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Home My WebLink AboutX2021-1901 - PermitsCity of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2021-1901 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 2 1 1 9 0 1 Project No : 1646-2021 Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Combination Type - CIP ELEC Issued Date : 72021 Inspection Arearea :7 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE C0.AWAgMffJFTP71 212024 OR PERMIT WILL BE INVALID Construction Hours: Monday- Friday 7:00 a.m. to 6:30 p.m. and Saturday from . to 6:00 p.m. No ork on Sundays or Holidays Job Address: 21165 NEWPORT COAST DR NB Description: COMM ILLUMINATED SIGN "NEWPORT BEAUTY SALON"..a Legal Desc.: P BK 318 PG 27 PAR 2 ,,,,,. •"'°°g-�'-kC-abI6. Owner: IRVINE CO Address 1101NNOV Phone 949IMAIN 0.3167 Applicant BERRAAddress ST Phone: Code Edit Type of Constru Occupancy Gro Added /New sq. Added /New sq. No of Stories: No of Units . Bldg Height: Bldg Sprinklers: Building Permit Fee4 Plan Check Fee: $ Overtime Plan Ck: Investigation Fee: Record Management Energy Compliance: CA Seismic Safety: Disabled Access: Hazardous Mat Building Green Fee Contractor: TRUEMARK INC `� 040Q49. fer n i Address: ,731-I1MAIN STRF,ET7 ga()% Of Address: -.,-- ��JORANGE A 9288'gJ Phone E 9 Phon on toGB f0lhpm Engineer: p -01Address:01 r 'cDate: 06/30/2022 Phone: Worker's CompeW8,tj",ign 'hce IN Designer: TRUEMARK IN INr Left: I Right: / kina Spaces: 0 Ex is T pp�i� aa� ��ed $0.00 Q4t�6titiorRiaa: $0.00 Grading Bonds Fee: $ Grading PC Consult8at-.:•P'--"$0.00 Gradi mlifee: $0.00 rading PC Fee: _—$O:OT WO Ins ,•$MW JeotflP9/ $38.48 Mechanical %: $0.00 Plumbing %: $0.00 TOTAL FEE: $366.37 Plan Check Fee PROCESSED BY: Ok ZONING APPROVAL: f y i•r GRADING APPROVAL: Address: 731 N MAIN ST rO7RANGE, CA Phonp ce:ICt1��77 I nn *Of 1`5 af�EFire Hazard Zone : N State Lic: cc: .... e • •ee• • o eoe a me••oU em m ee ® m State Lic:LU (1 • • • m ee e 0 0 • m m m •m m • " 0o c 0o m o ®m common m m om o `l9�rJy ooeoo m oc0000 0o m o 0 0 m m m o 0 _� •m 0000ca o m o cmmoom ommo o Planning De actm>?ff- ,g; 1,y; �I�Depent CBI c eck Fee : ��5�y, >ti�'�s�d0 _,�.+.°Fm�spection: Fair Share,$&0 � Fire Plan Rev �TreriS: $0.00 Demolition Fee In -lie ee : $0.00 Building Dept Adm :c Works Department - General Service Park Dedication : $0.00 Refund Deposit PAN Plan Check: $0.00 Grading Bond: San Dist : $0.00 NMUSD Fee: $0.00 $0.00 Fee Due at Permit Issuance PUBLIC WORKS APPROVAL: gyp, PLAN CHECK BY: APPROVAL TO ISSUE: $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $366.37 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 Iicensure 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 L) all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044, siness 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 Iicensure 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 legal],. 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 Ifessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. nature of PropBR90yvner or Authorized Agent Date :EN§ED CONTRACTOR'S DECLARATION a",affirm undewpanalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) qt/D' 'Sio of the Business and Professions o d m e In full force I effect. License Class License No Date YY'' L Contractor Signature / rl )RIZERS' COMPENSATION DECLARATION MING: FAILURE 11D SEBYRE 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 I= OR JOMPENS'AFIpR, *MAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. rebq affirm under pvepalty of perjury one of the following declarations: i Roue and %I.Aaintain 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 th �Mance of the work for which this permit is issued. Policy No. and willl•maintein 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' carrier aadpolicy number are: Policy Number Date is of Agent • Phone # 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 if I should become s/uubject tot workers' com nation rovisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. iatu reofApplicant L_ ,.r�...om a, roviis Date—Z 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 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 tryent� th,abovejdent> roped for inspection purposes. �� Z/ Owner or Authorized Agent f '; Print Property Owner's or Authorized Ag DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AN D AQMD RULE EXPIRED 3.Z5=-,kW 0 1 ❑ I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT EXTENDED UAQMD PERMITFINAL U ASBESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATE OF PROPOSED DEMOLITION OCCUPANCYISSUED SIGNATURE: