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Home My WebLink AboutX2019-3830 - Permits�ygvfno4 City of Newport Beach - Building Division �* 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Combination Type - CIP ELEC III IXI0II�� 3III II�3II� 0 II COMB Permit: X2019-3830 Project No: 2633-2019 Issued Date : 12/16/2019 Inspection Area : 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: 1461 SUPERIOR AVE NB Description: COMM (4) ILLUMINATED "CHEVRON SIGNS, (48) PUMP DECALS AND (1) ILLUMINATED WALL "EXTRA MILE" SIGN Legal Desc.: FIRST ADD TO NEWPORT MESA TR LOT 817 S 66 FT E112 -EX ST-(AND ELY Owner: KOKDA LLC Contractor: CALCRAFT CORPORATION Architect: Address: 1461 SUPERIOR AVE Address: 1426 S WILLOW AVENUE Address: NEWPORT BEACH CA 92663 RIALTO CA 92376 Phone: Phone: 909-879-2900 Phone: State Lic: Applicant: OLSEN COREY Con State Lic: 872310 Engineer: Address: 1426 S WILLOW AVE Lic Expire: 02/2912020 Address: REALTO, CA 92376 Bus Lic: BT30068774 Phone: 909-879-2900 Lic Exp Date: 09/3012020 Phone: State Lic: Code Edit : 2016 Type of Construction: VB Occupancy Group: U Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 1 No of Units : 0 Bldg Height: 0 Bldg Sprinklers: Flood Zone: X Building Permit Fee: $691.00 Plan Check Fee: $601.17 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $20.00 Energy Compliance: $56.00 CA Seismic Safety: $0.00 Disabled Access: $0.00 Hazardous Mat $0.00 Building Green Fee: $2.00 TOTAL FEE: $1,591.07 PROCESSED BY: ZONING APPROVAL: Worker's Compensation Insurance Carrier: TRAVELERS PROPERTY Policy No: UB7K6164671926G Expire: 0312612020 Building Setbacks Excise Tax: Additional Fee Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WO Insp. Fee: Electrical %: Mechanical %: Plumbing %: Rear: / Front: I Left: I Right: I $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $180.90 $0.00 $0.00 Designer: OLSEN COREY Address: 1426 S WILLOW AVE REALTO, CA 92376 Phone: 909.879-2900 Special Conditions 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 Fire Department $40.00 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 Plan Check Fee: $781.33 Fee Due at Permit Issuance : $809.74 CbB 06® ®®9 ® BC• OC 6, Y® a•, ` ° 6 Pk1BLI`G &ORKS APPROVAL: 6 666 6 O 9Ad1[aaxaI(li GRADING APPROVAL: b`<: ®°<. ,`< EAPPP..15VAL TO ISSUE: c e uo6 �06 oc 6 o cco �6 rn 0 X 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). 1, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or U 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). 1 1, 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 legall) 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. 'ignature 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 7 0 f Division 3 of the Business and Professio od nd my license is in full force nd effect. License Class License No Date I - ( Contractor Signature�Y�J I ORKERS' COMPENSATION DECLARATION ARNING: 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 3705 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: 7 1 j ave 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¢d"rmance of the work for which this permit is issued. Policy No. have and wiJ.mailptain 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' Date me of Agent �ltal `Y ` �—. I UT Phone # I certify that, in the performance work r 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 t, if I should become^suu act ork ompensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. y� nature of AppLater I -4"_ CLARATION REGAfZDING CONSTRUCTION LENDING AGENCY :reby 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). 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 county ordin ces and state laws relating to building construction. I authorize representatives of this city or county tfn abo dentified property for inspection purposes./` I nature of Pronertv Owner or Authorized Agent A Print Property Owner's or Authorized Agent's Name x c w+., D ?z-1 6- ACTION DATE BY r DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY / REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 •• ••• • • • ••• ••• PERMIT EXPIRED I SUBMITTED ASBESTOS NOTI C TIO "TO ° " " PERMIT CANCELLED EPA • PERMITFINAL L Jir65 UASBESTOS NOTIFICATION IS NOTAPPUCABLE TO CERTIFICATE OF PROPOSED DEMOLITION . • • • • • • • OCCUPANCYISSL, SIGNATURE: