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HomeMy WebLinkAboutX2017-3457 - Permits (2)�wtop City of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 E ; n Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 zax Combination Type - BLDG COMB Permit: X2017-3457 ini x 2 0 1 7 3 4 5 711111 Project No: 2404-2017 Issued Date: 10/26/2017 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: 1500 QUAIL ST NB Description: COMM -NON ILLUM SIGN "ALERA" Legal Desc.: P BK 120 PG 27 PAR 2 Owner: MIREF 1500 QUAIL LLC Address: 1 FRONT ST #550 SAN FRANCISCO, CA 94111 Phone: Applicant: TAPPENDEN JEFFREY Address: 111 W DYER RD SANTA ANA CA 92707 Phone: 714-925.0622 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: Construction Valuation: $2,000.00 Building Permit Fee: $97.00 Plan Check Fee: $84.39 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management : $4.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access: $0.00 Hazardous Mat $0.00 Building Green Fee : $1.00 TOTAL FEE: $223.89 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Contractor: SIGN SPECIALISTS Address: Ill W DYER RD #F SANTA ANA CA 92707 Phone: 714-641-0064 Con State Lic: 988048 Lic Expire: 10131/2017 Bus Lic: BT30042606 Lic Exp Date: 03131/2018 Worker's Compensation Insurance Carrier: CYPRESS INS CO Policy No: SIWC820185 Expire: 0812512018 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: I Left: I Right: / �arkina Soaces $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Plan Check Fee Architect: Address: Phone: State Lic Engineer: Address: Phone: State Lic: Designer: ZAVALA MIGUEL Address: 111 W DYER RD SANTA ANA CA 92707 Phone: 714-641.0064 Special Conditions Planning Department - Plan check Fee: Fair Share SJH Trans In -lieu Housing Fee: Public Works Department - Park Dedication : $0.00 PNV Plan Check: $0.00 San Dist: $0.00 NMUSD Fee: $0.00 cc u fifi mm so c o 09U v'O 44i L G ONJ Zone:N Fire Department $37.50 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 $0.00 Fee Due at Permit Issuance : $223.89 PUBLIC WORKS APPROVAL: I.. PLAN CHECK BY: _^ j f 'APPROVAL TO ISSUE: / r s e E4 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) ;Sectinrn 703185, 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 :he 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 Tot 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 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 i�m 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 legaill 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.htmi. 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 od f the Business and Pro a on �Co g,Jny Inse i i force and effect. License Class License No Dat Contractor Signature ' WORKERS' 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 TH' USAND DOLLARS ($100,00D(, 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: ❑ 1 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 of the Labor Code, for th De ance of the work for which this permit is issued. Policy No. rl hrmave and will ��aigqtain 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' compensatiol insurance carrier anXpkllicy number allie—) r. Date is of Agent r I Iv. certify that, in t 1e performance of the work if I should become subj t to th or s' ignature of.Applicant iECLARATION REG DI CTION LENDIN NCY hereby affirm under pen of 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 nd state laws reI tin to building construction. I authorize representatives of this city or county to,eme.1'h 0 1 is property for inspection purposes. ,, / % /�L+ ) -may v o.,..,va„ rn.,,. , — A. fh, rl�, Aacor V Ai. � � Print Prooertv Owner's or Authorized Agent's Namr?2C !L Pt L • 7WIOZ-1ZI -'Aal: 10z�6 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 a provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ACTION DATE BY RATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY EGULATIONS PART 61 OF TITLE 40 AND AOMD RULE 1403 • ••, • ••• PERMIT EXPIRED U I SUBMITTED ASBESTOS NOTIFICATION TO • •• PERMIT CANCELLED EPA • • • • • • •• PERMIT EXTENDED OMD PERMITFINAL 1-ZF-(8 SL F� SJZIASBiSTOS NOTIFICATION NO'F APPLICABLE TO CERTIFICATE OF PROPOSEDD OU OR %� �: ••� • • ••• ••• •�• OCCUPANCYISSUED SIGNATURE: i