HomeMy WebLinkAboutX2020-0257 - PermitsCity of Newport Beach - Building Division COMB Permit: X2020-0257
Ala
100 Civic Center Drive, Newport Beach, CA 92660 x 2 0 2 0 0 2 5 7 Project No : 0209-2020
Permit Counter Phone (949)644-3288
44 3255
U Inspection Requests Phone (949)6 - Issued Date: 01/3112020
Combination Type - CIP 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: 1020 IRVINE AVE NB
Description: COMM ILLUMINATED SIGN "CVS PHARMACY" I �. V1 ���
Legal Desc.: TR 4824 LOT 14 AND POR OF LOT 17 �
Owner:
IRVINE CO
Address:
550 NEWPORT CENTER DR
NEWPORT BEACH, CA 92660
Phone:
Applicant:
ESPARZA JOCELYN
Address:
1405 W. OLYMPIC BLVD
MONTEBELLO, CA 90640
Phone:
323-459-0420
Code Edit :
2016
Type of Construction:
Occupancy Group:
U
Added /New sq.ft. Bldg:
0
Added /New sq. ft. Garage: 0
No of Stories:
0
No of Units :
0
Bldg Height:
0
Bldg Sprinklers:
Flood Zone:
Construction Valuation:
Building Permit Fee:
$120.00
Plan Check Fee: $104.40
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management:
$0.00
Energy Compliance:
$0.00
CA Seismic Safety :
$0.00
Disabled Access :
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$1.00
TOTAL FEE( $296.82
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Contractor: G & J NEON SIGNS INC
Address: 1405 W OLYMPIC BLVD
MONTEBELLO CA 92660
Phone: 323-707-2163
Con State Lic:
921654
Lic Expire:
09/3012020
Bus Lic:
BT30070868
Lic Exp Date:
01131/2021
Worker's Compensation Insurance
Carrier:
STATE COMP
Policy No:
9238790
Expire:
0912612020
Building Setbacks
Excise Tax:
Additional Fee
Grading Bonds Fee:
Grading PC Consultant
Grading Permit Fee:
Grading PC Fee:
WQ Insp. Fee:
Electrical %:
Mechanical %:
Plumbinq %:
Rear: /
Front: I
Left: I
Right: I
'arkina Spaces
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$31.42
$0.00
$0.00
Plan Check Fee
Architect:
Address:
Phone:
Engineer:
Address:
State Lic:
Phone: State Lic
Designer: ESPARZA JOCELYN
Address: 1405 W. OLYMPIC BLVD
MONTEBELLO, CA 90640
Phone: 323-459-0420
Special Conditions
Fire
Planning Department -
Plan check Fee
Fair Share
SJH Trans:
In -lieu Housing Fee:
Public Works Department -
Park Dedication :
$0.00
P/W Plan Check:
$0.00
San Dist:
$0.00
NMUSD Fee:
$0.00
$159.02
PUBLIC WORKS
PLAN CHECK -' APPROVAL TO 1
Fire Department
$40.00
Fire Inspection:
$0.00
Fire Plan Rev
$0.00
Demolition Fee
$0.00
Building Dept Adm
General Service
Refund Deposit
Grading Bond:
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Fee Due at Permit Issuance : $137.80
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 (_) 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
i�m roved for the purpose of sale).
1, 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 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 urger peralty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7 of vision 3 of the Business and Profe;sr6p o e, and my license is in full force
and effect. License Class License No Date Contractor Signature J
IIOOKKFRS' CCIMPFNSATION DECLARATION
NAPNINC FAILURE TO SECURE 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
CLSPOF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm urder pcnalty of perjury one of the following declarations:
-hatre 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
55erFoRTlance of the work For which this permit is issued. Policy No.
t� 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 i issued. My workers' compensatiol
.w_ nre carrier and licy n�jmber are:
Snrrfer-�I�-VI Policy Number W ��2W 1 0� Expiration Date z
V.= ''lgent - Phone#
' eeitify that, ir, 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' compensate n laws of California, and agree
t, if I should become bj to wVorj/syr/s'�/pmpensation prov ction 3700 of the Labor Code, I shall forthwith comply with those provisions.
nature of Applicant / e Datg/�� J� 2.
CLARATION REG RDING CO S RUCT DING AGENCY
ereby affirm under enalty of perjury that ere is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
Ider'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 correct.
I agree to comply with all applicable city and county ordinances and state laws relating to buj1ding construction.
I authorize representatives of this city or coup t ter a e-identified pro or inspection purposes.
Signature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name Dat
ACTION DATE BY DECLARATI V OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
1403
PERMIT EXPIRED
PERMIT CANCELLED
PERMITEXTENDED
PERMITFINAL
CERTIFICATE OF
OCCUPANCY ISSUED
I SUBMITTED ASBESTOS NOTIFICATION TO
NOTIFICATION IS NOT APPLICABLE TO
PROPOSED DEMOLITION