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Home My WebLink AboutX2020-1434 - Permits�cr1r City of Newport Beach - Building Division IIIIIIIIIII�IIIIIIIIlIIIIIIIIIIIIIIIIIIIIIIIIIIIII II 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 2 8 1 4 3 4 Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 NO CONSTRUCTION NTo CTION NOi SE Combination Type - BLDG PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJEC Construction Hours: Monday - Friday 7:00 a.m. to 6:30 p.m. aef Job Address: 3404 VIA OPORTO NB St: 1 FI: 1 Unit: 101 Description: COMM SIGN "SHOPPE AMBER INTERIORS" Legal Desc.: PM 59-17 PAR 1 POR OF PAR Owner: WYPARK INVESTMENTS PC Contractor: TYKO TAKO Address: 60 S MARKET ST Address: 5010 VENICE BLVD SAN JOSE CA 95113 LOS ANGELES CA 90019 Phone: Phone: 800-731-6012 Applicant: GUZMAN MIRIAM Address: 11818 RAMONA AVE Record Management: HAWTHORNE CA 90250 Phone: 310-617-0222 Code Edit: 2019 Type of Construction: VB 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: Building Permit Fee: $139.00 Plan Check Fee: $120.93 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $10.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access: $0.00 Hazardous Mat $0.00 Building Green Fee : $1.00 TOTAL FEE: $312.43 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Con State Lic: 690492 Lic Expire: 0613012022 Bus Lic: BT30064486 Lic Exp Date: 0913012020 Worker's Compensation Insurance Carrier: TRAVELERS PROPERTY Policy No: UBgJ1215661843G Expire: 01101/2021 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: / Front: I Left: / Right: I $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 COMB Permit: X2020-1434 Project No : 1116-2020 Issued Date :0612312020 Inspection Area : 7 'LETED BY 06(2412023 OR PERMIT WILL BE INVALID 6:00 p.m. No work on Sundays or Holidays Architect Address: Phone: State Lic Engineer Address: Phone: State Lic Designer: L MORENO Address: 5010 VENICE BLVD Fair Share LOS ANGELES CA 90250 Phone: 310-617-0222 Special Conditions: LIQUEFACTION AREA Public Works Department - HIGH DENSITY Fire Hazard Zone : N Planning Department - Fire Department Plan check Fee Fire Inspection: Fair Share Fire Plan Rev SJH Trans Demolition Fee In -lieu Housing Fee Building Dept Adm Public Works Department - Park Dedication : $0.00 PM Plan Check: $0.00 San Dist: $0.00 NMUSD Fee: $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Plan Check Fee: $0.00 Fee Due at Permit Issuance : $312.43 PlSB-IC Wdhl(S,APPROVAL: • ° ` • Pb C16I CHOCK B•Ii W _ APPROVAL TO ISSUE: 9 n OUt OG a Fire Department $41.50 Fire Inspection: $0.00 Fire Plan Rev $0.00 Demolition Fee $0.00 Building Dept Adm General Service Refund Deposit Grading Bond: $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Plan Check Fee: $0.00 Fee Due at Permit Issuance : $312.43 PlSB-IC Wdhl(S,APPROVAL: • ° ` • Pb C16I CHOCK B•Ii W _ APPROVAL TO ISSUE: 9 n OUt OG a 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 and 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 penalty of not more than five hundred dollars ($500). ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do U 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 improved 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). IJ I am exempt from licensure under the Contractors' State License Law for the fallowing 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 covered by this permit, I cannot legalh 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, Section 7044 of the Business and Professions Code, is available upon request when this application is submitted or at the following Web site:http:/Amw.leginfo.ca.gov/calaw.html. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000 .qf Division 3 of the Business and Pr ssi ns Copq'((d my license is in full force and effect. License Class License No Date 1}'bontractor Signature NORKERS' COMPENSATION DECLARATION YARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE :OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: 1 have and will 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 the ley brmance of the work for 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' rance carrier anolicy number are, ['1, /� ier I 0A cv.Nda er Expiration Date of Agent A certify that, in the performance 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 agre Iat, if I should become .,su/yf'ect tq�[Ips Wq ers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. C ignature of Applicant X I ,/��fLtLlrjl Datea__ A iECLARATION REGA' IIm CO R TION LENDING AGENCY " hereby affirm under pedally of petry 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 y 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 tea er tha dentified property for inspection purposes. i �, j ignature of Propertv Owner or Authorized ADent JC , Print Prooertv Owner's or Authorized Acent's NarifeZ D.11 --h )C)'-7: DATE BY DECLARATION OF I REGULATIONS PART61 OF IITLE 40 AND AQMD RULE CE WITH CODE OF AL FOR OFFICE USE ONLY PERMIT EXPIRED I. JISUBMITTEDASBESTOS TIFICATIONTO-• •• PERMITCANCELLED EPA a • •• • • • •• s PERMITEXTENDED QMp • • a • • •. •«• PERMIT FINALEl ASBESTOS NOTIFICA310N ISNOT APPLICABLE TO CERTIFICATEOF 6 PROPOSED DEMOLITION OCCUPANCY ISSUED SIGNATURE: �.• • • ••a •:• •• a•