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HomeMy WebLinkAboutX2018-0370 - PermitsCity of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIII�III II COMB Permit: X2018-0370 a' 100 Civic Center Drive, Newport Beach, CA 92660 x 2 0 1 8 0 3 7 0 Project No : 0304-2018 H _ Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Combination Type - BLDG ELEC Issued Date : Area : 2018 >•trrrw 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: 351 OLD NEWPORT BLVD NB Description: COMM ILLUMINATED WALL SIGN "FARMERS INSURANCE" .... Legal Desc.: TR 27 LOT 24 BLK 9 IRREG LOT IN LOT-INC POR OF ABAN STS ADJ ON NW & ' , e e . Owner: NEWPOR ,:ME$1c�L CENTER Contractor: 3 - D SIGNS Architect: �6�+e ° • "m ®° ° ° Address: 24, HE/ LTH CENTEWDR"#600=— - -- -- - Address., _ _ 23034 LAKE FOREST SUITE C Address: �p • LAGUNA HILLS, CA 92653 ""��%CY'aUtVA�HfLL Phone:, r, �/y�- ¢ Phone: 949.770.9252 _ on State Lic:$°�,� , • - Applicant: OLLMARIR JERRY -'won State-tc--4ZOR-2Z�f ��p(��a 1 per: Address: 2303^I MQ'ULTON PKWY STE 312 Lic Expire 11130/201 B k0dress: ° m " • • •. e o LAGUNA ILLS CA 92653 y.. a� 36911C e i eg�" T3 p • �. + . e o ° o Phone 9499 252 F,; uz ' Lij<&p Nt ,.' 2$ d1�'`" tJ -J0% UIPE° e:� 0 State Lic: • •® �.j f QO /o refund %..°. ° Code Edit 20 rv< .`"` " .s, Wo7,�ter s�Cor rpeA tio�r 1 nce �� Designer: OLLMARK JER Type of Construction: Carrier C'0 "- dir 1 A Address: 23031 MOULTO PKWY STE 312 ° ® • �r� wh®m: Occupancy Group:, a�o Policy No 5085294834 ILLS A 92653Added /News ft, Bldwq. g ,,gift 08/01/2016Phone: 949-770-9252 Added /New sq ft -,Ga ge:.` a� L Ii�NoofStones:0-F'`uilhbekar �rlK: Special Conditions: P'N ANo of Units : 0 ``,,� Bldg Height: Bldg Sprinklers:.,> Right: / Flood Zone: Use Zone: Parkin Spaces: 0 Fire Hazard Zone : N Construction Valua n: 6 �� � Building PermifFe $112. yim­"'" `""° aiise tlr;sll an $o.00 PI. i l 0 eg�� � Fir Department Plan Check Fee: 97.44 (work ��ttppal,fFee : $0.00 0 - I ft e io W ', J F e Inspection: $0.00 Overtime Plaft Ck: $0.00 tlirf)ggadB ds Fee: $0.00 Fair Shar $ Fir Plan Rev $0.00 Investigation Fee: qq,, 95 4$$0.00 Grading PC Consultant: $0.00 (n UJFWtfi�K�: Started) $0.00 De olition Fee Record Managem tt'tt®t�$;00 Grading Permit Fee: $0.00 In -lieu Housing Fee: J $0.00 uilding Dept Adm $0.00 Energy Complian $56.o1i""-------6radiog Fee: $0.00 Public Works Department - eneral Service $0.00 CA Seismic Safet $0.00 WQ Insp. Fee : Dedication : $0.00 efund Deposit $0.00 Disabled Access : ®—$fl:60- PM/ Plan Chec $D:0 -._ G ding Bond: $0.00 Hazardous Mat �$Oa9a. Electrical _e°cNa7iiC'a1i0San Dist :Its .O in3ip�� o--_- BuildingGreenFee: $1.00 7 =�-. ..�.-Q°;$.Q,;ppNMUSUPee: f 0. $0.00 . Plumbing %: $0.00 �"����_ — d $0.00 TOTAL FEE: $320.60 Plan Check Fee: $0.00 Fee Due at Permit Issuance : $320.60 PROCESSED BY: PUBLIC WORKS APPROVAL: ZONING APPROVAL: PLAN CHECK BY: GRADING APPROVAL: APPROVAL TO ISSUE: �Jr�" 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 L) all of or U 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 im roved for the purpose of sale). 1, as owner gnAL? arpperty, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not ply to an owner -&property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). l s14yexemp), 6oryliQensure under the Contractors' State License Law for the following reason: By.my signature below hacknowledge 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 Belle structure thadl 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 lirofessions Cod® jSavailable upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. $igpatCrip of PrdIVVy Owner or Authorized Agent I D CICNIlSED CQNTMCTOR'S DECLARATION I'heireby�affirm :rider penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70 0 Qf,piv' ion 3 of the Business and Prof n , and my lit 'mfull force Errd.afiect. License Class License No DatContractor Signatu JMRKERS' COISAPENSATION DECLARATION VARNINGI FAILURE L VEIGIRE 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 ;QgTpFC,OMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. 'tre"by'affirm yrfd�er penally 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 th )efformance 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' compensatiol Insurance carrier and policy number are: Carrier Policy Number Expiration Date Name of Agent Phone # ❑I certify that, in the pe ante f the work r which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' c pensation laws of California, and agre, that, if I should become b act workers' pensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Signature of Applicant - Date � DECLARATION REG IN CONSTRUCTION LENDING AGENCY I hereby affirm under enalty 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). Lender's Name Lender's Address By 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 1 have pr ded is correct. I agree to comply with all applicable city and count in and state laws relating to building construction. I authorize representatives of this city or count t bove-identified property for inspection purposes. 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