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Home My WebLink AboutX2020-1169 - PermitsCity of Newport Beach - Building Division *X2020-1169* COMB Permit: X2020-1169 ,'1 .: rf: 100 Civic Center Drive, Newport Beach, CA 92660 Project No : 0890-2020 Permit Counter Phone (949)644-3288 u Inspection Requests Phone (949)644-3255 Y Issued Date : 06/08/2020 Syfjeo��,* Combination Type - BLDG ELEC Inspection Area : 7 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE CUMPLE I EU 21 r UwUyrzuzJ Urr eeN 1 I L OC INVALIU 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 Sun d �dlys Job Address: 3748 E COAST HWY NB Description: COMM REPLACE ILLUMINATED ATM SURROUND "PACIFIC PREMIER BANK" �,{ •� Legal Desc.: N TR 323 BLK W LOT 5 V Owner: COTE BILL Contractor: COAST SIGN INCORPORATED Archite�c�� Address: 3 WHITECAP Address: W EMBASSYST Address°:d0 CONS � V ANAHEIM NEWPORT BEACH, CA 92625 ANAHEIM CA 92802 A I" �� Phone: 949-760-1900 Phone: 818.675-5849 Phone: E ®],S Applicant: YBARRA RYAN Con State Lic: 654238 Engineer: Address: 1500 W EMBASSY RD Lic Expire: 03131/2022 Address: ANAHEIM, CA 92802 Phone: 951-310.2896 Code Edit : 2019 Type of Construction: Occupancy Group: U Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 0 No of Units : 0 Bldg Height: 0 Bldg Sprinklers: Flood Zone: Valuation: Building Permit Fee: $152.00 Plan Check Fee: $132.24 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management : $18.00 Energy Compliance: $0.00 CA Seismic Safety : $0.00 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee : $1.00 TOTAL FEE: $363.14 PROCESSED BY: ZONING APPROVAL: Bus Lic: BT30037561 Lic Exp Date: 11130/2020 Worker's Compensation Insurance Carrier: NATIONAL SURETY CORP Policy No: SWC0115501901 Expire: 10/0112020 Building Setbacks Use Zone: Excise Tax: Additional Fee Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WO Insp. Fee: Electrical %: Mechanical %: Rear: I Front: I Left: I Right: I $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $19.90 $0.00 $0.00 Phone: 'V SA7_U :VQ0 Designer: YBARA RYAN Address: 1500 W EMBASSY ST ANAHEIM CA 92802 Phone: Special Conditions Fire Hazard Planning Department - Plan check Fee: Fair Share SJH Trans In -lieu Housing Fee Public Works Department - Park Dedication : $0.00 PM/ Plan Check: $0.00 San Dist : $0.00 NMUSD Fee: $0.00 Fire Department $40.00 Fire Inspection: $0.00 Fire Plan Rev $0.00 Demolition Fee $0.00 Building Dept Adm General Service Refund Deposit Grading Bond: $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $363.14 PUBLIC WORKS APPROVAL: PLAN CHECK BY: GRADING APPROVAL: APPROVAL 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 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 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 (_) 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 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). 111, 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). ❑ I am exempt from licensurs 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 legal 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. MITI. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of ppeerrury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions d , and icense' fm force and effect. Liceo,E Class I 'S License No t.D S ! j 11 Date Contractor Signature 'NORKERS' CUMPENSATION DECLARATION ARNINC FAILURE ru SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (E100,000), IN ADDITION TO THE DST OF COMPENSATK`r', 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: J I have and wiii n,aintain 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 s(iormance of t:i . virk for which this permit is issued. Policy No. P-Cve and ,all 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' compensE s-rance carriei arid policy number are: anr'er IIJa +, b r n 1 S v r r Car? Policy Number �L^' C 1 I S_ .�_l 9 417 Expiration Date ame rf Agent �— Phone # �Cc&iidfy that, in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and a ,at, i;. I should becomes sub' t to the workers' compensate slons of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. p ignature of ApplicantlT/�.ci' DECLARATION REGARDIN CO TRUCTIO ING AGENCY hereby affirm under penalt of p rjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). ender's Name Lender's Address y 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 cou99ttYy ordinances and state laws relating to building construction. I authorize representatives of this city or countVo,enter the ab9ye-identifi4pro y for inspection purposes. -�/- of PERMIT CANCELLED PERMITEXTENDED PERMIT FINAL CERTIFICATE OF OCCUPANCYISSUED Owner or Authorized I DATE I BY 61 OF TITLE 40 AND AQMD RULE I SUBMITTED iASBESTOS NOTIFICATION 15 NOT APPLICABLE TO PROPOSED DEMOLITION SIGNATURE: Owner's or Authorized Anent's Name I FOR OFFICE USE ONLY y6ai. i, - 0't-n