HomeMy WebLinkAboutX2020-1282 - PermitsKnox -City of Newport Beach - Building Division
.' 100 Civic Center Drive, Newport Beach, CA 92660
H Permit Counter Phone (949)644-3288
v Inspection Requests Phone (949)644-3255
�"sys.ir�*b Combination Type - BLDG ELEC
'X2020-1282* COMB Permit: X2020-1282
Project No : 0989-2020
Issued Date :06/0312020
Inspection Area : 7
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 06/04/2023 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: 301 E COAST HWY NB
Description: COMM REPLACE PART OF EXISTING ILLUM SIGN WI DIGITAL "CHEVRON" Legal Desc.: P BK 276 PG 7 PAR 1 ECT® P
Owner: NEWPORT COAST DEVELOPMENT
Contractor:
PROMOTION PLUS SIGN CO INC Architect:
Address: 301 COAST HWY E
Address:
21034 OSBORNE
ST Address:
NEWPORT BEACH, CA 92660
CANOGA PARK
CA 91304
Phone:
Phone:
818-993-5406
Phone:
State Lic:
Applicant: PROMOTION PLUS SIGN CO INC
Con State Lic: 853228
Engineer:
• . .
Address: 21034 OSBORNE ST
Lic Expire:
0113112021
Address:
CANOGA PARK CA 91304
Bus Lic:
BT30072055
Phone: 818-993-5406
Lic Exp Date:
06/30/2021
Phone:
State Lic:
Code Edit : 2019
Worker's Compensation Insurance
Designer: ENACHE SORIN
Type of Construction:
Carrier:
CYPRESS INS
Address: 21034 OSBORNE ST
- -
Occupancy Group: U
Policy No:
PRWC125362
CANOGA PARK CA 91304
Added /New sq.ft. Bldg: 0
Expire:
04/01/2021
Phone:
Added /New sq. ft. Garage: 0
'
No of Stories: 0
Building Setbacks
Rear: I
Special Conditions:
PLAN ATTACHED TO PERMIT
No of Units : 0
Front: I
° •,
Bldg Height: 0
Left: I
Bldg Sprinklers:
Right: I
. • -
Flood Zone:
Use Zone:
Parking Spaces:
0 Fire Hazard Zone :
N
Construction Valuation: $8,500.00
Building Permit Fee: $216.00
Excise Tax:
$0.00
Planning Department -
Fire Department
Plan Check Fee: $187.92
Additional Fee :
$0.00
Plan check Fee : $40.00
Fire Inspection:
$0.00
Overtime Plan Ck: $0.00
Grading Bonds Fee:
$0.00
Fair Share : $0.00
Fire Plan Rev
$0.00
Investigation Fee: $0.00
Grading PC Consultant :
$0.00
SJH Trans : $0.00
Demolition Fee
Record Management: $0.00
Grading Permit Fee:
$0.00
In -lieu Housing Fee: $0.00
Building Dept Adm
$0.00
Energy Compliance: $0.00
Grading PC Fee:
$0.00
Public Works Department -
General Service
$0.00
CA Seismic Safety: $0.00
WQ Insp. Fee:
$0.00
Park Dedication : $0.00
Refund Deposit
$0.00
Disabled Access : $0.00
P/W Plan Check : $0.00
Grading Bond:
$0.00
Hazardous Mat $0.00
Electrical %:
$28.27
San Dist: $0.00
Building Green Fee : $1.00
Mechanical %:
$0.00
NMUSD Fee: $0.00
$0.00
Plumbing %:
$0.00
$0.00
TOTAL FEE : $473.19
Plan Check Fee :
$0.00 Fee Due at Permit Issuance : $473.19
PROCESSED BY: QACWTO
PUBLIC WORKS APPROVAL:
ZONING 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 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
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 fmprovesthereon, 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:
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 legalh
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/C21aw.htmi.
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 Sec 00 f�ivision 3 of the Business d Professions Cod art�ei�in full force
End effect. License Class License No a �—Y Contracto ature f -
WORKERS' COMPENSATION DECLARATION
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 DOLLARS I$100,0001, IN ADDITION TO THE
6OS'r OF UOMPENSAT,0N, DAMAGES AS PROVIDED FOR IN SECTION 370E OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES.
I hereby affirm under penalty of perjury one of the following declarations:
0 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 th
e•f�•mance of'•hB 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 per it i issued. My workers' compensatiol
. LroFc_ carrier, and polic n bar are:
Carrier Ca+�,Jr
Policy Number W (LX— 1'2 Z%QExpiration Date E{ Z
aG
J#Y rtify that, it th= 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 agre
rat, if I should beco subject to the workers' compensati ' ' f Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
ignature of App' t AD
iECLARATION RE ARDING CONSTRUCTION LENDING AGENCY
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 3it Code).
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 this4ty, j county to enter the above -identified property for inspection purposes.
li❑nnture of Pr❑nerty Owner or AuthoriW Agent Print Property Owner's or AuthoFYed Agent's Name _ ate 6 J;V
ACTION
PERMIT EXPIRED
PERMIT EXTENDED
PERMIT FINAL
CERTIFICATEOF
OCCUPANCY ISSUED
DATE I - BY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
15UBMITTED ASBESTOS NOTIFICATION
UASBESTOS NOTIFICATION IS NOT APPLICABLE TO
PROPOSED DEMOLITION
SIGNATURE:
FOR OFFICE