HomeMy WebLinkAboutX2020-0698 - Permits$gwtY,rq City of Newport Beach - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
H Permit Counter Phone (949)644-3288
v S Inspection Requests Phone (949)644-3255
Combination Type - BLDG ELEC
11�1 1111111111111111111111111111111111111111111111 111� 11COMB Permit: X2020-0698
Project No : 0518-2020
Issued Date : 03/12/2020
Inspection Area : 7
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 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: 4450 MACARTHUR BLVD NB
Description: COMM ILLUMINATED SIGN" MARK IV CAPITAL"
Legal Desc.:
Owner: M4 MACARTHUR LLC
Contractor:
PROMOTIONAL SIGNS UNLIMITED
Architect:
IN8®
Address: 4450 MACARTHUR BLVD 2ND FLOOR Address:
3301 S SUSAN ST
Address:
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NEWPORT BEACH, CA 92660
SANTA ANA CA 92704
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Phone: 949-509-1444
Phone:
714-540-5454
Phone:
State Lic:
Applicant: CHRISTIE SCOTT
Con State Lic:
636612
Engineer:
Address: 3301 S. SUSAN ST
Lic Expire:
01131/2022
Address:
SANTA ANA, CA 92704
Bus Lic:
BT30066071
Phone: 714-540-5454
Lic Exp Date:
Phone:
State Lic:
Code Edit : 2019
Worker's Compensation
Insurance
Designer:
MITIDIERE JONNY
Type of Construction:
Carrier:
INS CO OF THE WEST
Address:
3301 S SUSAN ST
Occupancy Group: U
Policy No:
WSD500131811
SANTA ANA CA 92704
Added /New sq.ft. Bldg: 0
Expire:
04/01/2020
Phone:
714-640-5454
Added /New sq. ft. Garage: 0
No of Stories: 0
Building Setbacks
Rear: I
Special Conditions:
.. ,.
No of Units : 0
Front:
Bldg Height: 0
Left: I
Bldg Sprinklers:
Right: I
Flood Zone:
Use Zone: Parking Spaces: 0
Fire Hazard Zone : N
Construction Valuation: $1,310.00
Building Permit Fee: $104.00
Excise Tax:
$0.00 Planning Department-
Fire Department
Plan Check Fee: $90.48
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: $0.00
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
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 %:
$7.28 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: $298.76
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Plan Check Fee
$0.00 Fee Due at Permit Issuance : $298.76
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)
iecticn 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
1e 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
'rofessions 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
of more than five hundred dollars ($500).
11, as owner of the property, or my employees with wages as their sole compensation, will do J all of or (_) portions of the work, and the structure is not intended or offered far sale (Section 7044,
lusiness 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
nprovements 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
nproved for the purpose of sale).
11, 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
pply 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:
ly 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 legal
ell 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
'rofessions Cade, is available upon request when this application is submitted or at the following Web site:http:// , .leginfo.ca.gov/calaw.htmi.
Iignature q'r Property Owner or Authorized Agent Date
.ICENSEC 0,DNTRACTOR'S DECLARATION
hereby aff'.nn under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70 0 ' is! n 3 of the Business and Prof ' s o n en s in full force
nd effect. Licccse Class License No Date Contractor Signature
VORKERV COMPENSATION DECLARATION -" '
;AIMING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMI AL PENALTIES AND CIVIL FINES UP TO ONE HUN ED THOUSAN DOLLARS ($100,000), IN ADDITION TO THE
OFT OF CON: LNSATIPN, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm and>, penalty of perjury one of the following declarations:
: have and :vill 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
f^rmance of the work for which this permit is issued. Policy No.
IIAve and will nia,ntain workers' compensation insurance, as required
l by Section l3700 of`the
/Labor Code, for the performance of the work for which this permit is issued, My workers' compensatiol
11 iCe c�rr(er an oigf '�l, er a_rg: (vO-`'4L VV�P �go I3IO II
r, let �` I (� V olio Number Expiration Date
n,e of Agent �I Phone # � _
9
certify that, in theVa rk for w ich this permit is issued, I shall not employ any person in any manner so as to became subject to the workers' co ensation laws of California, and agre
t, if I should beco w r e ation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
nature of ApplicanDat _ 1/ U
CLARATION REGTIRION LENDING AGENCY
3reby affirm underry that there is a construction lending agency forthe performance of the work forwhich this permit is issued (Section 30 7, 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 owne s behalf.
I have read this application and the information I have provided i correct.
I agree to comply with all applicable city and county ordih antes nd st to ws relatin o building construction. p 2
I authorize representatives of this city or county to Ent ta-id f d e or inspection purposes.�j G,S� ate 3 ��
mature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name
ACTION
PERMIT EXPIRED
PERMITCANCELLED
PERMIT EXTENDED
CERTIFICATE OF
OCCUPANCYISSUED
DATE BY I
(REGULATIONSPA PART TIITLE 40 AND AOMD RULE CEIVVITH CODE OF RAL FOR OFFICE USE ONLY
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I SUBMITTED ASBESTOS NOTIFICATION
TO
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