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Home My WebLink AboutX2022-0913 - Permits��•,;�,�,h City of Newport Beach -Building Division 4 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 . - C Inspection Requests Phone (949)644-3255 "Ya1u Combination Type - CIP I�IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II X 2 0 2 2 0 9 1 3 C4 COMB Permit: X2022-0913 Project No „ Issued Date : Inspection Arearea :2022 7 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0313012025 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: 4121 WESTERLY PL NB Description: COMM SIGN "E.HOMES" Legal Desc.: N TR 7394 LOT 1 Z Owner: SA ABANOUB LLC Contractor: SIGN SPECIALISTS CORPORATION Architect: a1 Address: 7029 MARTANO PL Address: 111 IN DYER RD #F Address: dd �� RANCHO CUCAMONGA CA 91701 SANTA ANA CA 92707 Phone: Phone: 714-641-0064 Phone: State Lic:; r1i Applicant: SHAIKH TARIQ Con State Lic: 988048 Engineer: Address: 111 W DYER RD #F Lic Expire: 1013112023 Address: SANTA ANA CA 92707 Bus Lic: BT30042506 'p Phone: 714-721-5104 Lic Exp Date: 03/31/2022 Phone: State Lic: A 0 Code Edit : 2019 Worker's Compensation Insurance Designer: SHAIKH TARIQ Type of Construction: Carrier: BENCHMARK INS CO Address: 111 W DYER RD #F Occupancy Group: U Policy No: CST5022714 SANTA ANA CA 92707 Added /New sq.ft. Bldg: 0 Expire: 12/0112022 Phone: 714-721-5104 Added /New sq. ft. Garage: 0 No of Stories: 0 Building Setbacks Rear: / Special Conditions: PLAN ATTACHED TO No of Units : 0 Front: I PERMIT Bldg Height: 0 Left: I Bldg Sprinklers: Right: / Flood Zone: X Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $2 790.00 Building Permit Fee: $130.00 Excise Tax: $0.00 Planning Department - Fire Department $0.00 Plan Check Fee: $113.10 Additional Fee : $0.00 Plan check Fee : $52.00 Fire Inspection: 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 $0.00 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 PAN Plan Check: $0.00 Grading Bond: Hazardous Mat $0.00 Electrical %: $0.00 San Dist: $0.00 $0.00 Building Green Fee : $1.00 Mechanical %: $0.00 NMUSD Fee: $0.00 $0.00 Plumbing %: $0.00 TOTAL FEE : $296.10 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $296.10 PROCESSED BY: ti PJB,IC VVOkKF APPRC'VAL: ZONING APPROVAL: af PLAN CHECK BY: GRADING APPROVAL: APPROVAL TO, IStUt: LDER 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 is 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 Iicensure 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 otmore 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 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). 1 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). I am exempt from Iicensure 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 legall) 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 perju that I am licensed under provisions of Chapter 9 (commencing with Section 0) of Divisi n 3 of the Business and Profs io Code, .;aa my license is in full force nd effect. License Class C C{ L E f 6/ 4 Z, License No n `i Sr Date I i 3j Le29 Contractor Signature VORKERS' COMPENSATION DECLARATION 'ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED OUSAND DOLLARS ($100,000), IN ADDITION TO THE DST OF COMPENSATION, 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: 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, erformance of the work for which this permit is Issued. Policy No. have and will maintain workers' compensation insurance, as wired by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensatio rance carrier an po number re: ier u be✓ Expiration Date Ie of Agent Phone # certify that, in the'PeFl4irmance of the work for which this permits issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre if I should becomg�s/I}blect to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. y IatureofApplicant/� .L�-Z-mac' aerl C0�/.3Oj'102.2 v eoennu oer Gnwr rnueTDI I(•TIn CRINr.I!] nrCury �•_� 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 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 county ordinances and state laws relating to building construction. I authorize representatives of this city or county to enter a above-ideaEfed property for inspection purposes. ienature of Prooertv Owner or Authorized Agent v Print ProDertv Owner's or Authorized Acent's Nanle f ) 8, S tFA I KtE ACTION PERMIT EXPIRED _ DATE BY —( DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 4D3 0 1 SUBMITTED AS6ESTC3 NOTIFICATION TO FOR OFFICE USE ONLY PERMIT CANCELLED EPA PERMIT EXTENDED LIAQmD PERMITFINAL CERTIFICATEOF OCCUPANCYISSUED /.Z� � U,7 LIASBESTOS NOTIFICATION IS NOTAPPLICABLE TO PROPOSED DEMOLITION - SIGNATURE: