HomeMy WebLinkAboutX2022-1703 - PermitsCity 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
IIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2022-1703
X 2 0 2 2 1 7 0 3 Project No : 1556-2022
Issued Date : 0612812022
Inspection Area : 7
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 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:
451 NEWPORT CENTER DR NB
Description:
COMM (2) ILLUMINATED SIGNS "TRUE FOOD KITCHEN"
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Legal Desc.:
N TR 6015 LOT W
l
3�6i./•
Owner:
IRVINE CO Contractor:
CS SIGNS LLC Architect:
Address:
550 NEWPORT CENTER DR Address:
4 TERRASTAR LANE Address: -
NEWPORT BEACH, CA 92660.
LADERA RANCH, CA 92694
Phone:
Phone:
714-720-7604 Phone: State Lic: ,
Applicant: TRUE FOOD KITCHEN
Con State Lic:
1053147
Engineer:
Address: 4445 E CAMELBACK RD STE All
Lic Expire:
0313112023
Address:
PHOENIX, AZ 85018
Bus Lic:
BT30079116
Phone: 626-755-9660
Lic Exp Date:
0613012023
Phone:
State Lic:
Code Edit : 2019
Worker's Compensation Insurance
Designer:
CASTAHEDA ADRIAN
Type of Construction:
Carrier:
OAK RIVER
Address:
4TERRASTAR
,
Occupancy Group: U
Policy No:
CSWC352425
LADERA
RANCH, CA 92694
'
Added /New sq.ft. Bldg: 0
Expire:
0510212023
Phone:
,
Added /New sq. ft. Garage: 0
No of Stories: 0
Building Setbacks
Rear: /
Special Conditions:
No of Units: 0
Front: I
Bldg Height: 0
Left: /
Bldg Sprinklers:
Right: /
Flood Zone:
Use Zone: Parking
Spaces:
0
Fire Hazard Zone : N
Construction Valuation: $970.00
Building Permit Fee: $112.00
Excise Tax:
$0.00
Planning Department
-
Fire Department
Plan Check Fee: $97.44
Additional Fee :
$0.00
Plan check Fee :
$52.00
Fire Inspection:
$0.00
Overtime Plan Ck: $0.00
Grading Bonds Fee:
$0.00
Fair Share :
$0.00
Fire Plan Rev
$0.00
Investigation Fee: $0.00
Grading PC Consultant :
$0.00
SJH Trans :
$0.00
Demolition Fee
Record Management: $0.00
Grading Permit Fee:
$0.00
In -lieu Housing Fee
:
$0.00
Building Dept Adm
$0.00
Energy Compliance: $61.00
Grading PC Fee:
$0.00
Public Works Department
-
General Service
$0.00
CA Seismic Safety : $0.00
WQ Insp. Fee :
$0.00
Park Dedication :
$0.00
Refund Deposit
$0.00
Disabled Access : $0.00
PAN Plan Check:
$0.00
Grading Bond:
$0.00
Hazardous Mat $0.00
Electrical %:
$29.32
San Dist:
$0.00
Building Green Fee : $1.00
Mechanical %:
$0.00
NMUSD Fee:
$0.00
$0.00
Plumbing %:
$0.00
$0.00
TOTAL FEE: $352.76
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Plan Check Fee
$163.08 Fee Due at Permit Issuance : $189.68
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
APPROVAL TO ISSUE:
ti
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, priorto 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 Iicensure 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 L,) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044,
Iusiness 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, 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 ((censure 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 I er it, I ca t legal)
Eli a structure Char , nave 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 7 th u . ss d
'rofessions Code, i., available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htm1.
;ig.7atu-e of Property Owner or Authorized Agent Dat
.ICENSED CONTRACTOR'S DECLARATION
nPrebv affirm under penalty of per ulyjllat I am licensed under provisions of Chapter 9 (commencing with SectioKALPENAUTIES
of D" sio of the Business and Pro s o an bense is in full force
nd ziiect. License Class CC11``�6 License No Da6 Z� Lam— Contractor Signature
4URKERS' COMPENSATION DECLARATION
IANNING: FAILURE Tn SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMI AND CIVIL FINES UP TO ONE HUNDRED HOUSAND DOLLARS ($100,000), IN ADDITION TO THE
'OeT OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm rmde•p9nalty of perjury one of the following declarations:
I 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 thl
aa;ennance of the mor:k for which this permit is issued. Policy No.
have and will maintain workers' compen ation insuray,�,,=was required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation
surance carrier and policy number are: /
;artier ,/'Policy Number Expiration Date
Vame of Agent // Phone #
I certify that, in the performance r for MIN this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws o California, and agree
'hat, if I should become subject t rs' cc nsation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
Signature of Applies Date ?6 Lam'- 0-
DECLARATION RE G ONSTRUCTION LENDING AGENCY
hereby affirm under nalty of perjury that there is a construction lendinren
rmance of the work far which this permit is issued (Section 3097, Ci it Code).
Lender's Name 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 ow have read this application and the information I have proved c I agree to comply with all applicable city and county ordina d building construction.1 authorize representatives of this city or coun t enter ove-i inspection purposes.
Signature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's NamBIA
ACTION DATE BY TION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGUL4TION5 PART 61 OF TITLE 40 AND AQMD RULE
PERMITEXPIRED
I SUBMITTED ASBESTOS NOTII`IgATIO
PERMIT CANCELLED
EPA
PERMIT EXTENDED
AQM D
PERMIT FINAL
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SBESTOS NOTIFIC 0 OT PP ABLE TO
CERTIFICATE OF
IJ e
PROP E MO N
OCCUPANCYISSUED
51ISNATUR