HomeMy WebLinkAboutX2018-3251 - PermitsSYR City of Newport Beach - Building Division 111illilliiiiiJill 11p11111111p1im11111111111111111COMB Permit: X2018-3251
`• 100 Civic Center Drive, Newport Beach, CA 92660 X 2 1 8 3 2 5 1 Project No: 2531-2018
Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255
Combination Type- BLDG ELEC _. Issued tA0/28/201tt
_ Inspectionion Area : 7
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION.
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: 500 NEWPORT CENTER DR NB
Description: COMM - ILLUM SIGNS (2) "BANC OF CALIFORNIA & CITY NATIONAL BANK" REPLACE SIGN CABINET WINEW
Legal Dese.: IRVINE SUB LOT BLK 93 POR OF ELK
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Architect: '�""" i CkOIUK
Address:
Phone: State Lie:
Applicant: KERBY DAVE
Engineer:
Address: 737 N MAIN ST
Address:
Owner.
IRVINE COMPANY
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$120.00
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Planning Department -
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Contractor:
TRUEMARK INC
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$120.00
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Planning Department -
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Worker's Compensation Insurance
Carrier: EVEREST NATIONAL
Policy No: 7600008388181
Expire: 09/01/2019
Phone: State Lie:
Designer:
Address:
Phone:
Building Setbacks Rear: / Special Conditions:
Front: /
_._... _.. _ .......Left:../.
Right: /
Ilse 7nne: Parkino Snaces: 0 Fire Hazard Zone : N
Construction Valuation:
$2.500.00
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$120.00
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Planning Department -
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Plan Check Fee: $104.40
Additional Fee :
$0.00
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Construction Valuation:
$2.500.00
Building Permit Fee:
$120.00
Excise Tax:
$0.00
Planning Department -
Fire Department
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Plan Check Fee: $104.40
Additional Fee :
$0.00
Plan check Fee:
$40.00
Fire Inspection:
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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. . • °
Record Management :
$6.00
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:
$0.00
Hazardous Mat
$0.00
Electrical %:
$15.71
San Dist: $0.00
Building Green Fee :
$1.00
Mechanical %:
$0.00
NMUSD Fee: $0.00
$0.00
lumbing %:
$0.00 -
$0.00
TOT
FEE: $287.11
Plan Check Fee
: $0.00 Fee Due at Permit Issuance :
$287.11
PROCESSED BY:
1
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PUBLIC WORK PPROVAL:
ZONING APPROVAL:
PLAN CHECK Y:
GRADING APPROVAL:
APPROVAL TOS
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
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 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
of 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,
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
n roved for the purpose of sale).
1, as ownerof 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 I am exempt from licensureunder 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 legal
ell a structure that I have built as an owner -builder if it has not been constructed in its entirely by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business
'rofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi.
signature of Property Owner or Authorized Agent Dat
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Secti 700 of Division 3 of t e Business and Pro s ' idend my a is in II force
nd effect. License Class License No Dat Contractor Signature
VORKERS' COMPENSATION DECLARATION '
'ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIM AL PENALTIES AND CIVIL FINES UP TO ONE HUN RED THOUSAND DOLLARS ($700,0001, IN ADD TO THI
OST OF COMPENSATIOV, DAMAGES AS PROVIDED FOR IN SECTION 3703 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirmxmelel••penalty of perjury one of the following declarations:
tain 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
for which this permit is issued. Policy No.
WIN maintain wor)cers' 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'
Wild of Agent ... •
JI celfify that•in tAe pertorman a work
I hiFl should become subje the orkers'
... tI
iighatae of AppliemA -
Mb^yaffirm ydcje4 �ionalty of perjury that there is a c
rs Name
my signature below, I certify to each of the following
I am the property owner or authorized to act on the
I have read this application and the information I hE
I agree to comply with all applicable city and count
I authorize representatives of this city or co my
nature of Prooertv Owner or Authorized AGent
ACTION
PERMIT EXPIRED
PERMITCANCELLED
PERMIT EMENDED
PERMIT FINAL
CERTIFICATEOF
OCCUPANCY ISSUED
DATE I BY
_/ 7
olicy Number 7 g �2mg 0 Expiration Date Zp�9
Phone #
this perm' ' us , I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre
atk ovisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
Dat ���
AGENCY
is uction lending agency for the performance of the work for which this permit is issued (Section 97, Civil Code).
Lender's Address
behalf.
(Ming tWilding construction.
EL%aspection purposes.
Print Property Owner's or Authorized Ag
e
NITH CODE OF FEDERAL I FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AOMD RULE
1403
I SUBMITTED ASBESTOS NOTIFICATION TO
UASBESTOS NOTIFICATION IS NOT APPLICABLE TO
PROPOSED DEMOLITION
SIGNATURE: