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Home My WebLink AboutX2020-1968 - PermitsCity of Newport Beach - Building Division 100 Civic Cent3r Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Combination Type - CIP ELEC Ill llllll lull l�ulllullllllll�l lull llul 6 ull8l� II COMB Permit: X2020-1968 Project No : 1579-2020 Issued Date: 10/07/2020 Inspection Area : 7 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID iwEBTION.' PROJECTS MUST BE,COMPLETED' BY 1010812023 OR PERMIT WILL BE INVALID Construction Hours: Monday - Friday 7:00 a.m. to 6:30 p.m. and Saturday from 8:00 a.mm..to 6:00 p.m. No work on Sundays or Holidays Job Address: CO E COAST ATE NB ®N SATURDAYS Description: COMM ILLUMINATED SIGN "RITE AID" Legal Desc.: CORONA DEL MAR LOT 1 BLK 337(AND LOT 3 BILK 337 ra Owner: MANP CDM LLC Address: 250 NEWPORT CENTER DR STE 300 Record Management: NEWPORT BEACH, CA 92530 Phone: $61.00 Applicant: CLARK KASEY ---Address: 15197 LIGHTHOUSE LN Hazardous Mat LAKE ELSINORE, CA 92530 Phone: 951-471-8419 '- Code Edit : 2019 Type of Construction: VB 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: Building Permit Fee: $161.00 Plan Check Fee: $140.07 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $20.00 Energy Compliance: $61.00 CA Seismic Safety: $0.00 Disabled Access: $0.00 Hazardous Mat $0.00 Building Green Fee : $1.00 TOTAL FEE: $471.47 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Contractor: COAST SIGN INCORPORATED Architect: Address: 1500 W EMBASSY ST Address: SJH Trans ANAHEIM CA 92802 In -lieu Housing Fee Phone: 818-675-5849 Phone: State Lie: Con State Lie: 654238 Engineer: Lie Expire: 03/31/2022 Address: Bus Lie: BT30037561 Lie Exp Date: 11/30/2020 Phone: State Lic: Worker's Compensation Insurance Carrier: REPUBLIC INDEMMNITY Policy No: 25440901 Expire: 10/0112021 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: I Right: I $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $42.15 $0.00 $0.00 Designer: CLARK KASEY Address: 15197 LIGHTHOUSE LN LAKE ELSINORE, CA 92530 Phone: 951-471-8419 Special Conditions: HIGH DENSITY X 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 PMI Plan Check: $0.00 San Dist: $0.00 NMUSD Fee: $0.00 Plan Check Fee: $266.93 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Fee Due at Permit Issuance : $204.54 PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: Fire Department 0 Fire Inspection: $0.00 Fire Plan Rev $0.00 Demolition Fee $0.00 Building Dept Adm ' General Service Refund Deposit c Grading Bond: $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Fee Due at Permit Issuance : $204.54 PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: 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: $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Fee Due at Permit Issuance : $204.54 PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: OWNER -BUILDER DECLARATION I r 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 Im 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 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). 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. 1 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 Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000 ofDiv'si 3 of the Business and Professioy, and my license is in full force and effect. License Class License No Dat Contractor SignalurOjr-- WORKERS' COMPENSATION DECLARATION r'.N WARNING: 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 ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm under penalty of perjury one of the following declarations: ❑ I have and will maintain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for th, perf$rmance 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' compensatio rance carrier ndy, olicy numb ar : fer i QA P Ic mbar Expiration Date ie of Agent r / Phone # certify that, in the performance of th 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 if I should becomebje o th /w nS1fiZHi provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. A Iature of Applicant ate �' IiV areby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097 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 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 co�unydt ntAer I Above -identified property for inspection purposes. �� nature of Promedv Owner or Authorized Agent/ 3.!m' Print Propertv Owner's or Authorized Agent's Nam DATE I BY 1 DECLARATION OF COMPLIACE WITH CODE OF REGULATIONS PART GI OF TINTLE 40 AND AOMD RULE FOR FOR OFFICE USE ONLY PERMIT EXPIRED I U I SUBMITTED ASBESTOS NOTIFICATION TO .' PERMIT CANCELLED OEPA . : • • : � � •°• •�• PERMIT EXTENDED 0ACMD + • • ' + • • + . a • •a. ••• • + o• PERMIT FINAL ,, [ ASBESTOS NOTIFICATION IS NOT APPLICABLE TO • ° CERTIFICATE OF ["U PROPOSED DEMOLITION OCCUPANCY ISSUED 1111 / SIGNATURE: • ° ° • • + Civil Code). A