HomeMy WebLinkAboutX2022-1690 - PermitsaE'^�'rogA. City of Newport Beach - Building Division
100 Civic Center Drive 'Aewport Beach, CA 92660
w v.. Permit Counter Phone (949)644.3288
Inspection Requests Phone (949)644-3255
wnu> Combination Type - BLDG ELEC
*X2022-1690*
COMB Permit: X2022-1690
Project No : 1535-2022
Issued Date : 0611512022
Inspection Area : 1
PERMIT EXPIRES 180 DA YS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY OR PER1I/1j417'IL E INVALID
Y
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 Sunday.'
odays
Job Address: 301 MAIN ST NB.�"�
Description: COM ILLUMINATED WALL SIGN FOR "CHRONIC TACOS"
-x
Legal Desc.: BALBOA TR RESUB OF BLK 9
LOT 7
Owner: RICCI ALBERT
Contractor:
SPEED QUALITY SIGNS
Architect:
Address: 606 E CHAPMAN AVE STE1 D0
Address:
6935 S SANTA FE ST
Address:
ORANGE, CA 92866
SANTA ANA CA 92705
Phone: 714-231-6058
Phone:
714-356-8893
Phone:
State Lic:
Applicant: CHAVARRIA JESUS
Con State Lic:
873011
Engineer:
Address: 635 S SANTA FE ST
Lic Expire:
02/29/2024
Address:
SANTA ANA, CA 92705
Bus Lic:
BT30079024
Phone: 714-292-8309
Lic Exp Date:
0613012023
Phone:
State Lic:
Code Edit : 2019
Worker's Compensation Insurance
Designer:
SPEED QUALITY SIGNS
Type of Construction: V-B
Carrier:
STATE COMPENSATION INS FUND
Address:
2417 S POPLAR STREET
Occupancy Group: B/U
Policy No:
9284193
SANTA ANA, CA 92704
Added /New sq.ft. Bldg: 0
Expire:
09/1612022
Phone:
714-356-8893
Added /New sq. ft. Garage: 0
No of Stories: 2
Building Setbacks
Rear: /
Special Conditions: HIGH DENSITY ZONE
No of Units : 0
Front: /
LIQUEFACTION ZONE
Bldg Height: 0
Left: /
Bldg Sprinklers:
Right: /
Flood Zone: A01
Use Zone: Parking Spaces: 0
Fire Hazard Zone : N
Construction Valuation: $2,000.00
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: $12.00
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
$0.00
Disabled Access : $0.00
P/W Plan Check:
$0.00
Grading Bond:
Hazardous Mat $0.00
Electrical %:
$7.84 San Dist:
$0.00
$0.00
Building Green Fee : $1.00
Mechanical %:
$0.00 NMUSD Fee:
$0.00
Plumbing %:
$0.00
$0.00
TOTAL FEE: $343.28
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Plan Check Fee
$0.00 Fee Due at Permit Issuance : $343.28
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
APPROVAL TO ISSUE:
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) indio
(Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, dem
the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License L
Professions Cade) or that he or she is exempt from Iicensure and the basis for the alleged exemption. Any violation of Sect!
not more than five hundred dollars ($500).
❑ 1, as owner of the property, or my employees with wages as their sale compensation, will do U all of or U portions of tl
Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through E
improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of comp
improved for the purpose of sale).
❑ I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044,
apply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor
❑ 1 am exempt from Iicensure 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 y
sell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I un1
Professions Code, is available upon request when this application is submitted or at the following Web site:http://www.legini
Signature of Property Owner or Authorized Agent
LICENSED CONTRACTOR'S DECLARATION
I herebyaffirm under penalty of er u that I am licensed under provisions of ter 9 c mencin with Section 7�
P Y 1 ry P Qr� 9
and effect. License Class License No ` 1 Date
WORKERS' COMPENSATION DECLARATION
NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALI
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
I hereby affirm under penalty 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
me of the work for which this permit is issued. Policy No.
ave and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the pe
rant rrl rand Ic number arm F� r® 111Q 2
Carrier p�CXY1( ,k' 1�� Policy Number "1 v1 I
is of Agent
certify that, in the pertorma e f t work
if I should become subjec tote rkers'
iature of Applicant
d below by the checkmark(s) I have placed next to the applicable item(s)
sh, or repair any structure, prior to its issuance, also requires the applicant for
(Chapter 9 (commencing with Section 7000) of Division 3 of the Business and
7031.5 by any applicant for a permit subjects the applicant to a civil penalty of
work, and the structure is not intended or offered for sale (Section 7044,
ployees' or personal effort, builds or improves the property, provided that the
ion, the Owner -Builder will have the burden of proving that it was not built or
and Professions Code: The Contractors' State License Law does not
to the Contractors' State License Law).
nor to completion of the improvements covered by this permit, I cannot
and that a copy of the applicable law, Section 7044 of the Business and
gov/calaw.html. _ n
of the Business and Pro
_ Contractor Signature
AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
Relations as provided for by Section 3700 of the Labor Code, for
of the work for which this permit is issued. My workers'
Date q I t 69 122
Is 1 sued, I shall not employ any person in any manners as to become subject to the workers' compensation laws of California, and agre
.io s of Section 3700 of the Labor Code, I shall forthwith omply with those provisions.
Date —,,--
ate �I1G I ) 5 122
ireby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which
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 owners behalf.
I have read this application and the information I have p ovidepe ct.
agree t0 comply with all applicable city and county di an ate w elating to building construction.
I authorize representatives of this city or county to ter ntif a party forin pection purposes.
nature of Prooertv Owner or Authorized I rent Prooertv Owner's or Aut
ACTION
PERMIT EXPIRED
PERMIT CANCELLED
PERMIT EMENDED
PERMIT FINAL
CERTIFICATE OF
OCCUPANCY ISSUED
DATE BY C DECLARATION OF CQWFtrANCE WITH CODE OF FEDERAL
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
I SUBMITTED ASBESTOS NOTIFICATION TO
L 111, ILZT JK UASBESTOS NOTIFICATION IS NOTAPPLICABLE TO
J PROPOSED DEMOLITION
SIGNATURE:
permit is issued (Section 3097, Civil Code).
FOR OFFICE I)SE ONLY
Date