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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: