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Home My WebLink AboutX2021-0815 - PermitsCity of Newport Beach - Building Division IIIIIIIIIIII�IIIIIIIIIIIII�IIIIIIIIIIIII�III�IIICOMB Permit: X2021-0815 4. 100 Civic Center Drive, Newport Beach, CA 92660 X 1 0 8 1 5 Permit counter Phone (949)644-3266 Project No: 0752-2021 Inspection Requests Phone (949)644-3255 °)rro*s * Combination Type - BLDG ELEC Issued Date, Inspection Area : 7 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0410712024 OR PERMIT WILL BE INVALID 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: 2116} NEWPORT COAST DR NB Description: COMM SIGN. 15" LED'THE UPS STOREWITH LOGO Legal Desc.: P BK 318 PG 27 PAR 2 Owner: PLAZA MANOR ASSOCIATES Contractor: TRULITE SIGNS INC Architect: Address: 550 NEWPORT CENTER DR Address: 232 h SHERMAN AVE OF Address: NEWPORT BEACH, CA 92660 - CORONA CA 92882 Phone: Phone: 951-735-5525 Phone: State Lie: Applicant: JENNIFERITRULITE SIGNS Con State Lie: 846149 Engineer: Address: 232 N SHERMAN AV UNIT F Lie Expire: 1013112021 Address: CORONA CA 92882 Bus Lie: BT30074896 Phone: 951.735.5525 Lie Exp Date: 04/30/2022 Phone: State Lie: Code Edit: 2019 Worker's Compensation Insurance Designer: Type of Construction: Carrier: STATE COMP Address: Occupancy Group: B. Policy No: 9222121 Added /New sq.ft. Bldg: 0 Expire: 0810212021 Phone: Added /New sq. ft. Garage: 0 - ''i No of Stories: 1 Building Setbacks Rear: ;/ Special Conditions: No of Units: 0 Front: '/ Bldg Height: 0 Left: '../ Bldg Sprinklers: Right:') �! Flood Zone: Use Zone: Parking S 'aces: 0 Fire Hazard Zone : N 1 Construction Valuation: $2.500.00 Building Permit Fee: $127.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $110.49 Additional Fee: $0.00 Plan check Fee: $46.26 Fire Inspection: $0.00 Overtime Plan Ck: $0.00 Grading Bonds Fee: $0.00', Fair Share : $0.00 Fire Plan Rev $0.00 Investigation Fee: $0.00 Grading PC Consultant: $0.00 SJH Trans : $0.00 Demolition Fee Record Management : $0.00 Grading Permit Fee: $0.00 ! In -lieu Housing Fee: $0.00 Building Dept Adm $0.00 Energy Compliance: $0.00 Grading PC Fee: $0.00 Public Works Department - General Service $0.00 CA Seismic Safety: $0.00 WO Insp. Fee: $0.00: Park Dedication : $0.00 Refund Deposit $0.00 Disabled Access : $0.00 PAN Plan Check: $0.00 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical %: $16.52 San Dist: $0.00 Building Green Fee : $1.00 Mechanical %: $0.00 ',,. NMUSD Fee: $0.00 $0.00 Plumbing %: $0.00 �I $0.00 TOTAL FEE : $301.36 m , Pia% (:heck Fee :a $101.36, Fee Due at Permit Issuance : $0.00 m.a ae+e e - - e ;, u e a ® • o eao eco PROCESSED BY: ipUBiL'iC WORKS ,&!'PotQ,VA1..: ° °o o° a o W6 ZONING APPROVAL: '.. PLAN CHECK BY: v GRADING APPROVAL: =, ° V ` ` » y EAPPROVAL TO IS IJE:`op a Dy a u O OWNER -BUILDER DECLARATION 1 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 is 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). 7 1, as owner of the property, or my employees with wages as their sole compensation, will do U all of or (_) 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 1 roved for the purpose of sale). J 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: 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:hllp:lfw .leginfo.ca.gov/calaw.html. lignature of Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION i hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 700 3 of the Business and Professions C, de d m license Is in full force 0) f ivi on nd effect. License Class License No Date Contractor Signature VORKERS' COMPENSATION DECLARATION rARNING: 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 OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 0706 OF THE LABOR CODE; INTEREST, AND ATTORNEY'S FEES. 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 thi effafmance of the work for which this permit is issued. Policy No. 3rove 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' compensation s anc iWrer are: ` Z' Expiration Date 40/1"Z/ farrier Policy Number of Agent certify that, in the performance of the , if I should become subject to the we of for which this permit is Issued, 1 shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agreE rcompensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. CLARATION REGAF(DOG CONSTRUCTION LENDING AGENCY Heby affirm under penally of perjury that there Is a construction lending agency for the performance of the work' 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 nd state laws relating to building construction. I authorize representatives of this city or county to enter the -identified property for Inspection purposes. this permit Is Issued (Section 3097, Civil Code). ii nature of Property Owner or Authorized Agent Print PropertyOwner's or Authorized Agent's Name ' ACTION DATE Y DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY A!/(f REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE B •r7—%( 1403 PERMITEXPIRED TFSUBMITTED ASBESTOS NOTIFICATION TO Y _•• ` '', ` PERMITCANCELLEDEpp • Y` PERMITEXTENDED glVlp • • PERMITFINAL ASBESTOS NOTIFICATION IS NOTAPPLICABLE TO CERTIFICATE OF PROPOSED DEMOLITION •V• • Y • •1• Ji OCCUPANCYISSUED SIGNATURE: • ' ' - ` • •'