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HomeMy WebLinkAboutX2019-0972 - Permits1f} City of Newport Beach Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 emr,n#p " Combination Type BLDG ELEC IIIIX II�I0 II�I�III0I�IIII�IIIIIIIII COMB Permit: X2019-0972 Project No : 0669-2019 Issued Date : 03/27/2019 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: 2933 E COAST. HWY.NB Description: COMM - ILLUM SIGN" REBORN COFFEE" Legal Desc.: TR 323 LOT 3 BILK G(AND LOTS 4 AND 5(AND ALL -LYINGSELY OFA LINE WH Owner: SIBLING ASSOC LLC Contractor: HARUTYUNYAN STEPAN Address: 2699 WHITE RD #150. Address:. 10427 CROCKETT STREET IRVINE, CA 92614 $56.00 SUN VALLEY CA Phone: Phone: 816-243-5949 Applicant: SIMONYAN ALEX Con State Lic: 846826 Address: 820 THOMSON AVE #1 Lic Expire: 07/31/2019 GLENDALE CA 91201 Bus Lic 8730066653 Phone: 818-243-8949 Lic Exp Date: 03/31/2020 Code Edit: 2016 Worker's Compensation Insurance Type of Construction: Carrier: EXEMPT Occupancy Group: U Policy No: Added /New sq.ft. Bldg: 0 Expire: Added /New sq. ft. Garage: 0 No of Stories:. 0 No of Units: 0 Bldg Height: 0 Bldg Sprinklers: Building Permit Fee: $136.00 Plan Check Fee: $118.32 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $4.00 Energy Compliance: $56.00 CA Seismic Safety: $0.00 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee ; $1.00 TOTAL FEE: $373.12 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Building Setbacks Rear: I Front: / Left: I Right: I Use Zone: Excise Tax: $0.00 Additional Fee: $0.00 Grading Bonds Fee: $0.00 Grading PC Consultant :. $0.00 Grading Permit Fee: $0.00 Grading PC Fee: $0.00 WQ Insp. Fee: $0.00. Electrical %: $17.80 Mechanical %: $0.00 Plumbing %m: $0.00 Planning Department - Architect: Address: Phone: State Lic Engineer:. .Fire Department Address: Fire Inspection: Phone: State Lic Designer: SIMONYAALEX Address: 820 THOMSON AVE #1 Park Dedication : GLENDALE CA 91201, Phone: 818-243-8949 Special Conditions: PLANS ATTACHED TO PERMIT AUTH.LETTER ATTACHED Plan check Fee .Fire Department Fair Share: Fire Inspection: SJH Trans :. Fire Plan Rev In -lieu Housing Feer Demolition Fee Public Works Department - Park Dedication : $0.00 PAN Plan Check: $0.00 San Dist:. $0.00 NMUSD Fee: $0.00 Plan Check Fee 0 0 m••eoo • o $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Fee Due at Permit Issuance : $373.12 PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: e•eoo e em•mo ommmmo o • o 0 0 mom•moo m mmme .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 0 m••eoo • o $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Fee Due at Permit Issuance : $373.12 PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: e•eoo e em•mo ommmmo o • o 0 0 mom•moo m mmme 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) fiction 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 ifessions 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). '�- I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or U 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 rcovements 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 moved for the purpose of sale). I, as owner of fhe property, 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 owribi y(prSperty who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). ,IMexempt from.licensure under the Contractors' State License Law for the following reason: my signaturl 48219W1 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 Iegall) a structure that I have built as an owner -builder if it has not been constructed in its entirely by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and Nor,lons Codels available upon request when this application is submitted or at the following Web site:http://wvvw.leginfo.ca.govlcalaw.htmi. natyre of Prgpoeq Mner or Authorized Agent Date .MSED CONTRACTOR'S DECLARATION re��byy affirm VdgI-ptnalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 700 of Divisi0.n 3 of the Business and Profs ions m ansa full force le Hest. License Class License No Date O 2° ,/ Contractor Signature . )RKERS' COMPENSATION DECLARATION ..G. -FAILURE FD SECORE WORIKERTCOMPENSATION .. ITOFCOMPENSATIUA,U31MAOEB AS PROVIDED FOR IN SECOCOVERAGE70810E THE `LAROR CODE, INTERESFUL, AND SHALL T, AND ATTORNEY'S FEESCT AN EMPLOYER TO . L PENALTIES AND CIVIL FINES UP TO ONE HUNO EO THOUSAND DOLLARS (E100,000), IN OOITION TO THE V@" Pffirm under papally of perjury one of the following declarations ❑TI Aave and LI -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 oerformance of the work for which this permit is issued. Policy No. ❑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' compensatiol 'nsurance carrier and policy number are: -arrier Policy Number Expiration Date Name of Agent Phone # certify that, in the perf once of the work for ich this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' co pensation laws of California, and agree at, ' I should become bject to a coM" en ation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Signature of Applicant Date © � ��' DECLARATION RE R S RUCTIO ENDING AGENCY hereby affirm and penalty of perjury that_ a is a construction lending agency for the performance of the work for which this permit is issued (Section 30 , Civil Code). -ender's Name Lender's Address 3y 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 1 hav provided is correct.��C�/i L /�,� If -IV I agree to comply with all applicable city and count ordinances and a laws relating to building construction. I authorize representatives of this city or county t enter o -identified arty for inspection purposes. ©3; 2 ,Z/ Signature of PropertyOwner or Authorized Agent Print Property Owner's or Authorized Agent's Na Date ACTION DATE BY LARATION OF COM ITN CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONSPART OFTITLE 40 AND AQMD RULE 14 PERMITEXPIRED BMITTED ASBESTOS NOTIFICATION TO PERMITCANCELLEO EPA PERMIT EXTENDED QMD PERMITFINAL S- `S,`q- SBE5TOS TIFICATIO PLIC r O CERTIFICATE OF PRO DDE OLI OCCUPANCYISSUED SIGNATURE-