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HomeMy WebLinkAboutX2021-1831 - Permitsv� City of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 u. Inspection Requests Phone (949)644-3255 Combination Type - BLDG ELEC COMB Permit: X2021-1831 Project No : 1580-2021 Issued Date : 08116/2021 Inspection Area : 7 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLE 1612024 OR PERM%tl INVALID Construction Hours: Monday -Friday 7:00 a.m. to 6:30 p.m. and Saturday from 8:0 :00 p.m. No work on Sundaays Job Address: 20360 BIRCH ST NB St: 1 FI: 1 Unit: 100 Description: COMM ILLUMINATED SIGN "EDEN FERTILITY"i aiJie - Legal Desc.: 1� aPpliG 1vQ0/0 CF.1uv%b Owner: NEWPORT HEIGHTS VENTURES Con ctor. IGN SPECI 1 cIB@D47/O Of n/ 1 8, Address: 4100 MACARTHUR BL_V %Addre ! li✓ ER RD #F tRddress: g NEWPORT BEACH CkVj 26€9 60 SANTA ANA 92 go Phone: " hone: %460 P,harte<�;'10�• State Lic: t�Applicant: TANNAYA ALLEN ° toN01313112022 Engineer: Address: Ill E DYER RD #F is xpi1C Address: SANTA ANA CA 92707 us06 .... Phone: 562-254-1623 hone: StateALc....Code Edit: 2019 'I t.. orker's Compensa esigner: NGO SONGType of Construction: VB BAddress: 111 W DYER RD #FOccupancy Group: U is o: C 69 SANTA ANA CA 92 Added /News ft. Bld 0 q g E 8 /2021 Phone: 714-64 4Added/New sq. ft. Garage: 0}No of Stories: 0 - Iding etbacks Rear: / p is iNo of UnitsFront: /Bldg Height: 0 Left: CkS�aBldg Sprinklers:RiFlood Zone Xa in 0 Fire Hazard Zone : N `a-, + + Construction Valuation: $10.000.00 3 - ¢; °°•=• Building Permit Fee: $249.00 E sew. `vjvSQ��t$0.00 Planning Depa �5iSea� ®«�•• °�CO6 Plan Check Fee: $216.63 ddiona Fee : $0.00 ec Fee, action: �$0.00 Overtime Plan Ck: $0.00 racing Bonds Fee: $0.00 Fair Share : $ Fire Plan Rev $0.00 Investigation Fee: $0.00 Grading PC Consultant .00 SJH T 0.00 Demolition Fee Record Management: $12.00 Grading, Perm e: $0.00 n-lieu e : $0.00 Building Dept Adm $0.00 Energy Compliance: $61.00 Grading PC Fee: orks Department- General Service $0.00 CA Seismic Safety: $0.00 WO Insp. Fee:. Park Dedication : $0.00 Refund Deposit $0.00 Disabled Access : $0.00 ,.:.;PNV Plan Check: $0.00 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical W $32.59 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 : $624.22 Plan Check Fee : $344.79 Fee Due at Permit Issuance : $279.43 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: PUBLIC WORKS APPROVAL: PLAN CHECK BY: 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 U 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 er onal Ff#oA,,�buiI69` r`proves the property, provided that the improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year tvnneT uilder will 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 contra actor struct the project (Section 77Po44, p,�Q� rofessions Code: The Contractors' State License Law does not apply to an owner of property w as thereon, an o� ractvs fo hewith a licensed Conti3ct�rhfs`h'dn'ffo Contractors' State License Law). ❑ I am exempt from licensure nder the Contractors' State Li Law he g-reasarr�—�- I , ! 0 "I I ei Li i By my signature below I ackno dge @S� jet form ence in which I must have resided for at least n 0o pletlon of the improvements covered by this permit, I cannot legal) sell a structure that I have built an cfBtlP1�F-guilder if it has not been constructed in' en' c tractors. I understand that a copy of the applicable law, Section 7044 of the Business and Professions Code, is available u on request when this appl n is itte at a ow :h:!/www.leginfo.ca.gov/calaw.html. Signature of Property Owner or thoriti: r . —� -- Date LICENSED CONTRACTOR' DE RATI %ON mom I hereby affirm under penalty of p rjury at I am nse Ions apt (com encing with Section 700 f Division 3 of the Business and Professions.,,; o nd n y license is in full force _ and effect. License Elass nse o D to Contractor Sig nature VORKJERS' C®MBPENSATIO DEC TI r'S.RRIRG. FAILURE406aCURE WORKE ' PENS N A E P MIN ENALTIES AND CNIL FINES UP TO ONE HUNDRED THOUSAN OLLAR5($100,000), IN ADDITION TO THE F THE C R OR 'S FEE COST OF•COMPEIJSQiIQIJ•UAMAGES AS ROVI TIOIng Rere6yaffrm under penalty of pe ry o of a wiaho I• •ave and will maintain a ce icat r workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for th • Trance ortne work for which t s p Policy No. •• a insurance, by Section 3700 the La C t hig issued. My }lave and Vill"Cigtain workers c mpensation as required of r IP( bev crite or permit Is workers' compensatio "rlS� I; ante carrier and•policy number re: � a� eplan, r ,t xrej 4FI�jtrl�Date aTne If Agenf •• �,y n g Phone# ` �' • I eaAfy that, in the performance 0 work for which Qtti ]U*t 516[ all not employ any person in any manner so as to become subject to the w nsatioti laws of California, and agre aat•it fahouldj]4il; p¢ subject t orkers compens Ion provisions of Section 3700 of the Labor Code, I shall forthwith co m I slon - ( (+� Signature of Applicant 'n: i��ii/ �I DECLARATION REGA ING NS "ENDING:=:ate':-=. ---°' I hereby affirm under penalty of perju h ere Is a construction lending agency for the performa or w ich this e 97, Civil Code). Lender's Name er s Address By my signature below, I certify to eac of the f I am the property owner or authortz d to ne 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 ordi nces and state laws relating to building construction. I authorize representatives of this city or county to nt r th ov -identified property for inspection purposes. 9 � 12 j V/ Signature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name R, Date ACTION DATE BY DE ATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY EGU LATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED LJ I SUBM ITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED LJEPA PERMITEXTENDED ❑AQMD PERMITFINAL ASBESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATE OF PROPOSED DEMOLITION OCCUPANCY ISSUED SIGNATURE: