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HomeMy WebLinkAboutX2019-2603 - PermitsY'vfn° City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIII�IIIIIIIIIIIIIIIIIIIII� II COMB Permit: X2019-2603 s� 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 1 9 2 6 0 3 a Project No :1858-2019 H e � Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Combination Type - CIP ELEC Issued Date: 0 911 212 01 9 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: 906 AVOCADO AVE NIB Description: COMM (2) ILLUMINATED SIGNS AND (1) BLADE SIGN "WILLIAM B" Legal Desc.: Owner: IRVINE COMPANY Address: 110 INNOVATION DR IRVINE, CA 92617 Phone: Applicant: MILLER KELLY Address: 28580 LEON RD WINCHATA, CA 92596 Phone: 951.305-2572 Code Edit: 2016 Type of Construction: Occupancy Group: U Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 0 No of Units : 0 Bldg Height: 0 Bldg Sprinklers: Flood Zone: X Construction Valuation: $8.0 Building Permit Fee: $200.00 Plan Check Fee: $174.00 Overtime Plan Ck $0.00 Investigation Fee: $0.00 Record Management: $24.00 Energy Compliance: $56.00 CA Seismic Safety: $0.00 Disabled Access: $0.00 Hazardous Mat $0.00 Building Green Fee ; $1.00 TOTAL FEE: $547.36 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Contractor: SOUTHWEST SIGN COMPANY Address: 1852 POMONA RD Additional Fee : CORONA CA 92880 Phone: 951-734-6275 Con State Lie: 724929 Lie Expire: 0713112020 Bus Lie: - BT30062367 Lie Exp Date: 09/30/2020 Worker's Compensation Insurance Carrier: OAK RIVER INS Policy No: FOWC012364 Expire: 07/21/2020 Building Setbacks Rear: I $0.00 Front: / Left: / $0.00 Right: I Use Zone: Parkino Scaces: 0 Architect: Address: Phone: Engineer: Address: State Lie: Phone: State Lie Designer: DALANNI JESSICA Address: 1852 POMONA RD CORONA CA 92680 Phone: 951.734.6275 Special Conditions Excise Tax: $0.00 Planning Department - Fire Inspection: Additional Fee : $0.00 Plan check Fee Demolition Fee Grading Bonds Fee: $0.00 Fair Share General Service Grading PC Consultant: $0.00 SJH Trans Grading Bond: Grading Permit Fee: $0.00 In -lieu Housing Fee: Grading PC Fee: $0.00 Public Works Department- WQ Insp. Fee: $0.00 Park Dedication : $0.00 PAN Plan Check, $0.00 Electrical W $52.36 San Dist: $0.00 Mechanical %: $0.00 NMUSD Fee: $0.00 Plumbing %: $0.00 Plan Check Fee: $238.36 Fee Due at Permit Issuance PU1517C it 014tKS APPROVAL' PLAN CHECK BY: `<MFrIIOVJAI° TO ISSUE: O 6 to y° ESO oWu �O 4 u GU£ OO $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $309.00 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: Plan Check Fee: $238.36 Fee Due at Permit Issuance PU1517C it 014tKS APPROVAL' PLAN CHECK BY: `<MFrIIOVJAI° TO ISSUE: O 6 to y° ESO oWu �O 4 u GU£ OO $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $309.00 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the resson(s) indicated below by the checkmark(s) I have placed next to the applicable items) (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 penally 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 `) all of or (_) 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 im roved 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). ❑ 1 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.htmi. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjurytJhhat I m licensed under provisions of Chapter 9 (commencing with Section 70 B) of Divisio 3 of the Business and Pro s n Code, and II egse is in full force and effect. License Class C.. License No �'QaQ Date Contractor Signatur Y WORKERS' COMPENSATION DECLARATION ~ WARNING: 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 ($100,000(, IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm under penalty of perjury one of the following declarations: 111 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, hpe rmance of the work for which this permit is issued. Policy No. ave and will aintain 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 iiinsurance carrier olicy nLlmber` �r ` Carrier (Vilir. P1CnW1 01P h icI NAb� TOW Cala SCA Expiration Date i Tie of Agent oz�s. / g X✓ rnwuen certify that, in the performance 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 I, if I should becomeZs/upje`ct tgyyhe workers' comp spa ��n�provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. p pI nature of Applicant JC vim... Vti-�\ /� Da� I / 1 2 � 1 J CLARATION REGAA D G O TRUCTION LEND G AGE CY JJJ ���"' ireby affirm under penalty of Pp4dry 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 owners behalf. I have read this application and the information I have provided is correct. I agree to comply with all applicable city and county ordinances and state laws relating to building construction. I authorize representatives of this city or county tqentQthe,aDove-jd(n_0pd property for inspection purposes. �' _ Jr a 110 I j of ACTION vner's or Authorized ADS BY t I DELtQRATION OF COMPLIANCE WITH CODE OF FEDERALI FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AOMD RULE PERMITEXPIRED L_I I SUBMITTED ASBESTOS NOTJFICATJON TO • : :• • • « PERMIT CANCELLED DEPA • • •+ e • •• PERMIT EXTENDED OMD PERMITFINAL ASBESTOS NOTIFICATION 15 NOT LICABLE TO CERTIFICATE OF P POSEDDEMOUTION(� •• • • • • • •'• OCCUPANCYISSUED SIGNATURE: \I • ~