HomeMy WebLinkAboutX2022-1085 - PermitsrN rp4 City of Newport Beach - Building Division IIIIIIII IIIII�IIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2022-1085
100 Civic Center Drive, Newport Beach, CA 92660 ' x 2 0 2 2 1 0 8 5 Project No : 0998-2022
Permit Counter Phone (949)644-3288
" Inspection Requests Phone (949)644-3255
Combination Type - CIP ELEC Issued Date : Area
: 2022
.xuw 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: 257 NEWPORT CENTER DR NB
Description: COMM ILLUMINATED SIGN "UP WEST'
Legal Desc.: P BK 221 PG 30 PAR 6
Owner: IRVINE CO
Address: 550 NEWPORT CENTER DR
NEWPORT BEACH, CA 92660
Phone
Applicant: DALANNI JESSICA
Address: 1852 POMONA RD
CORONA, CA 92878
Phone: 909-841-8494
Code Edit :
Type of Construction:
Occupancy Group:
Added /New sq.ft. Bldg:
Added /New sq. ft. Garage:
No of Stories: 0
No of Units: 0
Bldg Height: 0
Bldg Sprinklers:
Construction Valuation:
Contractor:
SOUTHWEST SIGN COMPANY
Address:
1852 POMONA RD
CORONA CA 92880
Phone:
951-734-6275
Con State Lic:
724929
Lic Expire:
07/31/2022
Bus Lic:
BT30052367
Lic Exp Date:
0913012022
2019 Worker's Compensation Insurance
Carrier:
OAK RIVER INS
U Policy No:
FAWC217113
0 Expire:
07/21/2022
0
Building Setbacks
Rear: /
Front: /
Left: I
Right: /
Use Zone:
Parking Spaces:
Building Permit Fee: $130.00
Plan Check Fee: $113.10
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management :
$0.00
Energy Compliance:
$0.00
CA Seismic Safety :
$0.00
Disabled Access :
$0.00
Hazardous Mat
$0.00
Building Green Fee:
$1m
TOTAL FEE: $330.13
PROCESSED BY:
ZONING APPROVAL:
141
Architect
Address:
Phone: State Lic
Engineer:
Address:
Phone:
State Lic:
Designer:
FOVELL JACK
Address:
1852 POMONA RD
CORONA, CA 92878
Phone:
Special Conditions
Excise Tax:
$0.00
Planning Department -
Additional Fee :
$0.00
Plan check Fee
Grading Bonds Fee:
$0.00
Fair Share
Grading PC Consultant:
$0.00
SJH Trans
Grading Permit Fee:
$0.00
In -lieu Housing Fee
Grading PC Fee:
$0.00
Public Works Department -
WQ Insp. Fee :
$0.00
Park Dedication :
$0.00
PM Plan Check :
$0.00
Electrical W
$34.03
San Dist :
$0.00
Mechanical %:
$0.00
NMUSD Fee:
$0.00
Plumbing %:
$0.00
Plan Check Fee
Zone : N
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:
�1�
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$180.93 Fee Due at Permit Issuance : $149.20
PUB,X WORKS APPROVAL: 1.
PLAN CHECK BY: ,\
GRADING APPROVAL: AFPROVAL 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) indicated below by the checkmark(s) I have placed next to the applicable items)
(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
the 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
Professions 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
not 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,
Business 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
improvements 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
improved for the purpose of sale).
❑ 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
apply 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).
❑ 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 year prior to completion of the improvements covered by this permit, I cannot legally
sell 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
Professions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htm[.
Signature of Property Owner or Authorized Agent Date
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 700of"sion 3 of the Business and Prof si s Code, a my lid nee is in full force
and effect. License Class License No Da;� Contractor Signatur
NORKERS' COMPENSATION DECLARATION L!�
NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLL S I$t 00,000 ADDITION TO THE
COST 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:
1 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 the
neqormance 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 permit is issued. My workers'
carnipr and policy nuaber are:
Policy Number Expiration Date
to of Agent
certify that, in the performance of the work for which this
if I should become subject to theAvorkers' compAnsatio
of Applicant
is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and
lions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
D&_ i -L4-ZZ
veby affirm under penalty of perjury that there is a/Cbnstruction,ferttling agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
Ider's Name 11// ((// 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 owner's behalf.
I have read this application and the information I have provided is correct.
I agree to comply with all applicable city and county ordinances and state lawWs relating t0 building construction.
I authorize representatives of this city or county to e ntu t7 above-jBe(ttif`ed�roperty for Inspection purposes. ^ ' '���� r
nature of Property Owner or Authorized ADent ni f 1,�5,_ �k AZ*, Print Prooertv Owner's or Authorized A❑ent's Namev . c _
ACTION I DATE
PERMITCANCELLED
PERMITEXTENDED
PERMITFINAL i"/Z-zZ
CERTIFICATE OF
OCCUPANCYISSUED
DECLARATION OF REGULATIONS PAR CET
10 TIITL 40 NDDAQMDRU ERAL
I SUBMITTED ASBESTOS
LJ ASBESTOS NOTIFICATION IS NOT APPLICABLE TO
PROPOSED DEMOLITION
SIGNATURE:
FOR OFFICE USE ONLY