HomeMy WebLinkAboutX2019-2378 - Permitsi��whr,47 City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIII� II COMB Permit: X2019-2378
100 Civic Center Drive, Newport Beach, CA 92660 x 2 8 1 9 2 3 7 s Project No: 1713-2019
Permit Counter Phone (949)644-3288
u +p Inspection Requests Phone (949)644-3255
Issued Date : 07131/2019
Combination Type - BLDG ELEC 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: 2210 NEWPORT BLVD NB St: 1
FI: 2 Unit: 204
Description: COMM ILLUM CHANNEL LETTER WALL SIGN "VERB VUE"
Legal Desc.: TR 814 LOT 1 AND LOTS 2-9 INC
11 12 & 14 AND NEWPORT BEACH SEC A BILK
Owner: NPBMARINA LLC
Contractor:
SUPERIOR ELEC ADVRTSNG INC
Architect: INSPECTOR
Address: 601 RICHARDSON ST #C
Address:
1700 W ANAHEIM
Address:
SIMPSONVILLE, SC 29681
LONG BEACH CA 90813
Phone:
Phone:
562-495-3B08
Phone: State Lic:
Applicant: GRANDON GREGG
Con State Lic:
271598
Engineer: ,
Address: 1700 E ANAHEIM
Lic Expire:
02/2812021
Address:
LONG BEACH CA 90813
Bus Lic:
BT30067724
•
Phone: 562-755-5102
Lic Exp Date:
06/3012020
, , ,
Phone: State Lic: ,
Code Edit: 2016
Workers Compensation Insurance
Designer: GRANDON GREGG
Type of Construction:
Carrier:
TRAVELERS INDEMNITY
Address: 1700 E ANAHEIM
Occupancy Group: U
Policy No:
UB2772NO6A
LONG BEACH CA 90813
Added /New sq.ft. Bldg: 0
Expire:
0410112020
Phone: 562-755-5102
Added /New sq. ft. Garage: 0
No of Stories: 0
Building Setbacks
Rear: I
,
Special Conditions:
No of Units : 0
Front: I
Bldg Height: 0
Left: /
'
Bldg Sprinklers:
Right: /
Flood Zone:
Use Zone:
Parking Spaces:
0
rve Hazard cone : N
Construction Valuation:
$12,000.00
Building Permit Fee:
$264.00
Excise Tax:
$0.00
Planning Department -
Fire Department
Plan Check Fee: $229.68
Additional Fee :
$0.00
Plan check Fee :
$40.00
Fire Inspection:
$0.00
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:
$16.00
Grading Permit Fee:
$0.00
In -lieu Housing Fee :
$0.00
Building Dept Adm
$0.00
Energy Compliance:
$56.00
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 %:
$34.56
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 : $641.24
Plan Check Fee:
$341.76
Fee Due at Permit Issuance :
$299.48
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:�
APPROVAL TO ISSUE: �&./V
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 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
not more than five hundred dollars ($500).
❑ 1, 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 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).
❑ 1 am exempt from Iicensure 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 legalh
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 laJD
7044 o 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.htmi.
Signature of Proper'y Owner or Authorized Agent L'C_NEED CCNTRIk �TOR'S DECLARATION/I nereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 700 i n 3 of the Business and Profes'simy license is in full force
anu effect. License Class License No Date Contractor Signature
VORKERS' COMPENSATION DECLARATION
'ARVING: �AIW RE: TO'SFFURE 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
JST CIF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hcm5} affirm uni"er aohalty of perjury one of the following declarations:
I 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
ci�.or,r,a,Ice of the work for which this permit is issued. Policy No.
? 11 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' compensatio,
is"anct. carrier and policy number are:
:arner _-_ Policy Number Expiration Date
lame of Agent Phone #
certify that, in th=ofperjury
v✓o for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' gOmpensation laws of California, and agre
t, if I should becork s' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
nature of ApplicaDate—
CLARATION RE UCTION LENDING AGENCY
rreby affirm uncle that there is a construction lending agency for the performance of the work for which this permit is issued (Section 30967 Civil Code).
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 owner's behalf.
I have read this application and the information I have provided i correct. j
1 agree to comply with all applicable city and county o dfna ce and state laws relating to building construction.
I authorize representatives of this city or county jo a E ove-identified property for inspection purposes.
nature of Prooertv Owner or Authorized Agent 7 I Print Property Owner's or Authorized Agent's Name Date/
ACTION DATE BY I DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY
REGUJA.TIONS PART 61 OF TITLE 40 AND AQMD RULE
PERMITEXPIREO �," LJISUBMITTED ASBESTO NOTIFICATION TO
PERMIT CANCELLED / EPA n
PERMIT FINAL G -/� ,�!S / / G�Qp,S EEERE ENgOTIF 'TI N OT APPLICABLE TO
CERTIFICATE OF I yYyi'1'��nn tom(`-{IIJ`e I„(
OCCUPANCY ISSUED