The URL can be used to link to this page

Home My WebLink AboutX2017-2769 - Permitsw City of Newport Beach - Building Division *X20172769* COMB Permit: X2017-2769 100 Civic Center Drive, Newport Beach, CA 92660 Project No : 1962-2017 Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Mzxrariay. Combination Type - BLDG ELEC Issued Date: 0 8131/2 01 7 Inspection Area : 7 Phone Applicant: HASHIMOTO DENAE Address: 2501 E 28TH ST #112 SIGNAL HILL CA 90755 Phone: 310-608.6099 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: Flood Zone: 11 Construction Valuation: $: Building Permit Fee: $112.00 Plan Check Fee: $97.44 Overtime Plan Ck: PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. Investigation Fee: $0.00 Record Management: $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 CA Seismic Safety: $0.00 Job Address: 2043 WESTCLIFF DR NB St: 1 FI: 1 Unit: 104 Hazardous Mat $0.00 Building Green Fee : Description: COMM ILLUM CHNL LTR WALL SIGN "SUSIE CAKES" $0.00 Demolition Fee Legal Desc.: N TR 4225 LOT 2 Building Dept Adm $0.00 Public Works Department - Owner: Address: HANKEY INVESTMENT CO Contractor: DESIGNER NEON SIGNS Architect: 4751 WILSHIRE BLVD #110 Address: 2501 E 28TH ST #112 Address: rid C Park Dedication : $0.00 Refund Deposit $0.00 d Grading Bond: $0.00 LOS ANGELES, CA 90010 SIGNAL HILL CA 90755 Phone Applicant: HASHIMOTO DENAE Address: 2501 E 28TH ST #112 SIGNAL HILL CA 90755 Phone: 310-608.6099 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: Flood Zone: 11 Construction Valuation: $: Building Permit Fee: $112.00 Plan Check Fee: $97.44 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $0.00 Energy Compliance: $56.00 CA Seismic Safety: $0.00 Disabled Access: $0.00 Hazardous Mat $0.00 Building Green Fee : $1.00 Phone: 310.608.6099 Phone: State Lie: Con State Lic: 892967 Engineer: Lie Expire: 03/3112019 Address: Bus Lie: BT30060376 $0.00 Lie Exp Date: 0813112018 Phone: State Lie: Worker's Compensation Insurance Carrier: STATE FUND Policy No: 9014616 Expire: 0210912018 Building Setbacks Excise Tax: Additional Fee Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: Electrical %: Mechanical %: Plumbing %: Rear: I Front: I Left: I Right: I $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $14.66 $0.00 $0.00 IITOTAL FEE : $318.60 Plan Check Fee PROCESSED BY: �� C ZONING APPROVAL: GRADING APPROVAL: Designer: BLAKE SEAN Address: 2501 E 28TH ST #112 SIGNAL HILL CA 90755 Phone: 310-608-6099 Special Conditions m o moeeao m o 00000 0 ome0o 000coc c o 0 000000 0 0 0000 oom o 0 n Planning Department- Fire Department mo Plan check Fee: $37.50 Fire Inspection: $0.00 Fair Share : $0.00 Fire Plan Rev $0.00 SJH Trans : $0.00 Demolition Fee In -lieu Housing Fee : $0.00 Building Dept Adm $0.00 Public Works Department - General Service $0.00 Park Dedication : $0.00 Refund Deposit $0.00 PAN Plan Check: $0.00 Grading Bond: $0.00 San Dist: $0.00 NMUSD Fee: $0.00 $0.00 $0.00 $0.00 Fee Due at Permit Issuance : $318.60 PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: m o moeeao m o 00000 0 ome0o 000coc c o 0 000000 0 0 0000 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(:) 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 ie 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). 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, 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). 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). 1 am exempt from licensure 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 legally 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 perjury that I am licensed under provisions of Chapter 9 (commencing with Sectiyn 70 0) of Divisi n 3If the Business and rofessions Code and my license is in full force nd effect. Liceniq Class License No .Sate �dl I Contractor Sig ,CG'arYl l�]lovlelZ— VORKERS' CCkNREpSATION DECLARATION IdG:JAILURE TP SggURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO OF OOMPENSATION, DAMAGE$ AS PROVIDED FOR IN SECTION 5706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. :by affirm unrier penalty of perjury one of the following declarations: DOLLARS ($100,000), IN ADDITION TO THE I R2be and Vill 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 Cade, for 'Qm%ce of Oie wo rMfor which this permit is issued. Policy No. have 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' compensa 11a410p, carriePSrftA0 icy number are: Policy Number Date . Var�ify that, in..the..perf.ormance 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 agree t,.if I should becomecubject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of A giican2-0 t rfGt_ X11 FJ �� 1�-2� 31 CLARATIO �EGARD�I t G CONSTRUCTION LENDING AGENCY Ireby 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 Co e). 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 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/j°�er the above -id tit' opert r inspection purposes. / /j �" L 3' nature of ProDertv Owner or Autfe rized Agent /J _—ZA, e-c� rint Property Owner's or Authorized Age4 Name I�� ez 1160h 1_i71O k1 L Date ACTION DATE BY DECLARAT`r034F COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQM D RULE 1403 PERMIT EXPIRED U I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED OEPA PERMIT EXTENDED 13AQMD PERMIT FINAL $,'jp �� ASBESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATEOF PROPOSED DEMOLITION OCCUPANCYISSUED SIGNATURE: