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Home My WebLink AboutX2019-1440 - Permits�1Pp City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII 4100 MACARTHUR BLVD #120 Bus Lie: NEWPORT BEACH CA 92660 Phone: Record Management : $12.00. Applicant: COLCHADO JAIME Address: 111 W DYER RD, #F II COMB Permit: X2019.-1440 Phone: 714.697-5033 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 1 9 1 4 4 6 In -lieu Housing Fee Project No : 1006-2019 F 9 . rI Permit Counter Phone (949)644-3288 - $0.00. Park Dedication : Inspection Requests Phone (949)644-3255 r ,h y�aa P/W Plan Check: Combination Type - BLDG ELEC Issued Date : 0510912019 $26.18 San Dist: $0.00 Inspection Area : 7 $0.00 NMUSD Fee: PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. Plumbing %: $0.00 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: 20360 BIRCH ST NB St: 1 FI: 1 Unit: 100 Description: Legal Desc.: COMM ILLUMINATED SIGN "EDEN FERTILITY" q Owner: - NEWPORT HEIGHTS VENTURES Address:. 4100 MACARTHUR BLVD #120 Bus Lie: NEWPORT BEACH CA 92660 Phone: Record Management : $12.00. Applicant: COLCHADO JAIME Address: 111 W DYER RD, #F Policy No: SANTA ANA CA 92707 Phone: 714.697-5033 Code Edit: 2016 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: Building Permit Fee:. $200.00 PROCESSED BY: Contractor: SIGN SPECIALISTS Address: 111 W DYER RD #F SANTA ANA CA 92707 Phone: 714.641-0064 Con State Lie: Plan Check Fee: $174.00 Lie Expire: Overtime Plan Ck $0.00 Bus Lie: Investigation Fee: $0.00 Lie Exp Date: Record Management : $12.00. Worker's Compensation Energy Compliance:. $56.00 Carrier: CA Seismic Safety: $0.00 Policy No: Disabled Access: $0.00 Expire: Hazardous Mat $0.00 Grading Permit Fee: Building Green Fee : $1.00 PROCESSED BY: Contractor: SIGN SPECIALISTS Address: 111 W DYER RD #F SANTA ANA CA 92707 Phone: 714.641-0064 Con State Lie: 988048 Lie Expire: 1013112019 Bus Lie: BT30042506 Lie Exp Date: 03/31/2020 Worker's Compensation Insurance Carrier: CYPRESS INS CO Policy No: SIWC927363. Expire: 08125/2019 Building Setbacks Rear: / Front: Left: Right: 0 Architect: Address: Phone: Engineer: Address: Phone: Designer: Address: Phone: State Lie: State Lie: COLCHADO JAIME 111 W DYER RD #F SANTA ANA CA 92707 Special Conditions: Excise Tax: $0.00 Planning Department - Fire Inspection: Additional Fee: $0.00 Plan check Fee: Demolition Fee Grading Bonds Fee: $0.00 Fair Share : General Service Grading PC Consultant: $0.00 SJH Trans Grading Bond: 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 P/W Plan Check: $0.00 Electrical %: $26.18 San Dist: $0.00 Mechanical %: $0.00 NMUSD Fee: $0.00 Plumbing %: $0.00 TOTAL FEE: $509.18 ZONING APPROVAL: GRADING APPROVAL: +eme �eeee� m eee m e em e mec+ e omen e ca m : ooeo° Eom.,cm p., O , (,VpG9 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Plan Check Fee: $270.00 Fee Due at Permit Issuance: $239.18 PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: OBtiyEm p v 0 0 OyOpG a GGOVi Fire Department $40.00 Fire Inspection: $0.00 Fire Plan Rev $0.00 Demolition Fee $0.00 Building Dept Adm General Service Refund Deposit Grading Bond: +eme �eeee� m eee m e em e mec+ e omen e ca m : ooeo° Eom.,cm p., O , (,VpG9 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Plan Check Fee: $270.00 Fee Due at Permit Issuance: $239.18 PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: OBtiyEm p v 0 0 OyOpG a GGOVi 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) action 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 Ifessions 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). 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, ainess 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 )ly 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 licensure under the Contractors' State License Law for the following reason: 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 legally I 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 th applicable law, Section 7044 of the Business and rfessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. nature of PropwtpOwner or Authorized Agent Date TENSED CONTRACTOR'S DECLARATION ;rEb2 affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sect n 70 ��rvis'of the Busss and Profes i �cay� cense is in full force f effect. LigNInSe. jrfass License No Da Contract ignature N> )RKZRS' COMPENSATION DECLARATION IMIfG: FAILURE.TQ 8%cURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP T ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE rT OF COMPENSATION, BAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. °ropy affirm under penalty of perjury one of the following declarations: .. and 4Lilj WITntain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for IN ce of the work for which this permit is issued. Policy No. ` and will maiNsin workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensatior u anCe carrI14%nd ri$licy number are: Policy Number Date id 8f Agent' vnone rF certify that, in the perfor ante of the woyl�for which this permit is issued, I shall not employ any person in any manner so as to become subject to the . if 1 should I ubject to It$pvork cor2rration provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. areb 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 Y P Y P 1 rY 9 9 Y P P ( Ider's Name Lender's Address my signature below, I certify to each of the following: I am the property owner or authorized to act an the property owner's behalf. I have read this application and the information I have provided is correct. 1 agree to comply with all applicable and county ordinanc and state laws elating to building construction. / I I authorize representatives of this Ity or county to el(Itp�the a o �erltl Ief p perty for inspection purposes. signature of Property Owner or Auth a gent "" Print Property Uwners or Humonzeo mg ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED DEPA PERMIT EXTENDED E1AQMD pERmirFINAL0 ASBESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATEOF PROPOSED DEMOLITION OCCUPANCYISSUED SIGNATURE: compensation laws of California, and Civil Code). S�9-(