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Home My WebLink AboutX2019-2144 - Permits��wh„4p City of Newport Beach - Building Division 4 & 100 Civic Center Drive, Newport Beach, CA 92660 !• z- Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Combination Type - BLDG IIIIIIIIIIIIIIIIIIIIIIIII�IIIIIIIIIIIIIII II COMB Permit: X2019-2144 x 2 0 1 9 2 t 4 4 Project No : 1550-2019 Issued Date: 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: 4665 MACARTHUR CT NB Description: COMM - SIGN (4) "4665 84685" R Le al Desc.: Legal PG 40LUM P BK 196 PG 40 PAR 1 Owner: IRVINE CO Contractor: TRUEMARK INC Architect: .. �p'�`/ Address: 550 NEWPORT CENTER DR Address: 731 N MAIN STREET Address: NEWPORT BEACH, CA 92660 ORANGE CA 92868 Phone: Phone: 714-204-0079 Phone: State Lic: Applicant: KERBY DAVE Address: 731 N MAIN ST ORANGE CA 92868 Phone: 714-231-8293 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: _ 3 Building Permit Fee: $136.00 Plan Check Fee: $118.32 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $6.00 Energy Compliance: $0.00 CA Seismic Safety : $0.00 Disabled Access: $0.00 Hazardous Mat $0. Building Green Fee Sf.00 TOTAL FEE: $301 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Con State Lic: 926653 Lic Expire: 12/3112020 Bus Lic: BT30056601 Lic Exp Date: 06/3012020 Worker's Compensation Insurance Carrier: EVEREST NATIONAL Policy No: 7600008388181 Expire: 0910112019 Building Setbacks Use Zone: Excise Tax: Additional Fee Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: Electrical %: Mechanical %: Plumbing %: Rear: I Front: / Left: / Right: / 'arkino Soaces $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Plan Check Fee 0 Engineer Address: Phone Designer: KERBY DAVE Address: 731 N MAIN ST ORANGE CA 92868 Phone: 714-231-8293 Special Conditions Planning Department - Plan check Fee: Fair Share: SJH Trans : In -lieu Housing Fee: Public Works Department - Park Dedication : $0.00 PM Plan Check: $0.00 San Dist: $0.00 NMUSD Fee: $0.00 $0.00 PUBLIC WORKS I PLAN CHECK BY: APPROVALTOIS State Lic: 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 Fee Due at Permit Issuance : $301.32 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 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 '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 iot more than five hundred dollars ($500). I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or L) 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). D 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 ipply 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 legal 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, SectlrFq044 of the Business d 'rofessions 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 As, JCENSED CZN 7 RACTOR'S DECLARATION herebyaffirm �r.Cs: penalty er j7� +ertrilcensed under provision .�h ter nencin with Section 700 Division 3 of the Business and Prm e is i ulI force nd of act. Lcense Class 9 614 License No / �p//l"/`7 g Date — Contractor Signatur VORKERS' COMPENSATION DECLARATION : FAILURE -O 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 A DIT N TO THE COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. herehy affirm raJw penalty of perjury one of the following declarations: av and v?II maintain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 370G of the Labor Code, for tht nice of the work forwhich this permit is issued. Policy No. lav 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 ,3, ice carrier and policy number are: er PQKcv Number Expiration Date e o, Agent _ Phone # ertify that, in the'perform a of e w r h this ermit is iss d, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree if I should beco a su ' t o t orkers ensaf provisio of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. p� ature of Applicant , ^ ' cTn ^T c' ' ^ w rV Dat / �/ �'� P / I hereby affirm under �enalty of perjury that there is a construc�jon lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). Lender's Name (J 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 hav d is Fact. I agree to comply with all applicable city and count dina es a a s re ling to b ' ing construction. I authorize representatives of this city or county ter ab v i pr rty fo spection purposes. Signature of Property Owner or Authorized Agent Print Property Owners or Authorized Agent's Nam at ACTION DATE BY ECLARATION OF COMPUANC IT CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 610E TI AND AOMD RULE 1403 PERMIT EXPIRED OREMITTED ASBESTOS NOTIFICATION TO PERMITC4NCELLED Epq PERMITFINAL CERTIFICATE OF OCCUPANCVISSUED GCS NOTIFICATION IS NOT APPLICABLE TO PROPOSED DEMOLITION