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Home My WebLink AboutX2021-0566 - Permitsro4 City of Newport Beach - Building Division IIIIIII�IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2021-0566 - ' 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 2 1 0 5 6 6 Project No: 0518-2021 E. Permit Counter Phone (949)644-3288 c`k.. Inspection Requests Phone (949)644-3255 "+<irna`s , Combination Type - BLDG ELEC Issued Date : 03110/2021 0 Inspection Area : 7 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: $. Building Permit Fee: $110.00 Plan Check Fee: $95.70 Overtime Plan Ck: PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 03/1012024 OR PERMIT WILL BE INVALID Investigation Fee: 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: 1165 NEWPORT CENTER DR NB CA Seismic Safety: $0.00 Disabled Access: Description: Descri COMM - ILLUM SIGN "THEISALON" $0.00 Building Green Fee : $1.00 Legal Desc.: NMUSD Fee: $0.00 INSPECTOR Owner: THE IRVINE COMPANY Contractor: SIGNS & SERVICES CO Architect: Address: 110 INNOVATION DR Address: 10980 BOATMAN AVE Address: IRVINE CA 92617 STANTON CA 90680 Phone: 949-720-2953 Phone: 949-295-3787 Phone: State Lic: Applicant: YBARRA RYAN Con State Lic: 624675 Engineer: +++e Address: 10980 BOATMAN AVE Lic Expire: 08/30/2021 Address: e + STANTON CA 90680 Bus Lic: BT30074574 m m m m e Phone: 951-310-2896 Lic Exp Date: 0313112021 Phone: State Lic: 'es mm 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: $. Building Permit Fee: $110.00 Plan Check Fee: $95.70 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $8.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access: $0.00 Hazardous Mat $0.00 Building Green Fee : $1.00 11 TOTAL F E : $275.35 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Worker's Compensation Insurance Carrier: STATE COMP Policy No: 9273744 Expire: 04/0112021 Building Setbacks 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: / Right: / 'arkino Soaces $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $14.40 $0.00 $0.00 Plan Check Fee Designer: YBARRA RYAN Address: 10980 BOATMAN AVE STANTON CA 90680 Phone: 951-310-2896 Special Conditions Planning Department - Fire Department Plan check Fee: Fire Inspection: Fair Share Fire Plan Rev SJH Trans Demolition Fee In -lieu Housing Fee Building Dept Adm Public Works Department - Park Dedication : $0.00 PM Plan Check: $0.00 San Dist: $0.00 NMUSD Fee: $0.00 $275.35 Fee Due at PUBLIC WORKS APPROV : PLAN CHECK BY: APPROVAL TO ISSUE: $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 9 m °6F t e e e o r Fire Department $46.25 Fire Inspection: $0.00 Fire Plan Rev $0.00 Demolition Fee $0.00 Building Dept Adm General Service Refund Deposit Grading Bond: $275.35 Fee Due at PUBLIC WORKS APPROV : PLAN CHECK BY: APPROVAL TO ISSUE: $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 9 m °6F t e e e o r 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) lection 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 penalty of of more than five hundred dollars ($500). 1, 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, 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 for the purpose of sale). 1 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 only 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 from licensure under the Contractors' State License Law for the following reason: ly 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 ell 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 'rofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ce.gov/calaw.htmi. signature of Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm uor%r penalty of perjury that I am licensed under provisions of CjTapLter 9 co mencing with Section 7 00 IVISIon 3 of the Business and Professio9s��Fo e, and ryryry�Ill"j9 sin full force Rd effect. LicenS@ CFass rti� License No "' y V Date -� -'L Contractor Signature', /= JaitMS' CC)MPgNSATION DECLARATION v 'AKNINQs FAILURE TO TO WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS 1$100,0001, IN ADDITION TO THE 091 -OF LOMPENSAT10N, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. herebx affirm underpenalty of perjury one of the following declarations: 164aae and will mailitain 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( Once of to@ M %for which this permit is issued. Policy No. .,. F . J1,0 sand 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' compensation e carrier aril policy number are: - Policy Number 1 p 2 7 )i Expiration Date '-A j - Zt i t ert fy that, 11111VOEDformance 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 agre that, if I should become subject to the workers' sation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Signature of Applicant DECLARATION REGA DIN CO RUC 10 LENDING AGENCY I hereby affirm under p natty f p r'ury the t re is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). Lender's Name Lender's Address By 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 county ordinances and state laws relating to building construction. I authorize representatives of this city or county t the abe-i ' 'ed -p D ovperty for inspection purposes. �1' Yy) v� Si nature of Pro ertOwner or Authorized Agen Print Property Owner's or Authorized Agent's Name ate -I u -21 ACTION DATE BY DE LA TIONCOMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS ART 610E TITLE 40 AND AClMD RULE 1403 PERMIT EXPIRED U I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED DEPA PERMIT EXTENDED QMD PERMITFINAL CERTIFICATEOF OCCUPANCYISSUED �1 fST08 NOTIFICATION IS NOTAPPLICABLE TO PROPOSED DEMOLITION SIGNATURE: