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HomeMy WebLinkAboutX2022-0266 - PermitsMn.o�r City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2022-0266 'p 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 2 2 0 2 6 6 Project No : 0237-2022 Permit Counter Phone (949)644-3288 v Inspection Requests Phone (949)644-3255 :, s+� Combination Type - BLDG ELEC Issued Date : 03I09/2022 iirou Inspection Area : 7 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 03/09/2025 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: 3049 E COAST HWY NB Description: COMM ILLUMINATED SIGN "CVS PHARMACY" Legal Desc.: CORONA DEL MAR LOT 1 BILK 436(AND LOT 3 BILK 436(ANDTR 323 LOTS 415 Owner: 3021 EAST COAST HIGHWAY LLC Contractor: STELLAR INSTALLATIONS INC Architect: Address: 2505 W COAST HWY #201 Address: 400 COMMERCIAL WAY Address: NEWPORT BEACH, CA 92663 LA HABRA CA 90631 Phone: Phone: 951-310-2896 Phone: State Lic: Applicant: YBARRA RYAN Con State Lic: 810013 Engineer: Address: 400 COMMERCIAL WAY r�(/ Lic Expire: 0613012022 .Address: LA HABRA CA 90631 \✓ Bus Lic: BT30071995 Phone: 951-310.2896 _\® Lic Exp Date: 1013112022 Phone: State Lic: Code Edit : 2019 ^� Worker's Compensation Insurance Designer: YBARRA RYAN Type of Construction: VB ,[\tJ Carrier: STATE COMPENSATION INS FUND Address: 400 COMMERCIAL WAY Occupancy Group: U �r^- a Added /New, sq.ft. Bldg: 0 (i �t"a Policy No: !/ Expire: 9281298 08/01/2022 Phone: LA HABRA CA 90631 951-310-2896 Added /New sq. ft. Garage: `lam No of Stories: No Units 0 0 ) ��j` Building Setbacks v Rear: I Front: / of : Bldg Height: Bldg Sprinklers: Flood Zone: r'00 G .n X '� zl�C Use Zone: Left: / Right: / Parking Spa Building Permit Fee: $164.h" Excise Tax: $0.00 Plan Check Fee: $142.68 Additional Fee : $0.00 Overtime Plan Ck: $0.00 Grading Bonds Fee: $0.00 Investigation Fee: $0.00 Grading PC Consultant: $0.00 Record Management: $14.00 Grading Permit Fee: $0.00 Energy Compliance: $61.00 Grading PC Fee: $0.00 CA Seismic Safety: $0.00 WQ Insp. Fee: $0.00 Disabled Access : $0.00 Hazardous Mat $0.00 Electrical W $21.47 Building Green Fee : $1.00 Mechanical %: $0.00 Plumbing %: $0.00 TOTAL FEE : $404.11 Plan Check Fee f5 PROCESSED BY: - ZONING APPROVAL: GRADING APPROVAL: Special Conditions: Planning Department - Plan check Fee Fair Share SJH Trans In -lieu Housing Fee Public Works Department - Park Dedication : $0.00 PAN Plan Check: $0.00 San Dist: $0.00 NMUSD Fee: $0.00 Fire Department $0.00 Fire Inspection: $0.00 $0.00 Fire Plan Rev $0.00 $0.00 Demolition Fee $0.00 Building Dept Adm $0.00 General Service $0.00 Refund Deposit $0.00 Grading Bond: $0.00 $0.00 $0.00 $213.67 Fee Due at Permit Issuance : $190.48 PUBLIC WORKS APPROVAL: '^ PLAN CHECK BY: 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 ie 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 'rofessions 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). 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, lusiness 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). 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). 1 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 legally 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 Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perju7 that I am licensed under provisions of�hapter 9 (commencing with Section 7000) ofDivision Division 3 of the Business and Professionp Code, andjny license is in full force nd effect. License Class C. N S License No 6 I. V $ 7 Dat - ^ Contractor Signatuce) /i/� /lT"-- VORKERS' COMPENSATION DECLARATION ✓7�� DARNING: 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$100,0001, IN ADDITION TO THE DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 37D6 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: 31 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 e rmance 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' carrier a d olicy number are: = Policy Number � 1 W 4 IT Expiration Date _ I — Z _ of Agent JI certify that, in the performance of the work forwhich 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 agree tat, if I should become subject to the worker compe anon rov action 3700 of the Labor Code, I shall forthwith comply with those provisions. ignature of Applicant X� I - Date IECLARATION REGARDI G ONST CTI N LENDIN AGENC 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, G it de). Ender's Name Lender's Address ly 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,l',t��,p},yeentter th abo a-i tifed property for inspection purposes. ,� 1 C,1 _ 'N ZZ Iinnahine of Prnnerfv Owner or Authnrized Anent /!�_ Y Print Prooertv Owner's or Authorized Anent's Name l 1V 4 Date DATE BY CLARAV OF rEGULATIHNS PART61610 TITTLE 40 AND AQMD RULECE WITH CODE OF RAL FOR OFFICE USE ONLY 1403 PERMIT CANCELLED UEPA PERMIT EXTENDED OAQMD PERMITFINAL ) / T L' C% LJ ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO CERTIFICATE OF / / PROPOSED DEMOLITION OCCUPANCY ISSUED SIGNATURE: