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Home My WebLink AboutX2019-0123 - Permits9„� City of Newport Beach - Building Division 11111111111111111111111111111111111111111111111119 COMB Permit: X2019-0123 a 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 1 9 0 1 2 3 Project No: Permit Counter Phone (949)644-3288 ) c" Inspection Requests Phone (949)644-3255 ``tea :rrnva Combination Type - BLDG Issued Date : 0111 012 01 9 -- Inspection 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: 3901 WESTERLY PL NB Description: COMM NOW 1LLUM SIGN "TRUCLEAR" Legal Desc.: N TR 7394 LOT 1 Owner. SA ABANOUB LLC Contractor: PACIFIC SIGN CENTER Architect: RNO Address: 7029 MARTANO PIL Address: 24422 DEL PRADO #2 Address: V 14 � ALTA LOMA CA 91701 DANA POINT CA 92529 Phone: Phone: 949-248-7474 Phone: State Lie: Applicant: PACIFIC SIGN CENTER Con State Lie: 852928 Engineer: Address: 24422 DEL PRADO #2 Lie Expire: 0113112021 Address: DANA POINT CA 92629 Bus Lie: 8730044056 - Phone: 949-248-7474 Lie Exp Date: 07/34 A&M- 1 1 Phone: State Lic: Code Edit: 2016 Worker's Compensation Insurance Designer: KUWAHARA MARK °0000. Type of Construction: Carrier: OAK RIVER - Address: 24422 DELPRADO #2 ° 0. ° . Occupancy Group: U Policy No: PAWC917458 DANA POINT CA 92629 Added /New sq.ft. Bldg: 0 Expire: 0 811 312 01 9 Phone: 949-248-7474 Added /New sq. ft. Garage: 0 No of Stories: 0 Building Setbacks Rear: I Special Conditions: PLAN ATTACHED No of Units : 0 Front: I Bldg Height: 0 Left: I °. Bldg Sprinklers: Right: / .... Flood Zone: Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $1.000.00 °...°. Building Permit Fee: $104.00 Excise Tax: $0.00 Planning Department - Fire Department oo..00 ° Plan Check Fee: $90.48 Additional Fee: $0.00 Plan check Fee : $40.00 Fire Inspection: • $Q00...... . . Overtime Plan Ck: $0.00 Grading Bonds Fee: $0.00 Fair Share : $0.00 Fire Plan Rev Investigation Fee: $0.00 Grading PC Consultant : $0.00 SJH Trans : $0.00 Demolition Fee 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 PNV Plan Check : $0.00 Grading Bond: $0.00 Hazardous Mat $0.00 - Electrical %: $0.00 San Dist: $0.00 Building Green Fee : $1.00 Mechanical W $0.00 NMUSD Fee: $0.00 $0.00 Plumbing %: - $0.00 $0.00 TOTAL FEE: $235.48 Plan Check Fee: $0.00 Fee Due at Permit Issuance : $235.48 PROCESSED BY: PUBLIC WORKS APPROVAL: ZONING 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 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 the 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 an Professions 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 penally o not 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, Business 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 improvements 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 im 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 apply 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). ❑ 1 am exempt from licensure under the Contractors' State License Law for the following reason: By 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 cov red by this permit, I cannot leg; sell 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, Secti n 7044 of the Business and Professions 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 Da LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sect' 70 i of Ton 'on 3 of the Busin sand Profe si ns^Co a "nd m and effect. License Class License No CO Contract nature WORKERS' COMPENSATION DECLARATION / 3NING: FAILURE 70 a6CURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSANVDOLLARS ($100,000), IN ADDITION TO THE 3T OF COMPENC ATION, DAMAGES AS PROVIDED FOR IN SECTION 5106 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. elyaffirm under penalty of perjury one of the following declarations: I ha0e and Wilt 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 Re of th r which this permit is issued. Policy No. ee + ill 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' compensatiol IyaRgp carrieT'atla bblicy number are: Policy Number that, in Me perfgrTance of th r .ferWI51Ch�(his permit is issued, I shall not ould becorpe-a j at to the ers' compenss 4on-provKons of Sect' 3;e( :reby affirm unfl8i onalty of perjury that there is a construction lending agency lder's Name my signature below, I certify to each of the following: I am the property owner or authorized to act on the property owner's beh f. I have read this application and the information I have provided is crect. I agree to comply with all applicable city and county ordinance�a tat a: I authorize representatives of this city or county t er-fhe a v e�ti"d [ of Procertv Owner or Date :many person in any manner so as to become subject to the workers' compe satio laws of California, and agre e Limber Code, I shall forthwith comply with those provisions. ate_ LO ormance of the work for which this permit is issued (Section 3097, Civil Code). Address to building construction. )r inspection purposes. Print Property Ownel 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 U I SUBMITTED ASBESTOS NOTIFICATION TO PERMITCANCELLED UEPA PERMIT EXTENDED QMD PERMITFINAL MASBESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATE OF PROPOSED DEMOLITION OCCUPANCYISSUED SIGNATURE: