HomeMy WebLinkAboutX2022-0097 - Permitswar}� City of Newport Beach - Building Division
e j,r 100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255
S=itraisx"� Combination Type - BLDG
*X2022-0097*
COMB Permit: X2022-0097
Project No : 0116-2022
Issued Date: 02/16/2022
Inspection Area : 7
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST SE COMPLETED BY 0211612025 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:
2800 PACIFIC VIEW DR NB
Description:
COMM MONUMENT SIGN "SEAVIEW PLAZA APARTMENTS FOR SENIORS"
Legal Desc.:
P BK 149 PG 25 PAR 1
Owner:
SEAVIEW PLAZA LP
Contractor: SQUARE SIGNS LLC Architect:
Address:
795 RIDGE LAKE BLVD
Address: 15101 KESWICK ST Address:
p •x•Ti
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MEMPHIS TN 38120
VAN NUYS CA 91405
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Phone:
Phone: 81812903269 Phone:
State Lic:
Applicant:
GEVORG HAMBARDZUMYAN
Address:
3520 VALHALLA DR
BURBANK CA 91505
Phone:
818-290-3269
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
Bldg Sprinklers:
Flood Zone: X
11 Construction Valuation: $1i
Building Permit Fee: $249.00
Plan Check Fee: $216.63
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management:
$8.00
Energy Compliance:
$0.00
CA Seismic Safety:
$0.00
Disabled Access :
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$1.00
TOTAL FEE: $577.38
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Con State Lic:
1053708
Engineer:
Lic Expire:
05/3112023
Address:
Bus Lic:
BT30072976
Lic Exp Date:
09/30/2022
Phone:
Worker's Compensation Insurance
Designer:
Carrier:
HARTFORD
Address:
Policy No:
76WEGAG6BRF
Expire:
06/01/2022
Phone:
Building Setbacks
Use
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: I
3arkina Spaces
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Plan Check Fee
JACOB TONY
P.O. BOX 802050
SANTA CLARITA CA 91380
661-259-0700 State Lic:C-059022
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:
$50.75
San Dist:
$0.00
NMUSD Fee:
$0.00
Fire Department
$52.00
Fire Inspection:
$0.00
Fire Plan Rev
$0.00
Demolition Fee
$0.00
Building Dept Adm
General Service
Refund Deposit
Grading Bond:
o•
•• a
•
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$268.63 Fee Due at Permit Issuance : $308.75
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
APPROVAL TO ISSUE: C
•
oeoco•
0 0
•
.•••••
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).
I, 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,
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).
I 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, 1 cannot legally
sell a structure.1i9l!l'lVve 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 Co(", "available upon request when this application is submitted or at the following Web site:hftp://www.leginfo.ca.gov/calaw.html.
Signature of Property Owner or Authorized Agent Date
'LICENSED C°ONI R ACTOR'S DECLARATION
JoVreby affirm under penalty of perju that I am licensed under provisions of Ch p,(er 9 (commencing with Section 7 ) of Division 3 of the Business and Pr�f,9A�,sionsf y license is in full force
and -affect. LicPynse Class '//M.Ji l •iB License No (',S lDate U' 6 . ,Z Contractor SignatureX !/
WQRF(ERS' CMPENSATION DECLARATION
WARRIAG: FAILUREyTD,.CURE 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
CP9'6QF COMPEMSAiION,OAMAGES AS PROVIDED FOR IN SECTION 37DG OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
1 barely affirm under penalty of perjury one of the following declarations:
,'-I'RJre and Vill rg4ntain 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 Cade, for the
performance of -the vvopk for which this permit is issued. Policy No.
=U6 and wiy 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
ce carrift arrd.dblicv number are:
Policy Number
of
Date
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 agree
'hat, if I should become subject tot a w s' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. f n
Signature of Applicant ( Date
DECLARATION REGAADING CONSPIRUCTION 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, Ci I Code).
Lender's Name Lender's Address
By 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.
I authorize representatives of this city or coun t ente� he a rbve-identified property for inspection purposes. i'
Signature of Property Owner or Authorized Agent Print Property Owners or Authorized Agent's Na a�[i'L�' %�!/�'d lPs •Tf�CDate �"��6/'?'
ACTION I DATE I BY _bECLA rION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY I x
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
1403
PERMIT EXPIRED
15UBM ITTED ASBESTOS NOTIFICATION TO
PERMIT CANCELLED
EPA
PERMIT EXTENDED
A Q M D
PERMITFINAL
BEST S N IFICATION IS NOT APPLICABLE TO
CERTIFICATE OF
_,23• 1-
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pOPOSEDD OLITIOtf
OCCUPANCY ISSUED
SIGNATURE: i f