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Home My WebLink AboutX2021-2513 - PermitsCity of Newport Beach -Building Division 11�1111111 1111111111 111111111111111III Jill 66�) COMB Permit: X2021-2513 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 2 1 2 5 1 3 Project No : 2172-2021 Permit Counter Phone (949)644-3288 :. Inspection Requests Phone (949)644-3255 Combination Type - BLDG Issued Date : Area : 2021 t rrr iti Inspection rea PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0912012024 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: 2046 MAR VISTA DR NB Description: COMM NON -ILLUMINATED WALL SIGN "OUR LADY QUEEN OF ANGELS SCHOOL" 119 SF Legal Desc.: IRVINE SUB LOT BLK 56 POR OF BLK Owner: ROMAN CATHOLIC BISHOP OF ORANGE Address: 2811 E VILLA REAL DR ORANGE, CA 02867 aTTiY Applicant: SABORI MOSES Address: 3117 S MAIN ST SANTA ANA, CA 92707 Phone: 714-957-8438 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: X Construction Valuation: Building Permit Fee: $130.00 Plan Check Fee: $113.10 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $6.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee : $1.00 TOTAL FEE : $302.10 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Contractor: SIGN MAX Architect: Address: 3117 S MAIN STREET Address: "� SANTA ANA CA 92707 L Phone: 714-957-8438 Phone: State Lic: Con State Lic: 758271 Engineer: Lic Expire: 0113112023 Address: �ry Bus Lic: BT30073745 1 �' Lic Exp Date: 12/31/2021 Phone: State Lic: Worker's Compensation Insurance Designer: SIGN MAX Carrier: STATE COMP Address: 3117 S MAIN ST Policy No: 1643736 SANTA ANA, CA 92707 Expire: 0911312022 Phone: '9f9 •�J Building Setbacks Rear: / Special Conditions: Front: / Left: / Right: I o..,u..., n Fire Hazard Zone : N Excise Tax: $0.00 Planning Department - Additional Fee : $0.00 Plan check Fee Grading Bonds Fee: $0.00 Fair Share Grading PC Consultant : $0.00 SJH Trans Grading Permit Fee: $0.00 In -lieu Housing Fee Grading PC Fee: $0.00 Public Works Department - WQ Insp. Fee: $0.00 Park Dedication : $0.00 PAN Plan Check : $0.00 Electrical %: $0.00 San Dist: $0.00 Mechanical %: $0.00 NMUSD Fee: $0.00 Plumbing %: $0.00 Plan Check Fee : 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 : $302.10 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) ction 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 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 fessions 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 more than five hundred dollars ($500). I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044, Iiness 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 rovements 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 roved 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 ply 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). J I am exempt from licensure under the Contractors' State License Law for the following reason: y 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 in all 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 app rofessions Code, is available upon request when this application is submitted or at the fallowing Web site:http://www.leginfo.ca.gov/calaw.htmi. ignature of Property. Owner or Authorized Agent ICENSED CON( RACTOR'S DECLARATION .Ero6y affirm under 1)enalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 700 ) of Division 3 of the Business and nd effect. Lieocse Class License No Date Contractor Signa fORI:ERS' CGMPENSATION DECLARATION ments covered by this perm law, Section 7044 of the BL Date sio ode, and my lice9p, and is in full force (WARNING: FAILURL TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS )$100,000), IN ADDITION TO THE LOSTOF COMPENSATION. DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. iI he,eby affirm under penalty of perjury one of the following declarations: �G 1 hive and '.val 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 ormance of thi work for which this permit is issued. Policy No. hake and w,ll meiotain 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 urance iCCarrie_11nd _p licy number arg arner�A7t/ nJ Policy Number II I o �3_ Expiration Date 2 Name of Agent Phone # ❑I certify that, in the performs ce 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 agree that, if I should becom u ' the workers' compenfation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. //// Signature of Applicant Da4e__J OTf DECLARATION REGARDING CORSTRUCTION LENDING AGENCY 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). Lender's 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 courIVkcinances and state la relating to building construction. i authorize representatives of this city or county t an the above -de property for inspection purposes. / �,1 ,., ( O A Signature of Propertv Owner or Authorized Agent /M 7 _Print Prooertv Owner's or Authorized AGent's Nayne I" `✓S E 5 7A 13A R'T Dat.(OY 1 2017 DATE BY DECLARATION Or COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE PERMITEXPIRED I I I U l SUBMITTED ASBESTOS NOTIFICATION TO PERMIT EXTENDED UAQMD PERMITFINAL U ASBESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATE OF ) 13 PROPOSED A R nrPED DEMOLITION OCCUPANCY ISSUED All