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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