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Home My WebLink AboutX2022-1154 - Permitsn City of Newport Beach - Building Division COMB Permit: X2022-1154 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 2 2 1 1 5 4 Project No : 1060-2022 Permit Counter Phone (949)644-3288 Ins ection Re uests Phone (949)644-3255 p q Issued Date: 0412912022 Combination Type - BLDG ELEC 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: 396 SUPERIOR AVE NB Description: COMM - ILLUMINATED SIGN'US BANK' ! 1 Legal Desc.: P BK 9 PG 19 PAR A`y,�' Owner: BANK CALIFORNIA FIRST Address: PO BOX 7788 NEWPORT BEACH, CA 92658 Iail lil? Applicant: THERRIAULT STEVEN Address: 4444 FEDERAL BLVD SAN DIEGO CA 92102 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: Construction Valuation: $3 000.00 Building Permit Fee: $130.00 Plan Check Fee: $113.10 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: $313.12 PROCESSED BY: ZONING APPROVAL: Contractor: SIGNTECH ELECTRICAL ADV INC Address: 4444 FEDERAL BLVD BAN DIEGO CA 92102 Phone: 619-527-6100 Con State 1 457406 Lie Expire: 06/30/2022 Bus Lic: BT30059897 Lie Exp Date: 0713112022 Worker's Compensation Insurance Carrier: ZURICH AMERICAN Policy No: WC5513790 Expire: 10/01/2022 Building Setbacks Use Zone: Excise Tax: Additional Fee Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: Wo Insp. Fee : Electrical %: Mechanical %: Plumbing %: Rear: / Front: / Left: / Right: / 3arking Spaces $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $17.02 $0.00 $0.00 Plan Check Fee Architect Address: Phone: State Lie Engineer: Address: Phone: State Lie: Designer: SCHAUER DAVID Address: 4444 FEDERAL BLVD SD CA 92102 Phone: 619-527-6100 Special Conditions Fire Hazard 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 $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 $173.02 Fee Due at Permit Issuance : $140.10 PUBLIC WORKS 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 Cade: 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 he 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 lot more than five hundred dollars ($500). 1, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, 3usiness 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 mprovements 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 mproved 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 Ipply 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: 3y 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 legall3 a;; a structure td rat I :lave 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, 's zvnilable upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htm]. °igrati of Property Owner or Authorized Agent Date _ICENSED CONTRACTOR'S DECLARATION .hereby affirm wader penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7 . of Division 3 of the Business and Prof ions d a��my lic e is in full force ,id e.`foct. License Class �=� License No `iSi1Z� Date 24 "Z-z-- Contractor Signature � rJJRIKERS' COMPENSATION DECLARATION LAR.414 : 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 ($100,000), IN ADDITION TO THE 'OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. nei Eby; affirm under penalty of perjury one of the following declarations: ::i_%a 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, Ie-foI ^ ance of !he work for which this permit is issued. Policy No. )gave 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' compensatio surance carrier and policy number are: \ :artier —' 2(Gi-1 t'�(,(G/�/ll Policy Number � JC s )3�1 dd Expiration Date 16 -1 Jame of Agent Phone # I certify that, in the 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 hat, if I should become subject to the workers' comv ns tion prov, ions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. /�//// L I a Signature of Applicant I Y� Date,�L�Z/ "ZZ )ECLARATION REGA ING CONSTRUCTIO LEN TANG 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 3097, Civil Cade). .ender's Name Lender's Address 3y 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 ty o enter t e ab-identifi roperty for inspection purposes. ��i31�c� jj c signature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name cJcn-7i%v Ci! Date y �z"� u ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE PERMIT EXPIRED ISUBMITTEDASBESTOS NOTIFICATION TO tA-S 6n 7-7-2—'> wr /1J� Ktl PERMITCANCELLED EPA PERMIT EXTENDED AQMD PERMIT FINAL"/7 BESTOS TIFICATISN PPLICABLiO CERTIFICATE OF LI p POSE D OL\TIO � OCCUPANCYISSUED SIGNATUR