HomeMy WebLinkAboutX2019-3208 - PermitsCity of Newport Beach - Building Division IIIIIIIIIIIIilllllllllllllllllllllllllllllllllllll
COMB Permit: X2019-3208
!.
100 Civic Center Drive, Newport Beach, CA 92660
x 2. 0 1 9 3 2 0 8
Project No: 2216-2019
H
Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255
Combination Type - BLDG ELEC
Issued Date : 2019
Inspection Arearea : 7
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:. 1634
SAN MIGUEL DR NB
Description: COMM
ILLUMINATED WAI_r NGE TWIST"
Legal Desc :
8E,.._CD
Owner: IRVINE. CO
Address: 110 INNOVATION DR
IRVINE, CA 92617
Phone:
Applicant: LEMENAGER WARNER
Address: 51 A N.BOWNIE AVE
PASADENA, CA 91106
Phone: 323-244-0251
Code Edit 2016
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:
Building Permit Fee; $104
Plan Check fee: $90.48
Overtime Plan Ck:.
$0.g0
Investigation Fee:
$0. 0
Record Management:
$16
Energy Compliance:
$56.00
CA Seismic Safety:
$0.00
Disabled Access :
$0.00
HazardousMat$0.00
Building Green. Fee :
$1.00,
Dc1tt?; KV tractor: DYN MIYM13"RQU . , Y -. Architect:
dre a 3080 E 29TH ST as:
�NGNG -_L _BEACH CA 90806
00on.,
562-595-7725-•�-•-____. Phone: ic: Nvc
E�gm`P:p�ICaI,J,�r;
Aess:
n00`/o ar ❑ 100 t�Lic Ex1:.. � Phone: % r�Stattle Lic:
W X
ation Insurance . M t;9a LEMENAGER WARNER ��
C O THE WEST Addres .Oftl A N.BOWNIE gAVE
g
lPASAdEIVA76A. 0-
0 D
Phone: 323-244-0251
BuildingSetbacks Rear: „ .Special Conditions:
Front: /
Left: I
� � Right: /
,k,eS nr�Inc &maces 0 _ _ Fire Hazard Zone : N
t vV()rK Started
Excise Tax:
f�Ot�, Additional Fee:
--GTadin9zon0s Fee:
Grading PC Conag tanH-
Gradinc Permit Fee:
TOTAL FEE: $321.09
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
$0.00
Phmn De
i fie Departmi
$0.00
B
Plan chec�t lee : $ 'tl 0
ti�C.� -yiQl n e
9" �femolitn
$0.00
Fair Shar V Wor $
v
Rev
�00
�O.Q
SJH Trans :tc�r3�j
Demolition Fr
$0.0fT"T----_�
In -lieu Housing Fee: $0.00
Building De
$0.00
Public rtment-
General Se:
E0:00-..--.
Park Dedication : $0:01�
.Refund Der
Electrical %: $13.61
-.;. Mechanical %: $0.00
Plumbing %: $0.00
Plan Check Fee
0 00
in.b9 tf3
NMUSD
M
f
X
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00 Fee Due at Permit Issuance : $321.09
°PEIB:I CWORKS. UPPROVAL:
TIFPLAN CHEdk BY:
APPROVJI sTOJIICSUE:
° . o
c °
c
v4S ®&fl ®GG O O OOU 40
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
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
�.ot more than five hundred dollars ($500).
I, as owner of the property, or my employees with wages as their sole compensation, will do L) 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
nproved 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
pply 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 legaII
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.ca.gov/calaw.htmi.
'signature of Property Owner or Authorized Agent Dat
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 0 f"1 of the Business d Praf6fWAS de, and my license is in full force -
nd effect. License Class License No Date Contractor S natur _
VORKERS' COMPENSATION DECLARATION
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
OMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 0706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES.
hereby affirm under penalty of perjury one of the following declarations:
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
�e of the work for which this permit is issued. Policy No.
have and will in ntAtn workers'
,ance carrier and oli number
is of Agent <—S --- - II
certify that, in the performance of the
if I should become suble&tb�the wD
of Applicant
as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers'
Date
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
ation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
)ECLARATION REGAJRDIAi�N8TRUCTION LENDING AGENCY
hereby affirm under p nalty 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).
_ender's Name Lender's Address
3y 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 provid is correct.
I agree to comply with all applicable cit �QQount or Irma c s and state laws relating to building construction.
I authorize representatives of this city r county er above -identified ro arty for inspection purposes.
signature of Property Owner or Authorized Print Property Owner's or Authorized Agent's Name
ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY IL
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
PERMIT EXPIRED
I V I SUBIATTEDASBEFAt FFICATIOiI TO
PERMITCANCELLED
• •
•�•
Epq • • • •
PERMITEXTENDED
QMD • �° • • � •
`•
PERMITFINAL
ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO
CERTIFICATEOF
PROPOSED DEMOLITION
OCCUPANCY ISSUED
SIGNATURE: ••� 00: