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Home My WebLink AboutX2020-2755 - Permits1�t* City of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 E+ Permit Counter Phone (949)644-3288 u Inspection Requests Phone (949)644-3255 p earara�' Combination Type - BLDG ��111111111111111111181111111111111111111111111111 �� COMB Permit: X2020-2755 x 2 0 2 0 2 7 5 5 Project No : 2193-2020 Issued Date: 11/26/2020 Inspection Area: 7 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION, PROJECTS MUST BE COMPLETED BY 1112612023 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: 500 SUPERIOR AVE NB Description: COMM SIGN "HARMANS 8 VIRGINIA HARROLD PAVILION" Legal Desc.: IRVINE SUB LOT 169 BLK 2 PORS OF LOT Owner: Address: Phone: Applicant: Address: Phone: HEALTHCARE NEWPORT Contractor: VASIN SIGN SOLUTIONS INC :ehiteo . 1 HOAG DR Address: 23122 ALC/�LDfm.BR•1t Address: NEWPORT BEACH CA 92663 _ _,—-'LAGUNA HILLS CA 92692 .1 Phone: 949.382.6366 if ar�pljr-3idfie'• VASIN Tt 23122 AL LAGUNA Code Edit: Type of Construction: Occupancy Group: Added /New sq.ft. Bldg: Added /New sq. ft. Gars No of Stories: No of Units: Bldg Height: Bldg Sprinklers: Construction Valuation: IState DS _Z07 Cc xpire:Li Oi1�31/207t 21 LSY$ " Bus Lic 00 z�Y 4 201 - trklar'gaar_ Inatd F ACCIDENT U ' P66kv No: 72WECDD4981 Building Permit Fee: $ Plan Check Fee: $228.81 Overtime Plan Ck: Investigation Fee: Record Management: Energy Compliance: CA Seismic Safety: Disabled Access: Hazardous Mat Building Green Fee TOTAL FEE: $543.06 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Expire 0 412E D ft: Right: / E cgs T k 'n 0.00 �lfe V;,.S 0.00 nn a g fonds a $0.00 (�qqN'g i3 � t : $0.00 Fa n ermit Fee: $0.00 Grading PC Fee: $0.00 WQ Insp. Fee: Electrical %: Q 800/0 Qk6dke�a:`L7v% refS.{S7a Phone: $o who Designe— r�. VASIN�THOMAS Address: 23122 ALCALDE LAGUNA HILLS Phone: 949.382-6366 Special Conditions: State Lie: State Lic: $nnifTbepartment- eafte_4�.25 Fire Depa ent Plan RFtr4 fart;( Fire Insp lion: $0.00 Fair a e : $0.00 Fire Plan R $0.00 SJH Trans : $0.00 tlon ee In -lieu Housing Fee.: R09-"— _DDee. wilding t m- $0.00 ib8a-Workspartks-Di3- ment- �"''�• Park Dedication: InA. 04 y1�ztux �^ G efund De rvice osit $0.00 $0.00 PM/ Pla Gk-r- ' `$0.00 - -cad nd: $0.00 n Dist: "`''s`�-�..." ff6ffFea: $0.00 $0.00 $0.00 Plan Check Fee: $0.00 Fee Due at Permit Issuance : $543.06 ®ULiLtC STORKS APPROVAL: PLAN CHECK BY: a°° o°o a°c IR`PPhbUALTOISSUE: o c c o s I m o ® e <. c emo ou oo c ° moo oo° 4.r" OWNER -BUILDER 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 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 legall, 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 Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. 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 of Division 3 of the Business and Profs*It and my license is in full force and effect. License Class License No Date Zs- � w Contractor Signature NORKERS' COMPENSATION DECLARATION NARNING: 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 i$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. 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 a of the work for which this permit is issued. Policy No. have and will mayl[aSq 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' rance carrier and olic number area Date lame of Agent �! {✓V V < IJ T 7 .;�4® Phone # ]I certify that, in the performance of the 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 Iat, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ignature of Applicant Da /W 26 'ECLARATION REGARDING CONSTRUCTION LENDING AGENCY hereby 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, Civil Code). ender's Name Lender's Address y 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. - / /70 k✓K*S / I authorize representatives of this city or countytg✓enter QV gtVe-identified property for inspection purposes. ACTION DATE BY /G DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 • ••• • • • ••• ••• PERMIT EXTENDED PERMIT FINAL CERTIFICATEOF OCCUPANCY ISSUED I SUBMITTED ASBESTOS NOTIRCArTIOPYTO EPA • • • • • • •• •• IS NOTAPPLICABLE TO