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Home My WebLink AboutX2021-1526 - Permits001. � •1q City of Newport Beach - Building Division II IIII IIIII IIIIII I IIII IIII I II IIII� II COMB Permit: X2021-1526 .� 100 Civic Center Drive, Newport Beach, CA 92660 X 2 9 2 1 1 5 2 6 Project No : 1342-2021 4 - Permit Counter Phone (949)644-3288 a Inspection Requests Phone (949)644-3255 Combination Type - CIP ELEC Issued Date : /01/2021 Inspection Area : 7 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 09/01/2024 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: 2750 W COAST HWY NB Description: COMM -EXTERIOR LIGHTING @ WELLS FARGO BANK. INSTIL 4 POLE -MOUNTED FIXTURES. R/R 7 CANOPY FIXTURES. RMV 2 FIXTURES. INSTIL 2 NEW LIGHT STANDARDS Legal Desc.: TR 919 LOT A POR OF LOT Owner: WELLS FARGO Contractor: CENNOX, INC Architect: Address: 2750 W COAST HWY Address: 3010 SANTE FIE COURT Address: NEWPORT BEACH CA 92663 MISSOULA, MT 59808 Phone: Phone: 406-251-5041 Phone: State Lie: O Applicant: SELL NATALIE Con State Lic: 921843 Engineer: SANDER NEIL Address: 5141 WAGON WHEEL DR Lic Expire: 0913012022 Address: 102 FARNSWORTH AV YORBA LINDA CA 92886 Bus Lic: BT30076053 BORDERTOWN NJ 08505 Phone: 602-531-7113 Lic Exp Date: 07/31/2022 Phone: 609-496-9369 State Lic:C-066470 • • Code Edit : 2019 Worker's Compensation Insurance Designer: , Type of Construction: Carrier: CINCINNATI CASUALTY CO Address: yyQ Occupancy Group: U Policy No: EWC0614804 Added /New sq.ft. Bldg: 0 Expire: 05/15/2022 Phone: Added /New sq. ft. Garage: 0 -a:�• No of Stories: 0 Building Setbacks Rear: / Special Conditions: No of Units : 0 Front: / Bldg Height: 0 Left: / , Bldg Sprinklers: Flood Zone: Right: I Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $20 000.00 , Building Permit Fee: $419.00 Excise Tax: $0.00 Planning Department - Fire Department ' $0.00 Plan Check Fee: $364.53 Additional Fee : $0.00 Plan check Fee : $52.00 Fire Inspection: $0.00 Overtime Plan Ck: $0.00 Grading Bonds Fee: $0.00 Fair Share: $0.00 Fire Plan Rev Investigation Fee: $0.00 Grading PC Consultant : $0.00 $0.00 SJH Trans : In -lieu Housing Fee: $0.00 Demolition Fee $0.00 Building Dept Adm $0.00 Record Management : $22.00 Energy Compliance: $61.00 Grading Permit Fee: Grading PC Fee: $0.00 Public Works Department - General Service $0.00 CA Seismic Safety : $0.00 WO Insp. Fee : $0.00 Park Dedication : $0.00 Refund Deposit $0.00 $0.00 Disabled Access : $0.00 PNV Plan Check: $0.00 Grading Bond: Hazardous Mat $0.00 Electrical %: $109.69 San Dist: $0.00 $0.00 Building Green Fee: $1.00 Mechanical %: $0.00 NMUSD Fee: $0.00 $0.00 Plumbing %: $0.00 11 TOTAL FEE: $1,029.22 Plan Check Fee : $458.84 Fee Due at Permit Issuance : $570.38 PROCESSED BY: PUBLIC WORKS APPROVAL: ZONING APPROVAL: K PLAN CHECK BY: i 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). ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or L) 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 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 Da LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70 i ii 3 of the Business and Prof sion n y lic se' in full force and effect. License Class License No Date 'L Contractor Signature WORKERS' COMPENSATION DECLARATION ^IARNING 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 1E100,0001, IN ADDITION TO THE CGS r 3,JOMPENSATAN, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm undbl- penalty of perjury one of the fallowing declarations: , I h,nve 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, c rmance of the work for which this permit is issued. Policy No. h3�:e 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' compensatior V u�Prce carrier, ire' rclicy number are: re rf Agent certiiy that, thtbe performance , F ; should become Vbject to I Policy Number Date work for which is permit is " sued I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and 'kers' compen lion provisi ns of action 3700 of the Labor Code, I shall forthwith comply with those provisions. r nature of Applicant i I Dat/ CLARATION REGARDIN CON UCTION LENDING AGENCY areby affirm under penalty 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). 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 wner's behalf. I have read this application and the information I have pr Id d is correct. I agree to comply with all applicable city and county an es an tate la rel ling to building construction. authorize representatives of this city or county to t t abov entifie any for inspection purposes. MA-� �� nature of Property Owner or Authorized Agent Print Prooertv Owner's or Authorized A❑ent's Name ACTION PERMIT EXPIRED PERMIT CANCELLED DATE BY r4ECMATION OF COMPLIANCE WITH CODE OF FEDERAL REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE NOTIFICATION TO PERMIT FINAL LL L-I ASBESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATE OF ��'� PROPOSED DEMOLITION OCCUPANCY ISSUED clr, NATI I R F- FOR OFFICE USE ONLY -kZ)