HomeMy WebLinkAboutX2021-2575 - Permits"1 City of Newport Beach - Building Division
.,1 100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone(949)644-3288
Inspection Requests Phone (949)644-3255
"•lz3ya,&+'t} Combination Type - BLDG ELEC
COMB Permit: X20V-2675
X 2 0 2 1 2 5 7 5�� II
Project No : 2235-2021
Issued Date : 09/24/2021
Inspection Area : 7
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0912412024 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: 1316 BISON AVE NB
Description: COMM ILLUMINATED SIGN "PANDA EXPRESS CHINESE KITCHEN"
Legal Desc.: PM 326-48 PAR 1 POR OF PAR
Owner:
THE IRVINE COMPANY LLC
Contractor:
COAST SIGN INCORPORATED
Architect:
Address:
550 NEWPORT CENTER DR
Address:
1500 W EMBASSY ST
Address:
NEWPORT BEACH, CA 92660
ANAHEIM CA 92802
Phone:
Phone:
818-675-5849
Phone: State Lic:
Applicant:
COLLIN/COAST SIGN
Con State Lic:
654238
Engineer:
Address:
1500 W EMBASSY ST
Lic Expire:
03/31/2022
Address:
ANAHEIM CA 92802
Bus Lic:
BT30037561
Phone:
714-520-9144
Lic Exp Date:
11/30/2021
Phone: State Lic:
Code Edit: 2019
Type of Construction: VB
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
BldgSprinklers:
Building Permit Fee: $112.00
Plan Check Fee: $97.44
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
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
TOTAL FEE: $277.10
PROCESSED BY:
ZONING APPROVAL:
Worker's Compensation Insurance
Carrier: REPUBLIC INDEMMNITY
Policy No: 25440901
Expire: 10/01/2021
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: /
Front: /
Left: /
Right: /
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$14.66
$0.00
$0.00
Designer:
CLARK KASEY
Address:
15197 LIGHTHOUSE LN
LAKE ELSINORE CA 92530
Phone:
951-471-8419
Special Conditions:
PLAN ATTACHED TO
PERMIT
Planning Department -
Plan check Fee
Fair Share
SJH Trans
In -lieu Housing Fee
Public Works Department -
Park Dedication :
$0.00
PAN Plan Check:
$0.00
San Dist:
$0.00
NMUSD Fee:
$0.00
Plan Check Fee: $0.00
Fire Department
$62.00
Fire Inspection:
$0.00
Fire Plan Rev
$0.00
Demolition Fee
$0.00
Building Dept Adm
General Service
Refund Deposit
Grading Bond:
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
-$0.00
$0.00
Fee Due at Permit Issuance : $277.10
`PUBkIC WORKS APPROVAL:
o oy
`PLAIQ CHECK BY:
GRADING APPROVAL: . APPROVAL TO ISSUE:
® c
u �a cc cc e o roc soc
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
ie 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
of 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 (_) 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).
7 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 legally
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.html.
signature of Property Owner or Authorized Agent Date
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 0 O) f ivisio1' n3 ,of the Business and Pr ss' ms Ie, and my license is in full force
nd effect. License Class License No Date 4- Contractor Signature
CORKERS' COMPENSATION DECLARATION
'ARN ING: 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
DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES.
hereby affirm under penalty of perjury one of the following declarations:
I e 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 th
e rmance of the work for which this permit is issued. Policy No.
have and wilLAVintain 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'
of Agent
V
Date
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
if I should become subje o wore compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. D w y'���\
lature of Applicant' 6fX\ p`
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 owners 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.
I authorize representatives of this city or cou t�/,/p�� l th bove-identified property for inspection purposes. A _ _ (/�`1,r.
innnture of Prooertv Owner or Authorized ADent X I ' Print Property Owner's or Authorized Agent's Abe CZ 1, 1V\ Uq)st
ACTION DATE BY / DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY IF
REGULATIONS PART 61 OFTITLE 40 AND AQMD RULE
1403
PERMITEXPIRED LJ I SUBMITTED ASBESTOS NOTIFICA 6N•rCJ. • �•
PERMITCANCELLED EPA •• • • • �••
PERMITEXTENDED QMD �•
PERMITFINAL CIASBESTOS NOTIFICATION IS NOTAPPLICABLE TO
CERTIFICATE OF PROPOSED DEMOLITION • •••
OCCUPANCYISSUED SIGNATURE: •• w • •! '. • • s+•
STATE OF CALIFORNIA
Sign Lighting
�. NRCC-LTS-E(Created 03/2021)
CERTIFICATE OF COMPLIANCE NRCC-LTS-E
This document is used to demonstrate compliance with requirements in I§ 10.9. 110.12 130. 4130.3 140.8 and §141.0(b)2M for sign lighting scopes using the prescriptive
path. Exit signs and traffic signs are not required to comply with prescriptive requirements per exceptions to 140.8 and do not need to complete this compliance document.
Project Name: Panda Express Report Page: Page 1 of 4
Project Address: I AI� '$`. cn 'A to Date Prepared: 09/21/2021
A. GENERAL INFORMATION
01
lProject Location (city)
Newport Beach
02
IClimate Zone
6
03
1 ❑ Building is a healthcare facility
B. PROJECT SCOPE
Table Instructions: Include any illuminated signs that are within the scope of the permit application and are demonstrating compliance using the prescriptive path outlined in
140.8 or §141.0(b)2M for alterations. Exit signs and traffic signs are not required to comply with prescriptive requirements per exceptions to 1§ 40.8 and do not need to
complete this compliance document. WARNING: Changing the Compliance Method in this table will result in the deletion of data previously input. If you need to change the
compliance method, please open a new form or use "Save As".
01
02
03
04
05
Name or
Item Tag
Complete Sign Description
Sign Status'
_ Sign Type
Compliance Method'
51
Wall sign
New
Outdoor
ENERGY VERIFIED Label
TOO r NOTE: sign alterations that increase the connected lighting load, replace and rewire more than 50% of the ballasts, or relocate the sign to a different location must comply
with 140.8. See §141.0(b)2M for more details.
2The ENERGY VERIFIED Label compliance method is only applicable if the sign has a permanent, factory -installed, ENERGY VERIFIED label certified by UL or comparable,
confirming the sign complies with 140.8. Note that using an ENERGY VERIFIED label is an optional compliance path, not a mandatory requirement. See the tool tips for this
table for more details.
C. COMPLIANCE RESULTS
Table Instructions: If any cell on this table says "DOES NOT COMPLY" or "COMPLIES with Exceptional Conditions" refer to Table D. for guidance.
01
02
03
z
04
OR
OS
OR
06
07
Name or
Item Tag
Complete Sign Description
Total Allowed
(Watts)
Total Designed
(Watts)
Compliant Light
Sources
ENERGY VERIFIED
Label
Compliance Results
(See Table B)
(See Table B)
(See Table F)
(See Table F)
(See Table G)
(See Table H)
51
Wall sign
OR,
OR
YES
COMPLIES
Controls Compliance (See Table F/G/H for Details)
COMPLIES
CA Building Energy Efficiency Standards- 2019 Nonresidential Compliance: http:lLwww.energy.ca.gov/title24/2019standards March 2021 X �`_ I
STATE OF CALIFORNIA
Sign Lighting
NRCC-LTS-E(Created 03/2021)
CERTIFICATE OF COMPLIANCE
Project Name: Panda Express
Prepared:
I. EXCEPTIONAL CONDITIONS
his table is auto filled with uneditable comments because of selections made or data entered in tables throughout the form.
o exceptional conditions apply to this project.
E. ADDITIONAL REMARKS
This table includes remarks made by the permit applicant to the Authority Having Jurisdiction.
. MAXIMUM ALLOWED LIGHTING POWER AND CONTROLS
his Section Does Not Apply
FORNIA ENERGY COMMISSION
NRC
2of4
IG. LIGHT SOURCES AND CONTROLS
IThis Section Does Not Apply 01
H. ENERGY VERIFIED LABELED SIGNS AND CONTROLS
Table Instructions: Complete this table to demonstrate compliance with mandatory controls requirements from 130.3 far illuminated signs using the ENERGY VERIFIED label
compliance method per 140.8 b as indicated on Table B of this compliance document. Complete this table only if sign has a permanent pre-printed, factory installed, ENERGY
VERIFIED label confirming that the sign complies with the Section 140.8 of the California 2019 Title 24, Part 6 Standards.
01
02
03
04
Name or
Complete Sign Description
ti
Mandatory Controls
Field Ins ector
p
Shut -Off
Dimming
Demand Response'
Item Tag
Pass
Fail
S1 Wall sign Auto Timer+ Photocontrol I Pwr. reduced 65%+ NA ❑ ❑
*NOTE: Selections with a * require a note in the space below explaining how compliance is achieved.
EX: Sign within tunnel illuminated day & night; EXCEPTION to §130.3(a12A.
• �—. —• — „„u.,� u, a Urny reyuaeu Jur on wecrromc Message Lenrer navmg a new connected lighting power load greater than 15 kW
per §110.12(d).
CA Building Energy Efficiency Standards - 2019 Nonresidential Compliance: http://www enerev ca gov/title24/2019standards March 2021
STATE OF CALIFORNIA
Sign Lighting
NRCC-LTS-E (Created 03/20211
CERTIFICATE OF COMPLIANCE
CALIFORNIA ENERGY COMMISSION
Project Name: Panda Express
Page:
N RCC-LTS-EReport
Project Address:
Page 3 of 4
Date Prepared:
09/21/2021
OF REQUIRED CERTIFICATES OF INSTALLATION
FLDECLARATION
Instructions: Selections have been made based on information provided in previous tables of this document.
E. Additional Remarks.
If any selection needs to be changed, please explain why in
These documents must be provided to the building inspector during construction and
20195tandards 1019 compliance documents Nonresidential Documents
can be found online at httos://www.enerav ca ao4
NRCI
YES
NO
Form/Title
Field Inspector
Pass
Fail
('1
NRCI-LTS-01-E - Must be submitted for all buildings.
❑
❑
,U Km1IUM Ur KLQUIRED CERTIFICATES OF ACCEPTANCE
are no Certificates of Acceptance applicable to sign lighting requirements.
CA Building Energy Efficiency Standards- 2019 Nonresidential Compliance: http://www enerav ca eov/title24/2019standards March 2021
STATE OF CALIFORNIA
Sign Lighting
- NRCC-LTS-E (Created 03/2021) CALIFORNIA ENERGY COMMISSION
CERTIFICATE OF COMPLIANCE NRCC-L
Project Name: Panda Express Reoort Paee: Pao. A
DOCUMENTATION AUTHOR'S DECLARATION STATEMENT
I certify that this Certificate of Compliance documentation is accurate and complete
Documentation Author Name: Kasey Clark
Documentation Author Signature:
Company: Coast Signs Inc
Signature Date: 09/21/2021
Address: 1500 West Embassy St
CEA/ HERS Certification Identification (if applicable):
City/State/Zip: Anaheim CA 92802
Phone: 714-520-9144
RESPONSIBLE PERSON'S DECLARATION STATEMENT
I certify the following under penalty of perjury, under the laws of the State of California:
1. The information provided on this Certificate of Compliance is true and correct.
2. 1 am eligible under Division 3 of the Business and Professions Code to accept responsibility for the building design or system design identified on this Certificate of
Compliance (responsible designer)
3. The energy features and performance specifications, materials, components, and manufactured devices for the building design or system design identified on this
Certificate of Compliance conform to the requirements of Title 24, Part 1 and Part 6 of the California Code of Regulations.
4. The building design features or system design features identified on this Certificate of Compliance are consistent with the information provided on other applicable
compliance documents, worksheets, calculations, plans and specifications submitted to the enforcement agency for approval with this building permit application.
S. I will ensure that a completed signed copy of this Certificate of Compliance shall be made available with the building permit(s) issued for the building, and made available
to the enforcement agency for all applicable inspections. I understand that a completed signed copy of this Certificate of Compliance is required to be included with the
documentation the builder provides to the building owner at occupancy.
Responsible Designer Name: Kasey Clark
Responsible Designer Signature: -
Company : Coast Signs Inc
Date Signed: 09/21/2021
Address: 1500 West Embassy St
License: 654238
City/State/Zip: Anaheim CA 92802
Phone: 714-520-9144
CA Building Energy Efficiency Standards - 2019 Nonresidential Compliance: http:ZZwww.energy.ca.gov/title24/2019standards March 2021