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HomeMy WebLinkAboutX2020-1953 - Permits�1yry City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIII�III�IIIIIIII�IIIIIIIIIIIIIIIIIIgIII COMB Permit :X2020-1953 i7 100 Civic Center Drive, Newport Beach, CA 92660 _., Permit Counter Phone (949)644-3288 Project No: 1569-2020 ' Inspection Requests Phone (949)644-3255 c,�ec4a Combination Type - BLDG ELEC Issued Date : 10/1212020 Inspection Area : 7 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 10/13/2023 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: 3601 JAMBOREE RD NB Description: COMM - ILLUM SIGNS "1-800-FLOWERS/CONROYS" Legal Desc.: N TR 7694 LOT 2 Owner: BACK BAY COURT PROPERTY Contractor: PARADISE SIGNS INC Address: 515 LORING AVE Address: 8573 CANOGA AVENUE LOS ANGELES, CA 90024 $61.00 CANOGA PARK CA 91304 Phone: Phone: 818-772-6165 Applicant: DIAZ GREGORY Con State Lie: 860731 Address: 8573 CANOGA AVE Lie Expire: 06/30/2021 CANOGA PARK CA 91304 Bus Lie: BT30013199 Phone: 818-772-6165 Lie Exp Date: 10/31/2021 Code Edit: 2019 Worker's Compensation Insurance Type of Construction: Carrier: TRUCK INSURANCE Occupancy Group: U Policy No: A19500163 Added /New sq.ft. Bldg: 0 Expire: 02101/2021 Added /New sq. ft. Garage: 0 No of Stories: 0 Building Setbacks Rear: I No of Units : 0 Front: / Bldg Height: 0 Left: I Bldg Sprinklers: Right: / Flood Zone: Use Zone: Pnrkinn Rnacaa n Building Permit Fee: $212.00 Plan Check Fee: $184.44 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $12.00 Energy Compliance: $61.00 CA Seismic Safety: $0.00 Disabled Access: $0.00 Hazardous Mat $0.00 Building Green Fee : $1.00 TOTAL FEE: $544.44 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Excise Tax: Additional Fee: Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: Electrical %: Mechanical %: Plumbing %: $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $27.75 $0.00 $0.00 Plan Check Fee: Architect: Address: Phone: Engineer: Address: Phone: INSPEC o State Lie: • ... • State Lie - Designer: PARADISE SIGNS Address: 8573 CANOGA AVENUE CANOGA PARK CA 91304 Phone: Special Conditions Planning Department - Fire Department Plan check Fee: Fire Inspection: Fair Share Fire Plan Rev SJH Trans Demolition Fee In -lieu Housing Fee Building Dept Adm Public Works Department - Park Dedication : $0.00 PAN Plan Check: $0.00 San Dist: $0.00 NMUSD Fee: $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Fee Due at Permit issuance: $544.44 PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: 00000 0 OIDe„ eons •o c o 0 c o 0 00• 0 ea oo Fire Department $46.25 Fire Inspection: $0.00 Fire Plan Rev $0.00 Demolition Fee $0.00 Building Dept Adm General Service Refund Deposit Grading Bond: $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Fee Due at Permit issuance: $544.44 PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: 00000 0 OIDe„ eons •o c o 0 c o 0 00• 0 ea oo UWNCK-t$UILUCR UcIi MM 11V1Y 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(:) '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 :he 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 Drofessions 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 lot more than five hundred dollars ($500). :3 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 'mproved 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' Stale 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 Codes::%gvallable upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. Date Signature of Property Owner or Authorized Agent LmNSED CONTRACTOR'S DECLARATION I hereby affirm un°det ponalty, of pe ury that I am licensed under provisions of Chap re9 n(co encing with SecjjfJn 7000 of ivisi n 3 of the Bu - nd Profession o y license is in full force agdQffd6G Licens%Class ry " +7 /D]1r . Contract 'gnature (, License No VIrORktRS' COOIIPENSATION DECLARATION WARNING 6AILURE TS 9MIE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNORE THOU ANO DOLLARS ($100,000). IN ADDITION TO THE COST OFCOMPENSATION, 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: ® 1"a-ve 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 Cade, for th IAbQce of the wor�jfor which this permit is issued. Policy No. Mftve and will srbaintain 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' compensatio In ur'bW carrier andpplicy number are: Carrier' %.. Policy Number Expiration Date ne of Agent . certify that, in the performance the 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 f California, and agre t, if I should become subject a Ike ' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ate nature of Appli CLARATION R G DI C N CT LENDING AGENCY neby affirm under pens o erjury 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 owner's behalf. I have read this application and the information I have provided is correct. I agree to comply with all applicable city and county'brdinances tate laws relating to building construction. fs I authorize representatives of this city or county toe the ed property for inspection p Own. �9 ®/ /Datenature of Property Owner or Authorit�ntPrint Propertrty Owners or Authorized Agel�t ACTION DATE BY 4.QECLA-RXr1ON OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE ]403 PFRMITFXPIRED I I I UI SUBMITTED ASBESTOS NOTIFICATION TO PERMITEXTENDEDLIAQMU PERMIT FINAL `o3 :a ASBESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATE OF PROPOSED DEMOLITION OCCUPANCY ISSUED SIGNATURE: