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Home My WebLink AboutX2022-1785 - PermitsCity of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2022-1785 100 Civic Center Drive, Newport Beach, CA 92660 X 2 e 2 2 1 7 8 5 Project No : 1639-2022 Permit Counter Phone (949)644-3288 Q ,�., Inspection Requests Phone (949)644-3255 .�� Combination Type - CIP ELEC Issued Date : 06/2812022 . 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: 1666 SAN MIGUEL DR NB Description: COMM ILLUMINATED SIGN "US BANK" Legal Desc.: IRVINE SUB LOT BLK 93 POR OF BLK (P M 35-1 PAR 4) " Owner: IRVINE CO Address: 550 NEWPORT CENTER OR NEWPORT BEACH, CA 92660 Phone: Applicant: THERRIAULT STEVEN Address: 4444 FEDERAL BLVD SAN DIEGO, CA 91202 Phone: 619-571-9675 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: $164.00 Plan Check Fee: $142.68 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 : $1.00 TOTAL FEE: $382.64 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Contractor: SIGNTECH ELECTRICAL ADV INC Address: 4444 FEDERAL BLVD SAN DIEGO CA 92102 Phone: 619-527-6100 Con State Lic: 457406 Lic Expire: 0613012022 Bus Lic: BT30059897 Lic Exp Date: 0713112022 Worker's Compensation Insurance Carrier: ZURICH AMERICAN Policy No: WC5513790 Expire: 10/0112022 Building Setbacks Excise Tax: Additional Fee Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: Electrical W Mechanical %: Plumbing %: Rear: / Front: / Left: I Right: / 'arking Spaces $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $22.96 $0.00 $0.00 Plan Check Fee 0 Architect: Address: Phone: Engineer: Address: Phone: Designer: Address: Phone: State Lic: �B d State Lic: THERRIALUT STEVEN 4444 FEDERAL BLVD SAN DIEGO, CA 91202 Special Conditions: Hazard Zone : N Planning Department - Plan check Fee Fair Share SJH Trans: In -lieu Housing Fee Public Works Department - Park Dedication : $0.00 PNV Plan Check : $0.00 San Dist : $0.00 NMUSD Fee: $0.00 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: $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Fee Due at Permit Issuance : $382.64 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 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 rive hundred dollars ($500). 1, 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). 1, 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 pi ouerty who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). I amexempt from licensure under the Contractors' State License Law for the following reason: by Noy signature be�ow 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 t:iat I rave 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, 's 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 L 10ENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Cha er 9S.commencing with Section 0) of Division 3 of the Business and Prqq''{{O�ssions Coe ai my lice is in full force cnb c`f�ct. Liccns3 Cisss CY S License No A I Li UG Date (jf 2 -b2 Contractor Signature�� 1374KERS' COMPENSATION DECLARATION ''�� \\ f.A.i.1I.J.: 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 13100,0001, IN ADDITION TO THE LOS, OF LOMPEN$A'r ION; DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. ,4erebv affirm under penalty of perjury One of the following declarations: have and :yill 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 Derformance of the work for which this permit is issued. Policy No. ,A have 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' compensation stance carrier and policy nu,m�7b`er are: I-(.f 3arrier Z. 1 LIC41 /3^1 nA � Policy Number Vw� J 137 /dV / Expiration Date Z \lame of Agent Phone # I certify that, in the performance of the work for which this ermit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and tat, if should became subject to the workers' r ensatio ,frovisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. o, Iignature of ApplicaK I \ 4 DatAe b — Z r z7Z IECLARATION RE ANG NSTRUCTION LENDING ENCY 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). Ender's Name Lender's Address Iy 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 ws relating to building construction. I authorize representatives of this city or counttoent ve-identi property for inspection purposes. V '/ lignature of Property Owner or Authorized Agent 7� 1 JI Print Property Owner's or Authorized Agent's Name /� I fftZ /+: ") DateV & 2` ACTION DATE BY ' DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY Y `� REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED EPA PERMIT EXTENDED qQM D PERMIT FINAL CERTIFICATE OF -7L-Z� BESTfJ5 OTIFICATION 15 NOT AA LICABLE Tp(()t PROPOSED1tr�' OUTION�"C�—� _ ` IX OCCUPANCYISSUED SIGNATURE /li�w1 Y