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Home My WebLink AboutX2017-2900 - PermitsCity of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 F ,r Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Combination Type - CIP ELEC IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2017-2900 x 2 0 1 7 2 9 0 0 Project No : 2016-2017 Issued Date: 09/1112017 Inspection Area :8'I PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. 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: 2161 SAN JOAQUIN HILLS RD NB Description: COMM ILLUMINATED WALL SIGN "2161" Legal Desc.: P BK 54 PG 23 PAR 1 Owner: SAN JOAQUIN 2161 LLC Contractor: AMERICA'S IN Address: 369 SAN MIGUEL DR #300 ,,,,„„Address ----- iM 5'61'1�1 � ASSER NEWPORT 5EASH>,--GA1268'0"s"�`�°"- ANAHEIM, CA 92807 Phone: Phone: 714-693-2989 Applicant: HANSEN KF�LILY 'Dat'� -' on State Lic: 1023656 Address: 1266 MANIAS, t O ST. #310 Lic Expire 0gwa ANAHEIM �A'9 07 B p is � Phone: 714.6932969 ' F D; [$ et 018 Code Edit : ,201 k o eah Insti Type of Construction -z - arner. WESCO Occupancy Group: U,r Policy No: WWC329 Added /New sq.ft Bldg r _ p' I 0 . LM Added /New sq. ft.Garage - NoofStories. 0 i" Idin' ,aaPF �-xNo of Units : 0 ,, t: Bldg Height: - 0" Left: / Bldg Sprinklers: Right: / Flood Zone: Use Zone: Parkinq Spaces: Q Building Permit Fee: '112.0- Plan Check Fee: $97.44 `"" Overtime Plan Ck: $0.0 �$0.0 Investigation Fee: Record Management: $'10.0 Energy Compliance: $0.0LNote:CA Seismic Safety: $0.0Disabled Access: $0.0Hazardous Mat $0.0Building Green Fee : $1.0 TOTAL FEE: $287.26 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: ceI Addition I Fee : $0.00 rq 1; rtatXjed} $o.00 G tding PC Consultant: $0.00 Grading Permit Fee: $0.00 $0.00 Plumbing %: $0.00 O ST #309 Address If appjl �bie: Si 8()ASJress`u 100% refund L to wlien Designer: HANSEN KELLY Address: 1265 MANASSERO ST. ANAHEIM, CA 92807 Phone: 714-693-2989 Special Conditions: Is Plan checC a tarted) $37.50 Fair Share : $0.00 SJH Trans : $0.00 blic Works Departmeilniti�i�. Park Dedication : v-cp° NMUSD Fee: $0.00 Fire Dep: Fire Ins Fire Plan e C Lia li6ee ee m Oe�.W O• 6 Lic: 4 e m m ° ixoom oo amm�l m b e0000 0 e m m m m m o moemoo eoo c o m m 000e eo $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Plan Check Fee: $0.00 Fee Due at Permit Issuance : $287.26 PUBLIC WORKS APPROVAL: _ PLAN CHECK BY: (� 'A` APPROVAL TO ISSUE: 1_ (., 1 y/ f d-7A. 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 haveplaced 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 ($500). ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or improved for the purpose of sale). - ❑ I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). ❑ 1 am exempt from Iicensure under the Contractors' State License Law for the following reason: By my signature 6EIDtrl acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legally sell a structure tMatt Ylave built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and brdf€M cons Codep is available upon request when this application is submitted or at the following Web site:http:/Nvww.leginfo.ca.gov/calaw.html. Eigna4ure of PropedYOwner or Authorized Agent - Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm Linder ggenalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70 P of ivi$' 3 of the Business and Pro slyyr�Cc�d r and my license is in full farce ar�d ei(ect. Lieelfse•Glass License No Date �- ! Contractor Signatur �lra NdAKERS' QOMP.ENSATION DECLARATION NARNING: FAILURE TO SBCURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO GRIM] L PENALTIES AND CIVIL FINES UP TO ONE HU RED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE ,,89MF COMPENSATION! DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. - ' pemby affirm under penalty of perjury one of the following declarations: -- ❑ 1 nave artU•Wifl•rnaintain 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 ��• Cljnance of the work for which this permit is issued. Policy No. • w. have and A 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 psurgrtee carrier and policy number are: - rier Policy Number Expiration pate is of Agent Phone # certify that, in the pe rmance ifthe wo for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' mpensation laws of California, and if I should become ul7ject the )r oor�rrs' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. - e4 ) iature of Applicant_ I i/`� Dat_ / CLARATION REG RDING CONSTRUCTION LENDING AGENCY :reby affirm underpenalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 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 count ordinances ar}{i state laws relating to building construction. I authorize representatives of this city or county 7vr, , tti , aby e-identified property for inspection purposes. , Civil Code). ACTION DATE BY / ECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY / L/ REGULATIONS PART 61 OF TITLE 40ANDAQMD RULE 1403 PERMITEXPIRED j-7r7,1 ISUeMITTED ASBESTOS NOTIFICATION TO PERMITCANCELLED EPA PERMITFINAL UASBESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATEOF PROPOSED DEMOLITION OCCUPANCYISSUED SIGNATURE: