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Home My WebLink AboutX2020-2814 - Permitsco )"'� City of 100 Civic Permit Col Inspection Combinal PERMIT Job Address: 1000 N BRISTOL Description: COMM SIGN "BII Legal Desc.: P BK 81 PG 43 P Owner: PLAZA NEWPORI Address: 1603 EMERALD B LAGUNA BEACH, Phone: Applicant: REILLY LAURA Address: 940 CALLE AMAI SAN CLEMENTE Phone: 949.429.6700 Code Edit: 201 Type of Construction: BN 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: 7n .- X Valuation: Building Permit Fee: $: Plan Check Fee: $184.44 Overtime Plan Ck: Investigation Fee: Record Management: Energy Compliance: CA Seismic Safety: Disabled Access Hazardous Mat Building Green Fee: TOTAL PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: lwport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2020-2814 at Drive, Newport Beach, CA 92660 Project No Phone(949)644-3288 uests Phone (949)644-3255 Issued Date : 12102/2020 Type - BLDG ELEC Inspection Area : 7 .S 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 12/03/2023 OR PERMIT WILL BE INVALID ion 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 NB R2 Contractor: STARFISH SIGNS 8 GRAPHICS INC Architect: — LP Address: 940 CALLE AMANECER STE A Address: Y :A 92651 SAN CLEMENTE CA 92673 State Lic: Phone: 949-429-6700 Phone: r ry V�yJ Con State Lic: 1005307 Engineer: :CER #A Lic Expire: 0713112021 Address: lJ A 92673 Bus Lic: Lic Exp Date: BT30064772 10131/2021 Phone: State Lic: Worker's Compensation Insurance Designer: REILLY LAURA Address: 940 CALLE AMANECER #A Carrier: OHIO SECURITY INS CO SAN CLEMENTE CA 92673 Policy No: XWS56167694 Phone: 949-429-6700 0 Expire: 0611612021 _ 0 Building Setbacks Rear: I Special Conditions: rt,J Front: I Left: I Right: I Use Zone: Parking Spaces: 0 Fire Hazard Zone : N 7 700.00 00 Excise Tax: $0.00 Planning Department - Fire Department $46.25 Fire Inspection: $0.00 Additional Fee : $0.00 Plan check Fee: $0.00 Fire Plan Rev $0.00 00 Grading Bonds Fee: $0.00 Fair Share : $0.00 Demolition Fee 00 Grading PC Consultant : $0.00 SJH Trans : In -lieu Housing Fee : $0.00 Building 00 Grading Permit Fee: $0.00 $0.00 Public Works Department - General Service $0.00$0.00 $0.00 00 Grading PC Fee: $0.00 Refund Deposit DedicationPark $mo 00 WQ Insp. Fee: PAW PlanCheck : $D 00 Grading Bond: .00 Electrical %: $27.75 San Dist: $0.00 $0.00 $0.00 .00 .00 Mechanical W $0.00 NMUSD Fee: $om Plumbing %: $0.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $532.44 $532.44 - PUPLP: V10I1.KS APPROVAL: T p PLAN CHECK BY: I - APOROVALTO ISSUE: I h.areby 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, prorto 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 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 not more than five hundred dollars ($500). ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U 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 'mprovements 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 mproved 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 5 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 licensure under the Contractors' State License Law for the following reason: 3y 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 legali 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 '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 -ICENSED CONTRACTOR'S DECLARATION Date hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7.0 o�ff Division 3 of tIhe Business and Profession Code, and m li nse is,,,(((rrr�� f II force Ind effect. License Class License No Date Z- �—2.3itontractor Signature ,p� VORKERS' COMPENSATION DECLARATION CL�C�� K IARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS I$100,000I, IN ADDITION TO THE 'DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. hereby affirm under penalty of perjury one of the following declarations: 7 I have and will maintain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for thl erformance of the work for which this permit is issued. Policy No. and will aintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' carrier al olicy nurabKare: to of Agent/ 1 \ Cet �4- r certify that, in the performs a the work for which if I should become su c to the workers' o pen$ latureofADDlicant r r�G � 0J Date is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and ions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. --�.. -"-- - ta4 IZ-- z - za Zo I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). Lenders Name Lender's Address By 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 laws relating to building construction. I authorize representatives of this city or cou t ter the above ' tifie�d p operty for inspection purposes. Signature of Property Owner or Authorized Agent Print PropertyOwner's or Authorized Agent's Nam ACTION DATE BY BE�LA TION OF COMPLIANCEINITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATI NS PART 61 OFTITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED ISUBMI D ASBESTOS NOTIGICA510N TO PERMIT CANCELLED EPA ' PERMIT EXTENDED QMD PERMITFINAL ��/�,/ BEST O NOTIFICATON IS NOT APP I BLE T CERTIFICATEOF !� - �% OCCUPANCY ISSUED n M cl ORIA nc EM YrrO nr41 `Tr '/"� :l'/ ."