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HomeMy WebLinkAboutX2019-2811 - PermitsCity of Newport Beach - Building Division IIIIIIIIIIIIIIIIIII�I�IIIIIIIIIIIIIIIIillllllllll COMB Permit: X2019-2811 aw 100 Civic Center Drive, Newport Beach, CA 92660 X 2 9 1 2 8 1 1 Project No 1997-2019 t+ Permit Counter Phone (949)644-3288 1 f R nspec on equests Phone (949)644-3255 to vt�tiz'sm "' Combination Type - BLDG ELEC Issued Date : 09/2512019 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: 2043 WESTCLIFF DR NB St: 1 FI: 1 Unit: 101 Description: COMM ILLUMINATED WALL SIGN "NEWPORT JEWELER" Legal Desc.: N TR 4225 LOT 2 Owner: HANKEY INVESTMENT CO Address:. 190 NEWPORT CENTER DR NEWPORT BEACH CA 92660 Phone: Applicant: NALBANDIAN JACOB Address: 2043 WESTCLIFF DR #101 NEWPORT BEACH, CA 92660 Phone: 949.535-0222 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: Construction Valuation: $6,000.00 Building Permit Fee: $162.00 Plan Check Fee: $132.24 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management : $6.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee Grading Permit Fee: FEE: $351 PROCESSED BY: ZONING APPROVAL: Contractor: SIGN CONCEPTS Address: 18281 GOTHARD ST #107 Expire: HUNTINGTON BEACH CA 92646 Phone: 714-396-9536 Con State Lie: 913230 Lie Expire: 04/30/2020 Bus Lie: BT30058422 Lie Exp Date: 03/31/2020 Worker's Compensation Insurance Carrier: TRAVELERS PROPERTY Policy No: UBBL695334 Expire: 02/01/2020 Building Setbacks Rear: I Front: / Grading Bonds Fee: Left: I Fair Share : Right: Use Zone: Parkinc Snaces: 0 Architect: Address: Phone: Engineer: Address: INSPECT®R State Lie: Phone: State Lie Designer: NALBANDIAN JACOB Address: 2043 WESTCLIFF DR #101 NEWPORT BEACH, CA 92660 Phone: Special Conditions Excise Tax: $0.00 Planning Department- Additional Fee : $0.00 Plan check Fee: $40.00 Grading Bonds Fee: $0.00 Fair Share : $0.00 Grading PC Consultant: $0.00 SJH Trans: $0.00 Grading Permit Fee: $0.00 In -lieu Housing Fee: $0.00 Grading PC Fee: $0.00 Public Works Department - WQ Insp. Fee: $0.00 Park Dedication : $0.00 PAN Plan Check: $0.00 Electrical %: $19.90 San Dist: $0.00 Mechanical %: $0.00 NMUSD Feer $0.00 Plumbing %: $0.00 Plan Check Fee: $190.75 Fes -Bae -a PUBLIC WOF(KS APPROVAL: PLAN CHECK GRADING APPROVAL: A / I APPROVAL TO ISSUE: Fire Department Fire Inspection: Fire Plan Rev Demolition Fee Building Dept Adm General Service Refund Deposit Grading Bond: it Issuance Boma 0000 O 0a e e a ooma 4 pA A m o 0 m m• • ma0 o e mmG a m m Lso•oe. m - omooc $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $160.39 • J me000c O C manioc a ammo• Lomaoo c c a c oaomoe m o osmm 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) ction 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 �fessions 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). I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, ;!mess 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 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 �fessions Code, is available upon request when this application is submitted or at the following Web site:http:/Aw .leginfo.ca.gov/calaw.html. nature of Property Owner or Authorized Agent Date TENSED CfJiVMCTOR'S DECLARATION :rebyaffirm uIR19i'llenaltYYyyf perjury hat I m ' nsed under provisions of Chapter 9 com ncin/g with Section 70 vs on 3 of the Business and Profs s Code, and my license is in full force I'8f12;t. Licgltse� lass'71�{f� !License No r I Dat _ Contractor Signatunx��� )RISERS' COMPENSATION DECLARATION r / &IVPF FAILURE TCSECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO C WNAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE IT OF COMPENSATION•DAMAGES AS PROVIDED FOR IN SECTION 3708 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEE . �iebyaffirm under penalty of perjury one of the following declarations: j jtave and 21110 mla�taln 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 thf mance of the )perk for which this permit is issued. Policy No. 4 and will Phaintain 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 ppq pgncy number are: _ .t''9yaj•Lti UlzLl{�y . Policy Number �L� `'%,��J�J' L� �� Expiration Date 0,7-1011 Z. 2C •:- rc�Ul GJ/2.G-TLS. = _ Phone# n- - 6 -�:s " Z£s :31 certify that, in' the.•• pertorVmance 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 egret hat, if I should become su 'ect to the workers' comp sation provisions of Section 3700. of the Labor Code, I shall forthwith comply with those provisions. Signature of Applicant-"- Date )ECLARATION REGPJRE)INer(ioNSTRUCTfOWLENDING AGENCY hereby affirm underenalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). -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 county er the above -Identified property for inspection purposes. �. Si nature of Property Owner or Authorized Agan -1 - - —'Print Property Owner's or Authorized Agent's ACTION DATE BY DrdARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 El I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT EXTENDED L_1AQMD PERMITFINAL `, `�,v'tp ASBESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATE OF PROPOSED DEMOLITION OCCUPANCYISSUED SIGNATURE: