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Home My WebLink AboutX2022-0341 - Permitsy1� City of Newport Beach - Building Division `G 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 .. Inspection Requests Phone (949)644-3255 Combination Type - CIP ELEC *X2022-0341* COMB Permit: X2022-0341 Project No : 0307-2022 Issued Date : 02/07/2022 Inspection Area : 7 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0210712025 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. to 6:00 p.m. No work on Sundays or Holidays Job Address: 2001 WESTCLIFF DR NB St: 1 FI: 3 Unit: 300 Description: COMM ILLUMINTATED SIGN "LABRYOIVC CLINIC' Legal Desc.: Owner: HANKEY INVESTMENT COMPANY Contractor: ARCHITECTURAL DESIGN & SIGNS Architect: Address: 2043 WESTCLIFF DR Address: 2950 PALISADES DR Address: NEWPORT BEACH, CA 92660 CORONA CA 92880 Phone: Phone: 951-278-0680 Phone: State Lic: Applicant: COHEN BARBARA Con State Lic: 714309 Engineer: SULLAWAY MICHAEL Address: 1160 RAILROAD STREET Lic Expire: 10131/2023 Address: PO BOX 28789 CORONA, CA 92882 Bus Lic: ST30077924 - SAN DIEGO CA 92198 Phone: 714-906-2029 Lic Exp Date: 02/28/2023 Phone: 858-336-7606 State Lic:C-048588 •••• • Code Edit: 2019 Worker's Compensation Insurance Designer: ° omom Type of Construction: Carrier: BERKSHIRE Address: m°. ®• m0O0B� Occupancy Group: U Policy No: ARWC240944 Added/New sq.ft. Bldg: 0 Expire: 0510512022 Phone: ° °m•° o Added/New sq. ft. Garage: 0 ® ° No of Stories: 0 Building Setbacks Rear: / Special Conditions: °000•m • m m ® m ° °oe o No of Units : 0 Front: I Bldg Height: 0 Left: / ° m o ...... Bldg Sprinklers: Right: I m m o 0 0 0 Flood Zone: Use Zone: Parking Spaces: 0 Fire Hazard Zone : N ...... Construction Valuation: $4,859.00 m m• oom000 Building Permit Fee: $164.00 Excise Tax: $0.00 Planning Department - Fire Department m ° • ° ° ° m ° ° m ° Plan Check Fee: $142.68 Additional Fee : $0.00 Plan check Fee : $62.00 Fire Inspection: • $090 Overtime Plan Ck: $0.00 Grading Bonds Fee: $0.00 Fair Share : $0.00 Fire Plan Rev $0.00 Investigation Fee: $0.00 Grading PC Consultant : $0.00 SJH Trans : $0.00 Demolition Fee Record Management: $0.00 Grading Permit Fee: $0.00 In -lieu Housing Fee : $0.00 Building Dept Adm $0.00 Energy Compliance: $0.00 Grading PC Fee: $0.00 Public Works Department - General Service $0.00 CA Seismic Safety: $0.00 WQ Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $0.00 Disabled Access : $0.00 PAN Plan Check: $0.00 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical %: $42.94 San Dist: $0.00 .Building Green Fee : $1.00 Mechanical %: $0.00 NMUSD Fee: $0.00 $0.00 Plumbing %: $0.00 $0.00 TOTAL FEE : $402.62 Plan Check Fee: $214.66 Fee Due at Permit Issuance : $187.96 PROCESSED BY: PUBLIC WORKS APPROVAL: I_ ZONING APPROVAL: PLAN CHECK BY: GRADING APPROVAL: APPROVAL TO ISSUE: 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 (_) 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-Builderwill 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). I am exempt from licensure under the Contractors' State License Law for the following 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 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 Professions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 0 ) of DIVIS 3 of the Business and Prof i n ' ode, an my license is in full force and effect. License Class '�--JiJ—�`- License No i/ C! 3®� Date Contractor Signature WORKERS' CpMPENSATION DECLARATION V',fRNING:FAILURE Tt"(9U RE 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 OD650FGOMPENSA=I0N,,p#WAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm ufiaar penalty of perjury one of the following declarations: •'j;Vb 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 IN performance of the+,vock for which this permit is issued. Policy No. ilaYif and w,Ira,&i?,taIn workers' compensation insurance, as required by Section 3700 of the Labor Cade, for the performance of the work for which this permit is issued. My workers' compensatior auj ce carrier and policy number are: (Arper- • • • • — Policy Number Expiration Date W4rp1 pt.Agent Phone # • I certify that, in the performance of the work for which this ermit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agrer N1e41 ifs should Albrine'subject to the workers' compensatio provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. SIg6XLARA f ON REGa. i' Date DECLARATION REG ONS UCT ING A ENCY I hereby affirm under penalt of_p€rj that here is�a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil ode). 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 I have provided is cofrect� I agree to comply with all applicable city and cou y ordinances rid late ws relating to building construction. I authorize representatives of this city or count enter the a ov denied property for inspection purposes.,/ Z Signature of PropertyOwner or Authorized A ent Print Property Owner's or Authorized Agent's Name ��7''r'" Date ACTION DATE BY DE .ATJ OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY RE GU T ON' PART 610F TITLE 40 ANDAQMD RULE PERMIT EXPIRED [SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED EPA TO CERTIFICATE OF OCCUPANCYISSUED