HomeMy WebLinkAboutX2022-1473 - Permits„ "uk City of Newport Beach - Building Division
^{;r. 100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
ih Inspection Requests Phone (949)644-3255
Combination Type - BLDG ELEC
IIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2022-1473
X 2 9 2 2 1 4 7 3 Project No : 1355-2022
Issued Date : 06/01/2022
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: 850 SAN CLEMENTE DR NB
Description: COMM (2) MONUMENT & (2) ILLUMINATED CHANNEL LETTER SIGNS "VIVANTE"
Legal Desc.: P BK 81 PG 8 PAR 2
Owner:
VIVANTE NEWPORT CENTER LLC
Contractor:
COAST SIGN INCORPORATED
Architect:
Address:
1 MACARTHUR PL STE 300
Address:
1500 W EMBASSY ST
Address:
SANTA ANA CA 92707
ANAHEIM CA 92802
Phone:
Phone:
818-675.5849
Phone:
State Lic:
Applicant:
JOHNSON MITCH
Con State Lic:
654238
Engineer:
SULLAWAY MICHAEL
Address:
1500 W EMBASSY
Lic Expire:
0313112024
Address:,
PO BOX 28789
ANAHEIM CA 92802
Bus Lic:
ST30037561
SAN DIEGO CA 92198
Phone:
714-318-1079
Lic Exp Date:
11/30/2022
Phone:
858-335-7606 State Lic:C-048588
Code Edit : 2019
Type of Construction: VB
occupancy Group: U
Added /New sq.ft. Bldg:
Added /New sq. ft. Garage:
No of Stories: 0
No of Units : 0
Bldg Height: 0
Bldg Sprinklers:
Construction
Building Permit Fee: $419.00
Plan Check Fee: $364.53
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management:
$0.00
Energy Compliance:
$61.00
CA Seismic Safety :
$0.00
Disabled Access :
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$1.00
TOTAL FEE : $1,003.13
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Worker's Compensation Insurance
Carrier: REPUBLIC INDEMMNITY
Policy No: 25440901
Expire: 10/01/2022
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: /
Front: /
Left: /
Right: /
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$54.85
$0.00
$0.00
Designer: JOHNSON MITCH
Address: 1500 W EMBASSY
ANAHIEM CA 92802
Phone: 714-318-1079
Special Conditions
Fire Hazard Zone : N
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
Plan Check Fee : $553.80
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:
Fee Due at Permit Issuance :
PUBLIC WORKS APPROVAL:
PLAN CHECK BY: r/'1
APPROVAL TO ISSUE:
ECTOR
®1 l
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$449.33
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
1e 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 ofthe 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
of more than five hundred dollars ($500).
7 1, 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,
''usiness 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 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
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).
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 legall;
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, Section 7044 of the Business and
'rofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html.
signature of Property Owner or Authorized Agent Dat
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that am licensed under provisions of Chapter 9 (commencing with Section 7000) of Ivi on of the Business and Prof ssions my license n f force
nd effect. License Class License No Date ntractor Signature
VORKERS' COMPENSATION DECLARATION14
'ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE Is UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AN CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), ADDITION TO THE
OST 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:
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
ce of the work for which this permit is issued. Policy No.
and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this per it is i clued. My workers' compensatiol
ier I'llL�1 d/_ rDip Number ,
1e of Agent
certify that, in the performance of the wort or which this permit is issued
if I should become su ct to the wort pensation provisions of $
latu re of Applicant L
:LARATION REGAR CO T CT N LENDING AGENCY
Expiration Date 0 / r / �v
7 Phone #J/
not employ any person in any manner so as to become subject to the workers' compensation law of C Iifornia, and ogre
3700 of the Labor Cod hall forthwith comply with those provisions.
Z,0
I hereby affirm under penalty of perjury tha ere is a construction len ' g agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
Lender's Name Lender's Address
By my signature below, I certify to each of the following: I
1n^ '' 117Date
D , )
I am the property owner or authorized to act on the property owners behalf. V ' 1 «GkA /`/I have read this application and the information I have provid is correctagree to comply with all applicable city and county ordin a and sta aws re tnstruction.
I authorize representatives of this city or count nt t e-i ified pr e y for inspection purposes.Signature of Pro ertOwner or Authorized A entOwner's or Authorized Agent's Name
ACTION DATE BY DECLARATION OF COMPLAIN WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 610FT LE40ANDAQMDRLJLE
1403
PERMIT EXPIRED I SUBMITTED ASBESTOS NOTIFICATION TO
PERMITCANCELLED EPA -
PERMITEXTENDED
PERMITFINAL 'ID,7 Z -- ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO
CERTIFICATE OF PROPOSED DEMOLITION
OCCUPANCY ISSUED SIGNATURE: