY/ ` _A- '
Rear: /
Front: /
Left: I
Right: I
3arkino Spaces
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$40.84
$0.00
$0.00
Plan Check Fee :
Planning Department -
EC ®1
Architect:
Fair Share
11 VS1 1 l
Address:
Fire Inspection:
In -lieu Housing Fee:
Phone:
Public Works Department -
State Lic:
Engineer:
JACOB TONY
$41.25
Address:
P.O. BOX 802050
NMUSD Fee:
$0.00
SANTA CLARITA CA 91380
Phone:
661-259-0700
State Lic:C-059022
Designer:
BECERRA HELEN
Grading Bond:
Address:
731 N MAIN ST
$0.00
ORANGE CA 92868
Phone:
714-231-8293
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0
Special Conditions: SPECIAL FIRE PROTECTION
AREA
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Planning Department -
Plan check Fee
Fair Share
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SJH Trans
Fire Inspection:
In -lieu Housing Fee:
$0.00
Public Works Department -
Park Dedication :
$0.00
PAN Plan Check:
$41.25
San Dist:
$0.00
NMUSD Fee:
$0.00
$427.69 Fee Due at Permit Issuance : $344.84
PUBLIC WORKS APPROVAL:/ a
PLAN CHECK BY:r
APPROVAL TO ISSUE: V/ -
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Fire Department
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$40.00
Fire Inspection:
$0.00•
$0.00
Fire Plan Rev
$0.00
$0.00
Demolition Fee
o0 °
$0.00
Building Dept Adm
o$llmOjl°
General Service
A0.40
Refund Deposit
°°$0.00°
Grading Bond:
$0.110
$0.00
$0.00
$427.69 Fee Due at Permit Issuance : $344.84
PUBLIC WORKS APPROVAL:/ a
PLAN CHECK BY:r
APPROVAL TO ISSUE: V/ -
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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, priorto 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 L) portions of the work, and the structure is not intended or offered for sale (Section 7044,
iness 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 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).
LI I 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:http://www.leginfo.ca.gov/calaw.html.
Signature of Property Owner or Authorized Agent
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of erjurK that I am licensed under provision f Chapt,r 9�o,�q� mencing with SecQon 00) of Division_3 of the Busin and Pro ns de, and m 'ce se is' full force
and effect. License Class 7 License No bfo 5 h t7 iZ —� —Ga Contra r Signatu
WORKERS' COMPENSATI N DECLARATION ,,
NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADD 1 N TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 9706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the following declarations:
1 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
7erformance ofdde�work for which this permit is issued. Policy No.
have and All? Maintain wo ers' 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
urar%arrier and policy bE�i-�ay�re: � /♦' y y �/ � � / � 9 2_mZ 6
"arri � � �n v l Z Policy Number �_ Expiration Date
Jame of Agent • Phone #
:�l c%rtify thatp in the eerfor of a work for wh' Is per it is issued, I 1 not employ any person in any manner so as to become subject to the worker ' compensation laws of California, and agre,
'hot yi(Pshould b'ebome su tot workers' c ation visions of ction 3700 of the Labor Code, I shall forthwith comply with those provisions.
Ngnelure of it!:.. D ��z
DF -"IL A RfgAbOtONSTRUCT19N LENDING AGE
i,4greay affirm n er penalty of perjury that there is a constructi I ding agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
terlder',lName. ' . : Lender's Address
3y ml signature DBlow,'I certify to each of the following:
01 amthe prgdattgbwner or authorized to act on the property owner's behalf.
�ileve read tlti39pplication and the information I have pr is correct.
I agree to comply with all applicable city and county an s and state ela' uilding construction.
I authorize representatives of this city ounty to f t bove-i prop f r inspection purposes.
Si nature of Property Owner or Authorize Agent Print Property Owner's or Authorized Agent's if''L — Date
ACTION DATE BY E RATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
_ .- _ REGULATIONS PART 61 OF TITLE 40 ANDAQMD RULE
PERMITEXPIRED I LI I SUBMITTEDASBESTOS NOTIFICATION TO
PERMITFINAL LIASBESTOS NOTIFICATION IS NOTAPPLICABLE TO
CERTIFIC4TEOF PROPOSED DEMOLITION
OCCUPANCYISSUED SIGNATURE: