The URL can be used to link to this page

Home My WebLink AboutX2021-0393 - Permitsawrtr�r City of Newport Beach - Building Division IIIIIIIIIIIIIII�IIIIIIIIIIIIIIIIIIII II COMB Permit: X2021-0393 - 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 2 1 0 3 9 3 Project No : 0384-2021 H n.. ° Permit Counter Phone (949)644-3288 s �#. #p Inspection Requests Phone (949)644-3255 `:++ ��urt' Combination Type - CIP Issued Date : 0211912021 Inspection Area : 7 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 02/20/2024 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 Jab Address: 4221 MACARTHUR BLVD NB h7 '- Description: COMM NON -ILLUMINATED SIGN "ADC ADVANACED DENTAL" Legal Desc.: +, Owner: RIDGEWAY REAL ESTATE Contractor: FUSION SIGN & DESIGN INC Architect: Address: 4221 DOLPHIN STRIKER WAY Address: 3443 NIKI WAY Address: NEWPORT BEACH, CA 92660 RIVERSIDE CA Phone: Phone: Phone: State Lie: Applicant: LENZ MEGAN Con State Lie: 894662 Engineer: Address: 680 COLUMBIA AVE Lie Expire: 0413012021 Address: • -� RIVERSIDE, CA 92507 Bus Lie: BT30065876 .. _ . Phone: 961-675-0179 Lie Exp Date: 01131/2022 Phone: State Lie: �� n' Code Edit: 2019 Worker's Compensation Insurance Designer: LENZ MEGAN Type of Construction: Carrier: EMPLOYEE SERV GROUP Address: 680 COLUMBIA AVE Occupancy Group: U Policy No: WC1017836 RIVERSIDE, CA 92507 Added /New sq.ft. Bldg: 0 Expire: 04/01/2021 Phone: 951-675-0179 - Added /New sq. ft. Garage: 0 No of Stories: 0 Building Setbacks Rear: / Special Conditions: No of Units : 0 Front: / Bldg Height: 0 Left: / Bldg Sprinklers: Right: I Flood Zone: Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $5,000.00 Building Permit Fee: $161.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $140.07 Additional Fee : $0.00 Plan check Fee : $46.25 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: $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 WO 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 W $0.00 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 : $348.32 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $348.32 PROCESSED BY: PUBLIC WORKS APPROVAL: ZONING APPROVAL: PLAN CHECK BY: GRADING APPROVAL: APPROVAL TO ISSUE: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that 1 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) ction 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 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 fessions 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 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 (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, ,iness 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 rovements 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 roved for the purpose of sale). 1, as owner of the-Droperty, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not ly to an owcar 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 I Bm exempt from. licensure under the Contractors' State License Law for the following reason: 3y 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 t scll a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. 1 understand that a copy of the 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 LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalt of p rjury t at I am licensed under provisio hapter9 (r�ommencing with Section 7 ) of ivi�' o he Business and Pr a sions C�-and ' icens s in f rce and effAct. License Gass � lol �n Lj License No ��(e7 L� Date ontractor Signature WORKERS' COMPENSATION DECLARATION NAANINC: FAILURE -TO S°rURE WORKERS' COMPENSATION COVERAGE Is UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDR THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPEI:SATIJN, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. i aeia.1. affirm under penalty of perjury one of the following declarations: ❑ 1 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 pe ormance of the work for which this permit is issued. Policy No. Y I 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' compensatioi Insesr3nce "carder and policy nurryger are: I,1 e / -1 `7 -�j I / ZCZ I Carriert�CMQ(�\[�Cn/\ GVYtc P' Policy Number \iVc-I(-)- I 0 �-�l2 Expiration Date -I - 'IName of Agent Phone # I certify that, in the pert rmance 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' compensation laws of California, and agre that, if I should become ject to the workers' compe ation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Signature of Applicant Gi Date 2-1 q -ZG'21 DECLARATION REGAR ING ONSTR TION LENDING AGENCY I hereby affirm under penalty of perjury tha there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, ivil ode). Lender's Name Lenders 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. t have read this application and the information I have provided is correct. 1 agree to comply with all applicable city and c?unIly ordinances and state laws relating to building construction. I authorize representatives of this city or count t enter tthe�ah7oo e�-id�enMp�,e�d�p erty for inspection purposes. Syr p q Signature of Property Owner or Authorized Agent Iv �"'t✓"1 1 �-c/ v` Print Property Owner's or Authorized Agent's Name 1\ I � I`ec1 Ln 1 e �- Date Z I r'1-�' ACTION PERMIT EXPIRED PERMIT CANCELLED PERMIT EXTENDED PERMITFINAL CERTIFICATEOF OCCUPANCY ISSUED DATE BY DECLARATION OF I✓ REGUI�ICTIONS PART 61 OF COMPLIANCE WITH CODE OF TITLE 40 AND QMD RULE RAL I FOR OFFICE USE ONLY I SUBMITTED ASBESTOS NOTIFICATION TO IS NOTAPPt14ABLE TO nents covered by this permit, I cannot law, Section 7044 of the Business and Date 1f f CITY OF NEWPCRT BEACH COi/MU`. JITY DEVELOPMENT DEPARTMENT OF THE>� PLANS DOES P'CT C'—TITUTE EXPRESS OR IMPLU IN VIOLATION OF Of vI'II-I TT- - _ F'TICIES OF THE CITY OI -' � m I rE THAT Th --lb II 1r-I C II L,ILJ:P9 A' / ID _ r -Il'/ pF D Vlc"I¢T B: - - "EVISETHE IJILD7iG IT. .' BEFOrz WITH THE ORDIf iJCI S PLA vo' ANL ADVANCED DENTAL 4221 MacArthur Blvd Newport Beach, CA 92660 lX1 S i g n a n d D e Ron Contreras 951-723-7301 BUILDING DIVISION V. M.K. CLIENT: V —NT: Advance d Dental Centers 690 Columbia Ave. FILE NAME: Riwe WVCA92507 Logo_C P. 851,802.9860 DESIGNER: F.85t.ee2.98e5 wnwaP.laRs;NP.PPm Amelia/Dana/AC J -F �CAI I►I� PROJECT NAME: Corporate - 73134 ACCOUNT MANAGER: Ron DATE: REVISIONS: 02/15/21 2/16/21, 2-18-21 (1) 20 ts/ to in APPROVAL (AS IS) ❑ APPROVAL (WITH CHANGES) ❑ 21 7/1e in ENTAC- IF YOU ARE VIEWING THIS FILEAS A PUS IT IS INTENDEDAS N LOW RESOWTION PRODS ONLY IT IS NOT PRODUCTION READY UNLESS OTHERWISE MUTED. ��1(w • DESIGN ORDER# 73134 Logo • 1/4" acrylic painted " CNC cut out logo " Pin mounted w/ 1" spacers to the backer " Paper pattern ■ Pantone Process Blue ■ Black ❑ White PROOF LIST S D P ❑ ■ ❑ ARTWORK ❑ ■ ❑ SPELLING ❑ ■ ❑ SIZE ❑ ■ ❑ COLORS ❑ ■ ❑ MATERIALS SCALE: 1-1/T = T OFOR IL FUSION USE ONLY BUILDIN RRTISPI®WCTWIPEAGY YE6O HOE] r - I BY M.K 580 Columbia Aw V Rlw reide. CA 82507 P: 951.682.9860 F. 951.682.9665 .wH..rRaiDlugG.wm Site Map : CLIENT: Advanced Dental FILE NAME: Site Map DESIGNER: Amelia PROJECT NAME: Corporate - 73134 ACCOUNT MANAGER: Ron DATE: REVISIONS: 02/15/21 xx-zx-xx RPPROVRL IRS ISI RPPRLYd_ (C11?N CHANGES) IF YOU ARE VIEWING THIS FILE N6 R PNF, IT IS INTENDED N6 A LOW RESOLUTION PROOF ONLY. IT IS NOT PRODUMON READY UNLESSOTHERWISE NOTES. DESIGN ORDER# 73134 BUILDING DIVISION BY. M,K u 68D CWumtie Ave. Ri..kI.. CA 92SO7 P. 9S1.682.9660 F. 951.682.9665 x .fusionogn.com Existing Sign — CLIENT: Advanced Dental Centers FILE NAME: Existing Sign DESIGNER: Amelia PROJECT NAME: Corporate - 73134 ACCOUNT MANAGER: Ron DATE: REVISIONS: 02/15/21 xx-xx-xx APPROVAL (AS IS) ❑ APPRLJX (L"ITN CHANGES) ❑ IF YOU ARE VIEWINO THIS FILE AS A FOR IT IS INTENDED AS A LOW RESOLUTION PROOF ONLY IT IS'NOT PROMOTION REROY UNLESS OTHERWISE NOTED. DESIGN ORDER# 73134 BUILDING DIVISION BY: M.K. LrZ�9 G8G le RFrereidi, da CA 996050) P: 651.862.66ea P. 851.682.Sess www.roeioml8c.com Proposed New Sign CLIENT: Advanced Dental Centers FILE NAME: New Sign_C DESIGNER: Amelia/AC PROJECT NAME: Corporate - 73134 ACCOUNT MANAGER: Ron DATE: REVISIONS: 02/15/21 2116121, PJ18/21 (1) APPROVAL IRS IS) APPROVAL (WITH CHANGES) 17 IF YOU NEE VIEWING THIS FILE IRS R POI, IT I6INTENDED RS R LOW RESOLUTION PROOF ONLY. IT IS NOT PROMOTION PERRY UNLESS OTHERWISE NBTEO. \J v DESIGN ORDER# 73134 BUILDING DIVISION BY: M.K,