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Home My WebLink AboutX2019-1883 - PermitsCity of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII� Building Permit Fee: COMB Permit: X2019-1883 - Excise Tax: $0.00 Planning Department- Fire Department Plan Check Fee: $341.04 Additional Fee: $0.00 Plan check Fee : $40.00 Fire Inspection: $0.00 100 Civic Center Drive, Newport Beach, CA 92660 Overtime PlanCk: X 2 0 1 9 1 8 8 3 Project No : 1360-2019 Fair Share : r, Permit Counter Phone (949)644-3288 0' Fire Plan Rev $0.00 Investigation Fee:: 5?, Inspection Requests Phone(949)644-3255 .Grading PC Consultant: $0.00 SJH-Trans : $0.00 `qr r+,c+c� Combination Type.- CIP ELEC Issued Date: 06/1412019 $22.00 - $0.00 In -lieu Housing Fee: Inspection Area : 7 Building Dept Adm - 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 $0.00 Job Address: 333 BAYSIDE DR NB - Public Works Department- General Service Description: COMM (1) POLE SIGN WI LEDCHANNEL LETTERS, (2)NON-ILLUMINATED WALL SIGNS AND (1) CABINET REFACE "TAVERN HOUSE" Legal Desc::. P BK 16 PG 10 PAR B. `,° WQ Insp. Fee: s10 v' Park Dedication : $0.00: Refund Deposit $0.00 Disabled Access':. Owner 333 BAYSIDE LLC Contractor Address:. 333 BAYSIDE. DR Address: SUPERIOR ELECADVRTSNG INC 1700 ANAHEIM Architect Address: � ° re f" '� °�'• Grading Bond: W . °o NEWPORT BEACH, CA 92660 - LONG BEACH CA 90813+� San Dist: $0.00 !p 1� •mmm •mm° mmm°•o ° ° Phone: Phone: 562-495-3808 Phone: aVataTic: o m Applicant: GRANDON GREGG Con State Lie: 271598 Engineer: ` �mm•.o Address: 1700 W ANAHEIM ST Lie Expire: 02/28/2021 Address: a o m ° LONG BEACH, CA 92708 Bus Lie: BT30067724 m m • m 00 0 ,Phone: - 562-755-5102 Lie Exp Date: 08/30/2020 Phone: State Lie: m • .. $898.67 PROCESSED BY: c!!5� PUBLIC WORKS APPROVAL: .Code Edit: 2016 Worker's Compensation Insurance Designer: emmm GRANDON GREGG ° ° ° ° ° • Type of Construction: Carrier: TRAVELERS INDEMNITY Address: 1700 W ANAHEIM ST ° 0000 nm Occupancy Group:: U Policy No:. UB2772NO6A LONG BEACH, CA 92708 emmmom. o `.o Added /New sq.ft. Bldg: 0 Expire: .0410112020 Phone: GRADING APPROVAL: 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:. Bldg. Sprinklers: Right: Building Permit Fee: .$392.00 - Excise Tax: $0.00 Planning Department- Fire Department Plan Check Fee: $341.04 Additional Fee: $0.00 Plan check Fee : $40.00 Fire Inspection: $0.00 Overtime PlanCk: $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: $22.00 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 WQ Insp. Fee: $0.00 Park Dedication : $0.00: Refund Deposit $0.00 Disabled Access':. $0.00 PM Plan Check: $0.00 Grading Bond: $0.00 Hazardous at $0.00 Electrical %°: $102.63 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 : $898.67 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $898.67 PROCESSED BY: c!!5� PUBLIC WORKS APPROVAL: xxit�PLAN ZONING APPROVAL: CHECK BY: GRADING APPROVAL: APPROVAL TO ISSUE:' �CC i - 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 is 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): 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, 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 n 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 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 frp"lLCensure under the Contractors' State License Law for the following reason: ly my signature below I acknowledge that, except for mypersonal 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 all a structure that i Rdve 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 11&ds%? s Codg eis 2i ftlable upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. ligpature of Property -Owner or Authorized Agent Da .ICENSCD CONTRACTOR'S DECLARATION hereby affirm under peoalfy of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 700 ofy�i n of the Business and Prof SionffeZmy license is in full farce gd9if?gI. Lice6llditns License No Date 9 Contractor Signatur OORnRS' COMRENSATION DECLARATION IARNING:FAILURE BIgLW ®e E WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUN RED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE OBPONCOMPENSATITION, DAMAGES AS PROVIDED FOR IN SECTION 3708 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. berby affirm under penalty of perjury one of the following declarations: Iona ve and Ali ME11 fain 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 the ;4drMpce of thg wor .for which this permit is issued. Policy No. Qr have and wit "a-istain 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 Is nce carrier and policy number are: :arrier Policy Number Expiration Dale lame of Agent Phone # ]I Certify that, in the perfor ance of e k f hich this permit is issued, I shall not employ any person in any manner so as to become subject to the wD/at 'mpensati n Is s of California, and agree tat, if I should become su act to th er mpensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ,/ f signature of Applicant IECLARATION REG DING ONST CTION LENDING AGENCY hereby affirm under enalty of perjury that there is a construction lending agency for the performance of the work far which this permit is issued (Section 309Code), Ender's Name Lender's Address 'y 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 pro dad c Tect. I agree to comply with all applicable city and count ordin4/ca d statelaws relating to building construction. 1 authorize representatives of this city or county t ante�-identified property for inspection purposes. si nature of Property Owner or Authorized Agent Print Property Owner s or Authorized Agent's Name d Date G >CTION DATE RY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AOMD RULE EXPIRED PERMIT FINAL CERTIFICATE OF OCCUPANCY ISSUED NOTIFICATION TO APPLICABLE TO I