HomeMy WebLinkAboutX2021-0028 - PermitsCity of Newport Beach - Building Division
�:- 100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
y n Inspection Requests Phone (949)644-3255
Combination Type - BLDG ELEC
COMB Permit: X2021-0028 IIIIIIIIIIIIIIIIIIIIIIIII�IIIIIIIIIIIIIIIII II
Project No : 0028-2021
Issued Date: 0110612021
Inspection Area: 7
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0110712024 OR PERMIT WILL BE INVALID
Construction Ho rs: 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: 2043 WESTCLIFF DR NB ..
Description: COMM ILLUMINATED'SIG - KENNEDY CONTf`_NIP8R4!d LOGO
Legal.qeysp.: N TR 4225 hOT 2 -cs - `GO
°6&D9P //���
Owner: HANKEy INVESTMENT C '""La�nE�%t�Dc SO CAL SIGNS "�"#�eM
Addtesfi: d 190 R�.WPdRT CENTER Address: "'-1909- YMOND WAY Addres
° ° ° ° ° ° NEWPORT BEACH CA 9160 ANAHEIM CA
Phcm2w°° _. h AN -876-1385 P49 ^`r jSt t L
Apglicarlto MCGRd&V9Y SEAN
Address: ° 0 1109 6RA.YMOND WY
ANAFipold;CA 92801
rn Pheb ° ` �. 714-875-1384
°
Code Edit e ° ° ° °' 2019
Tyke°6f°CynstructioFl V-B
Occupancy Group: - ° ° ° B
Added /New sq.ft. Udg; ° ° 0
Added /New sq. ft. Garage: 0
No of Stories: 1
No of Units, 0
Bldg Height: 0
Bldg Sprinklers:
Construction Valuation:
Building Permit Fee: $127.�0
Plan Check Fee: $110.49
Overtime Plan Ck: $0p0
Investigation Fee: $0. 0
Record Management: $0.00
Energy Compliance: $0.00
CA Seismic Safety: $0.00
Disabled Access : $0.00
Hazardous Mat $0.00
Building Green Fee : $1.00
II TOTAL
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL
LrzA
i
n Pp Icabile: as c.
o t e, Icr' [_T,3�
r�Bus Lic:0 25 r a 0 7t7% �a� 1 ,.1
p Date: 0613112021 ryas 7L, _ P one,
r`$'t�t`id:
tCi'tr h0
1r C eARnooegl
u cps Designer: mMBGBQEVEY SEAN
s Carnggti'e^� T - "� " ,x� Address: 1109 E RAYNM D�VIFK._,_-
'3A F' "•r#. 1 � U .
��N� la e"77�. � ANAHEIM CA 92801
Expire. k. Phone:
Building Setbacks Rear: I Special Conditions:
gp�. +� Front: /
Paffiaces: OrA �? '? ' Fire Hazard Zone : N
- J=xcis� seTt$0.00 Planning D (r rtn�nt_ r r s
Additional
e-'--- $0.00 Plan chec Fee: J +rC uE'r?2
Grading Bonds Fee: '-•-�$0.0A_.__ Fair
Grading
Consultant : $0.00 --5 Trans : $0.00
eer_mit e. $0.00 In -lieu Hous a $0.00
Grading PC-Fdti'-:ar--�.,., $0. Public Works Department -
WQ Insp. Fee: '$680=^:�,�,,Park1)ediaatio0; f l5$.11�Q0
Electrical %: $16.62 San Dist:
Mechanical %: $0.00 NMUSD Fee: $0.00`""°"'
Plumbing %: $0.00
Plan Check Fee
Fire fnspectio l
II TOTAL
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL
LrzA
i
n Pp Icabile: as c.
o t e, Icr' [_T,3�
r�Bus Lic:0 25 r a 0 7t7% �a� 1 ,.1
p Date: 0613112021 ryas 7L, _ P one,
r`$'t�t`id:
tCi'tr h0
1r C eARnooegl
u cps Designer: mMBGBQEVEY SEAN
s Carnggti'e^� T - "� " ,x� Address: 1109 E RAYNM D�VIFK._,_-
'3A F' "•r#. 1 � U .
��N� la e"77�. � ANAHEIM CA 92801
Expire. k. Phone:
Building Setbacks Rear: I Special Conditions:
gp�. +� Front: /
Paffiaces: OrA �? '? ' Fire Hazard Zone : N
- J=xcis� seTt$0.00 Planning D (r rtn�nt_ r r s
Additional
e-'--- $0.00 Plan chec Fee: J +rC uE'r?2
Grading Bonds Fee: '-•-�$0.0A_.__ Fair
Grading
Consultant : $0.00 --5 Trans : $0.00
eer_mit e. $0.00 In -lieu Hous a $0.00
Grading PC-Fdti'-:ar--�.,., $0. Public Works Department -
WQ Insp. Fee: '$680=^:�,�,,Park1)ediaatio0; f l5$.11�Q0
Electrical %: $16.62 San Dist:
Mechanical %: $0.00 NMUSD Fee: $0.00`""°"'
Plumbing %: $0.00
Plan Check Fee
Fire fnspectio l
$0.00
Fire Plan Rev
$0.00
Demolition Fe
Building Dep Adm
$0.00
General Se ice
$0.00
.�iZBfand-De sit
$0.00
�radinp-eon :
$0.00
$0.00
$0.00
$0.00 Fee Due at Permit Issuance: $301.36
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
v
APPROVAL TO ISSUE:
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 (_) 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 licensure under the Contractors' State License Law for the following reason: • • 0. °
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 triSATrpit, I cannot Legally
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 Dfthel3usinessyfyt0„ ,
Professions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. • • . 0. 0
Signature of Property Owner or Authorized Agent Date
LICENSED CONTRACTOR'S DECLARATION •���•• •.�
I hereby affirm under penalty of perjury th11 am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Pra es ions Cede, a my lip '9411 fyB fbM4
and effect. License Class (' —4 S License No Z 9 S'i 6 Dat� 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 (%100,000), IN ADDITION TO`rHE
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:
❑ 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 Othe Labor Code, for the
3erformance of the work for which this permit is issued. Policy No.
❑1 have 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' compensatior
nsurance carrier and policy number are: _
Policy Number
Date
Of Agent rnone s
4rI cart" 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 agree
fat, if I ould become su ject to the wo ers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
'i na a of Applicant
HE LARATION REGA DIN CON UCTION LE KING- GENCY
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 309 ,Civil Code).
Ender's Name Lender's Address
ly 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 builder construction.
I authorize representatives of this city or county jo enter!h_ ove-identifie propejWJeri spection purposes. N e
DATE I BYE./ >DECIXRATION REGULATIONS OF COMPLIANCET 61 OF T E ITH AND DE OF RULE AL I FOR OFFICE USE ONLY
PERMITEXPIRED i di I U I SUBMITTED ASBESTOS
PERMITFINAL V ASBESTOS NOTIFICATION IS NOT APPLICABLE TO
CERTIFICATE OF PROPOSED DEMOLITION
OCCUPANCYISSUED SIGNATURE: