HomeMy WebLinkAboutX2020-0553 - Permits1N'1og7 City of Newport Beach - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
H m'� Permit Counter Phone (949)644-3288
s�9 Inspection Requests Phone (949)644-3255
Combination Type - BLDG ELEC
IIIIII�IIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2020-0553
X 2 0 2 0 0 5 5 3 Project No : 0441-2020
Issued Date : 03109/2020
Inspection Area : 7
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY OR PERMIT WILL BE INVALID
Construction Hours: Monday - Friday 7:00 a.m, to 6:30 p.m. and Saturday from 6:00 a.m. to 6:00 p.m. No work on Sundays or Holidays
Job Address: 2628 SAN MIGUEL DR NB
Description: COMM - ILLUM SIGN "STRETCH LAB & DOOR VINYL GRAPHICS"
Legal Desc.: P BK 119 PG 49 PAR 1
Owner:
IRVINE CO
Address:
550 NEWPORT CENTER DR
Record Management :
NEWPORT BEACH, CA 92660
Phone:
$56.00
Applicant:
COAST SIGN INCORPORATED
Address:
1500 W EMBASSY ST
Hazardous Mat
ANAHEIM CA 92802
Phone:
818-675-5849
Code Edit : 2019
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
Bldg Sprinklers:
Flood Zone:
Construction Valuation: $2,500.00
Building Permit Fee: $120.00
Plan Check Fee: $104.40
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management :
$8.00
Energy Compliance:
$56.00
CA Seismic Safety:
$0.00
Disabled Access :
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$1.00
TOTAL FEE: $345.11
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Contractor:
COAST SIGN INCORPORATED
Address:
1500 W EMBASSY ST
ANAHEIM CA 92802
Phone:
818-675-5849
Con State Lic:
654238
Lic Expire:
03/31/2020
Bus Lic:
BT30037561
Lic Exp Date:
11/30/2020
Worker's Compensation Insurance
Carrier: NATIONAL SURETY CORP
Policy No: SWC0115501901
Expire: 1010112020
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 %:
Rear: I
Front: I
Left: I
Right: I
0
Architect:
Address:
Phone:
Engineer:
Address:
Phone:
INSPECTOR
Designer: ROBERTS MICHAEL
Address: 504 E PALIMYRA
ORANGE, CA 92866
Phone: 410-261-9372
Special Conditions
Fire Hazard Zone: N
State Lie:
State Lic:
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$0.00
Planning Department -
Fire Department
$0.00
Plan check Fee,
$40.00
Fire Inspection:
$0.00
$0.00
Fair Share :
$0.00
Fire Plan Rev
$0.00
$0.00
SJH Trans :
$0.00
Demolition Fee
$0.00
In -lieu Housing Fee :
$0.00
Building Dept Adm
$0.00
$0.00
Public Works Department -
General Service
$0.00
$0.00
Park Dedication : $0.00
Refund Deposit
$0.00
PAN Plan Check: $0.00
Grading Bond:
$0.00
$15.71
San Dist: $0.00
$0.00
NMUSD Fee: $0.00
$0.00
$0.00
$0.00
Plan Check Fee
: $151.71 Fee Due at Permit Issuance :
$193.40
_
PUBLIC WORKS APPROVAL:
V
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PLAN CHECK BY:
APPROVAL TO ISSUE:
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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)
(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 U 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).
❑ 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
apply 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).
❑ 1 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 legal
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.htmi.
Signature of Property %Yner or Authorized Agent Date
610ENSED CONi1iACTOR'S DECLARATION
I"elebv affirm Ifndyr aerially of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 700of iv' ion 3 of the Business and Prof s' 11 0 �, n my li ense is in full force
and effect. Licerfse-Class License No Date Contractor Signature
&CIIRKERS' COMPENSATION DECLARATION
IVARNIN6: FAILURE-"SEtVRE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMIN 4NALTIES AND CIVIL FINES UP TO ONE HUN RED THOUSAND DOLLARS ($100,000), IN ADDITION TO THS
20SW OF GOMPENSAT10N.DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm urW%r penalty of perjury one of the following declarations:
1 . ;; . flPfi2in. .
`� and wtain 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 tl
: e¢ormance of thewaork for which this permit is issued. Policy No.
%avd and v4IFTuillfain 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'
hgcbe carrier 911d policy number are:
op 0 "" Policy Number Expiration Date
is of Agent ""
certify that, in the perf Trance of the w rk for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers'
, if I should become sybjjsgt )o the ynpr s' ggmpensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
nature of Applicant - "- vale 44 -
CLARATI% REGA D G CONSTRUCTION LENDING AGENCY
)reby affirm under p nalty 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).
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 rovided is correct.
I agree to comply with all applicable city and county r inances and�tate laws relating to building construction.
I authorize representatives of this city or county t I n t �e abov - entif' d property for inspection purposes. e /
nature of Property Owner or Authorized Agent - Print Property Owner's or Authorized Agent's Name lVri7N blA2l
ACTION
PERMIT EXPIRED
PERMIT CANCELLED
DATE BY /I DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY
REGUJAMNS PART 61 OF TITLE 40 AND AQM D RULE
SUBMITTED
TO
PERMITFINAL �_Zy..Z071 11' SBESTO NOTr 10 SN PPUCABLE TO
CERTIFICATE OF RO EDD MO,kI N
OCCUPANCYISSI. SIGNAT E:
laws of California, and