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Home My WebLink AboutX2021-1096 - PermitsCity of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII IICOMB Permit: X2021-1096 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 2 1 1 0 9 6 Project No: 1020-2021 Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 £�a=z•cax"�'a Combination Type - CIP ELEC Issued Date : 0510712021 Inspection Area : 7 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0510712024 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: 2865 E COAST HWY NB Description: COMM ILLUMINATED SIGN "ZARRABI MD" Legal Desc.: TR 323 LOTS BLK F AND CORONA DEL MAR LOTS 113/5 BLK 534 1 Y@'Ai79 w II P etL•� �T OR Owner: OCEAN RIDGE PLAZA LLC Contractor: 3 - D SIGNS Architect: Address: 4575 DEAN MARTIN DR #2400 Address: 23011 MOULTON PLWY Address: 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: Construction Valuation: Building Permit Fee: $246.00 Plan Check Fee: $214.02 Overtime Plan Ck: LAS VEGAS, NV Investigation Fee: LAGUNA HILLS CA 92653 Record Management: Phone: Energy Compliance: Phone: 949-770-9252 Phone: State Lic: Applicant: ASBERY PER Con State Lic: 770637 Engineer: Address: 23011 MOULTON PKWY Lic Expire: 11/30/2022 Address: LAGUNA HILLS, CA 92653 Bus Lic: BT30072686 Phone: 714-930-7740 Lic Exp Date: 08/31/2021 Phone: State Lic: 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: Construction Valuation: Building Permit Fee: $246.00 Plan Check Fee: $214.02 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $8.00 Energy Compliance: $61.00 CA Seismic Safety: $0.00 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee : $1.00 11 TOTAL FET $640.67 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Worker's Compensation Insurance Carrier: STATE COMP Policy No: 9259041 Expire: 08114/2021 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 Spaces $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $64.40 $0.00 $0.00 Plan Check Fee Designer: ASBERY PER Address: 23011 MOULTON PKWY LAGUNA HILLS, CA 92653 Phone: 714-930-7740 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 PAN Plan Check: $0.00 San Dist: $0.00 NMUSD Fee: $0.00 $0.00 Fee PUBLIC WORKS APPR PLAN CHECK BY: APPROVAL TO ISSUE: m••e • eme • • o • eoe• ea•m oom • m em • •• m m a ece 0 oommo• m $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $640.67 oeacoc • n • m o •s a • n • • o mm o •map• •e•eoo eo•sco e m • • o oe••s� 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 Fee PUBLIC WORKS APPR PLAN CHECK BY: APPROVAL TO ISSUE: m••e • eme • • o • eoe• ea•m oom • m em • •• m m a ece 0 oommo• m $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $640.67 oeacoc • n • m o •s a • n • • o mm o •map• •e•eoo eo•sco e m • • o oe••s� 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). _ ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or L 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). ❑ 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 Cedesis available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htm[. Signature of Rgla Vowner or Authorized Agent Date LICENSED QPNT•RACTOR'S DECLARATION PlTerNy affirrmurrrin penalty of perjury I t I am licensed under provision er Prancing with Section ) s 3 of the Business and Professi od , icense is in full force Ind Pjfect. L cense Class L I License No Data 02/ Contractor Signature KERS' CQ&VENSATION DECLARATION VyARNIpIG: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMIN L PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE 'OCT OPCOMPENSA1'IOIC, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. heresy affirm pndErnalty of perjury one of the following declarations: have and•will maintain a certificate of consent to self -insure for ion, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for IN •+ nce of the work for which this permit is issued. Policy No. .• he and Niljgtairtain 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 �@IYaage carrier and policy number are: Car' .• +�•••• Policy Number Expiration Date Some of Agent Phone # ❑I certify that, in the performance of the workfcqpich 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 agree that, if I should become subject to the worke �9 ensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.^ �7 (7 Signature of Applicant D 6/T/`G2If DECLARATION REGAR NG CONSTRUCTION LENDING AGENCY I hereby affirm under pen Ity of perjury that there 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 or ' an s and state laws relating to building construction. g �cJ I authorize representatives of this city or county r ova- property for inspection purposes. ^ i7`�S�C n� Sionature of Prooertv Owner or Authorized AD Print Property Owner's or Authorized Agent's Nam?✓/- e ACTION DATE BY DECLARATION OF IREGULATIONS PART61 O TCOMPLIAIITLE 40 ANDAQMD RULECE WITH CODE OF RAL FOR OFFICE USE ONLY PERMIT EXPIRED PERMITCANCELLED PERMIT EXTENDED TO PERMITFINAL /-17-POt1 0' LJ ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO CERTIFICATEOF PROPOSED DEMOLITION OCCUPANCYISSUED SIGNATURE: