HomeMy WebLinkAboutX2020-0863 - Permits (2)City of Newport Beach - Building Division *X20200863* COMB Permit: X2020 -0863
`t &� 100 Civic Center Drive, Newport Beach, CA 92660 Project No: 0594-2020
Permit Counter -Phone -(949)6443288
' aY Inspection Requests Phone (949)644-3255
n xrwvti* Issued Date: 04113/2020
Combination Type - BLDG ELEC
Inspection Area : 7
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY OR PERMIT WILL BE INVALID
Construction Hours: Monday - Friday 7:00 a.m. to 6:30 p.m. and Saturday from 8:00 a.m. t0 6:00 p.m. No work on Sundays or Holidays
Job Address: 1300 BISON AVE NB
Description: COMM REPLACE ILLUMINATED MONUMENT SIGN "THE BLUFFS"
Legal Desc.: PM 32648 PAR 1 POR OF PAR
Owner:
IRVINE CO
Address:
550 NEWPORT CENTER DR
Bus Lic:
NEWPORT BEACH, CA 92660
Phone:
714-204-0079
Applicant:
TRUEMARK
Address:
731 N MAIN ST
Front: /
ORANGE CA 92868
Phone:
714-744-2300
Code Edit :
Type of Construction:
Occupancy Group:
Added /New sq.ft. Bldg:
Added /New sq. ft. Garage:
No of Stories: 0
No of Units : 0
Bldg Height: 0
Bldg Sprinklers:
Construction Valuation:
Contractor:
TRUEMARK INC
Address:
731 N MAIN STREET
Bus Lic:
ORANGE CA 92868
Phone:
714-204-0079
Con State Lie:
926653
Lie Expire:
1213112020
Bus Lic:
BT30055601
Lie Exp Date:
0613012020
2019 Worker's Compensation Insurance
Carrier:
EVEREST NATIONAL
U Policy No:
7600008388181
0 Expire:
09/01/2020
0
CA Seismic Safety:
Building Setbacks
Rear: I
$0.00
Front: /
$0.00
Left: /
$1.00
Right: /
Building Permit Fee: $232.00
Plan Check Fee: $201.84
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management :
$8.00
Energy Compliance:
$56.00
CA Seismic Safety:
$0.00
Disabled Access:
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$1.00
TOTAL FEE: $569.21
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Architect
Address:
Phone: State Lie
Engineer:
JACOB TONY
Address:
P.O. BOX 802050
Additional Fee:
SANTA CLARITA CA 91380
Phone:
661-259.0700 State Lic:C-059022
Designer:
$0.00
Address:
Phone
Special Conditions:
Excise Tax:
$0.00
Planning Department -
$40.00
Additional Fee:
$0.00
Plan check Fee
Fire Plan Rev
Grading Bonds Fee:
$0.00
Fair Share
Grading PC Consultant:
$0.00
SJH Trans
Grading Permit Fee:
$0.00
In -lieu Housing Fee
Refund Deposit
Grading PC Fee:
$0.00
Public Works Department -
WO Insp. Fee:
$0.00
Park Dedication :
$0.00
PAN Plan Check :
$0.00
Electrical %:
$30.37
San Dist:
$0.00
Mechanical %:
$0.00
NMUSD Fee:
$0.00
Plumbing %:
$0.00
Plan Check Fee
$201.84 Fee Due at Permit Issuance : $367.37
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
APPROVAL TO ISSUE:
Fire Department
$40.00
Fire Inspection:
$0.00
$0.00
Fire Plan Rev
$0.00
$0.00
Demolition Fee
$0.00
Building Dept Adm
$0.00
General Service
$0.00
Refund Deposit
$0.00
Grading Bond:
$0.00
$0.00
$0.00
$201.84 Fee Due at Permit Issuance : $367.37
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
APPROVAL TO ISSUE:
OWNER -BUILDER
1 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
he 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
lot more than five hundred dollars ($500).
1, 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,
3usiness 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
mprovements 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
reproved for the purpose of sale).
1, 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
Ipply 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:
3y my signature below I acknowledge that, except for my personal residence in which 1 must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legally
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
Irofessions 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 Date
-ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force
Ind effect. License Class License No Date Contractor Signature
YORKERS' COMPENSATION DECLARATION
IARNING: 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
erformance 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 and policy number are:
Policy Number
of Agent
Date
JI 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 agree
tat, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
Iignature of Applicant Date_
IECLARATION REGARDING CONSTRUCTION LENDING AGENCY
hereby 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 Code).
ender's Name Lender's Address
ly 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 enter the above -identified property for inspection purposes.
ionature of Prooertv Owner or Authorized Aaent Print Prooertv Owner's or Authorized Aqent's Name Date
ACTION ,.% DATE 7 BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
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1403 REG TIONS PART 610E TITLE 40 AND AOMD RULE
I SUBMITTED ASBESTOS NOTIFICATION TO
PERMITCANCELLED
PERMIT EXTENDED
PERMIT FINAL UASBESTOS NOTIFICATION IS NOT APPLICABLE TO
CERTIFICATEOF PROPOSED DEMOLITION
OCCUPANCY ISSUED SIGNATURE: