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Home My WebLink AboutX2019-2233 - PermitsCity of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIillllllllllllllllllllllll�lllCOMB Permit: X2019-2233 a 100 Civic Center Drive, Newport Beach CA 92660 X 2 0 1 9 2 2 3 3 ' Permit Counter Phone (949)644-3288 �f I I ., Project No: 1613-2019 "v Inspection Requests Phone (949)644-3255 X y _u Il 74- Combination Type - BLDG ELEC / e Issued Date : 0810112019 x r r„was* I �p l 0 i eIA�s w!� �� 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: 1101 BAYSIDE DR NB Description: COMM (3) MONUMENT SIGNS"BAYSIDE PARK" Legal Desc.: P BK 171 PG 40 PAR 1 ..... Owner BAYSIDE SQUARE LLC Address: 1111 BAYSIDE DR CORONA DEL MAR, CA 92625 Phone: Applicant: TETZLAFF BRYAN Address:. 240 NEWPORT CENTER DR STE 219 NEWPORT BEACH, CA 92660 Phone: ' 626.905.2181 Code Edit, 2016 Type of Construction: Occupancy Group: U Added /New sq.f . Bldg: 0 Added /New sq. ft.. Garage: 0 No of Stories: 0 No of Units : 0 Bldg Height: 0 Bldg Sprinklers: 91- 7 -- TOTAL FEE: $417.14 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Contractor BLAKE SIGN COMPANY INC Address: 11661 SEABOARD CIRCLE Construction Valuation: $5. Phone: Building Permit Fee: $152.00 506422 Plan Check Fee: $132.24 02/28/2021 Overtime Plan Ck. $0.00 Lie Exp Date: Investigation. Feer '.$0.00 Carrier: Record Management: $16.00 C6602247A Energy Compliance: $56.00 Building Setbacks CA Seismic Safety'. $0.00 Front: / Disabled Access : $0.00 ° Hazardous Mat $0.00 Building Green Fee :. $1.00 TOTAL FEE: $417.14 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Contractor BLAKE SIGN COMPANY INC Address: 11661 SEABOARD CIRCLE Excise Tax: STANTON CA 90680 Phone: 714-891-5662 Con State Lie: 506422 Lie Expire: 02/28/2021 Bus Lie: '. BT30060070. Lie Exp Date: 08/3112019 Worker's Compensation Insurance Carrier: EMPLOYEE SERV GRP Policy No: C6602247A Expire:O6IO1I2020 Plumbing %: Building Setbacks Rear: I _ m Front: / State Lie: Left: / ° Righty' Use Zone: Parking Spaces: 0 Excise Tax: $0.00 Additional Fee : $0.00 Grading Bonds Fee: $0.00 Grading PC Consultant: $0.00 Grading Permit Fee: $0.00 Grading PC Fee: $0.00 WQ Insp. Fee: $0.00 Electrical %: $19.90 Mechanical %: $0.00 Plumbing %: $0.00 Planning Department - Architect: Address: Phone: Engineer: Address: Phone: Designer: Address: Phone: 'A e Fair Share MCNEIL CHRIS SJH Trans $0.00 1161 SEABOARD CIR Fire Plan Rev State Lie: • ®° c O°e°nc e ° ° e NMUSD Fee: r $0.00 Refund Deposit $0.00 m Grading Bond: State Lie: ° Special Conditions: Plan check Fee: Fire Department Fair Share MCNEIL CHRIS SJH Trans $0.00 1161 SEABOARD CIR Fire Plan Rev Public Works Department- STANTON, CA 90680 mo O°e°nc 714-891-5682 e.... e Special Conditions: Plan check Fee: Fire Department Fair Share $40.00 -. SJH Trans $0.00 In -lieu Housing Fee: Fire Plan Rev Public Works Department- . Park Dedication: $0.00 PAN Plan Check: $0.00 San Dist: $0.00 NMUSD Fee: $0.00 Plan Check Fee : $181.50 N Fee Due at Permit Issuance $235.64 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 Fee Due at Permit Issuance $235.64 PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE:. LDER 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). ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) 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 Erim roved 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 appI,aly tom an p�ner aF property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). .. ❑ exempt .f. rom licensure under the Contractors' State License Law for the following reason: By.ny signajlhdbelow 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 legalf, sell a` structur@ tIM 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 Prftsions Code, is available upon request when this application is submitted or at the following Web site:hltp://w .leginfo.ca.gov/calaw.html. Sianature of PiGwgv Owner or Authorized Agent ,. , Date Aeby affirmylnder penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70Qb) ofTr�I�v'e�s; o'nf3 of the Business and Profes '6ns Code, a d. Uc ns srin full force lrffect. t' CQM Floss License No Date 2k- L Contractor Signature G� litT(ERS' CQMPENSATION DECLARATION A / I � \ E// ,19NG: FAILUR TO SWURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMIN L PENALTIES AND CIVIL FINES UP TO ONE HUNDR O THOUSAND DOLLArtheLalb DITION TO THE T OV COMPE(J1ATai•N.DAMAGES AS PROVIDED FOR IN SECTION 0706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. r p.v affirm under penalty of perjury one of the following declarations: :,ave and wijl;rpogintain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 370Code, for th ormance of the work far 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' Fence carrier and policy number are: is of Agent certify that, in the perfor once of the work if I should become But. u ject to the workers' Iature of Applicant 3 CONSTRUCTION LEI Policy Number Date �.is sued, I shall not employ any person in any manner so as to become subject to the worker 'compensation laws of California, and ogre ons of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. —NL D to ICY rreby affirm undernalty of perjury that there is a couction lending agency for the performance of the work for which this permit is issued (Section 3 97, Civil Code). p n�Cr 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 owners behalf. CA 2 ( 5 I have read this application and the information I hav provided is correct. I agree to comply with all applicable city and county rdinances and state law at ng to building construction. I authorize representatives of this city or county tolbnter the abo e ' I property for inspection purposes. nature of Property Owner or Authorized A ent Print Property Owner's or Authorized Agent's N me Date TION,I DATE fir! DECLARATION OF 'WITH CODE OF FEDERAL FOR OFFICE USE ONLY ,f--/_ // ,^ 4A „ /(� EGULATION PA 630FTITLE 40 AND AQMD RULE PERMIT EXPIRED PERMITCANCELLED PERMIT EXTENDED CERTIFICATEOF OCCUPANCY ISSUED NOTIFICATION TO TO Q ` C a °A O U •a m Z ¢U U f4 � t •L Ql u Q ` N ajN L 0 41 41a C { J a c 0 a f0m CL � U to c to Q cu a u o [o U 1 C_'i 07 J a C � C v L � a