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HomeMy WebLinkAboutX2019-3727 - PermitsCity of Newport Beach - Building Division 4 w 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 i7 Inspection Requests Phone (949)644-3255 Combination Type - CIP ELEC Ili iiiiiiigi7i II COMB Permit: X2019-3727 Project No: 2564-2019 Issued Date : 11121/2019 Inspection Area : 7 Applicant: PERMITS EXPIRE 980 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. Con State Lic: 898078 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 Address: Job Address: 1540 JAMBOREE RD NB 0613012021 Address: Description: COMM (2) NON ILLUMINATED MONUMENT SIGNS "JAGUAR" & "LAND ROVER" & (1) ILLUMINATED MONUMENT SIGN Bus Lic: Legal Desc.: IRVINE SUB LOT BILK 55 POR OF BILK MADISON TN 37354 Phone: 714-744-2845 Lic Exp Date: 1113 012 01 9 Phone: State Lic:C-062520 Owner: J AA DEVELOPMENT LP Contractor: MEGA H Z ELECTRIC INC Architect: I gp�@ a1 V SPECTC)g'g4_ q Address: PO BOX 1290 Address: 1290 MONTEREY PASS RD Address: _S Grading Bond: AGOURA HILLS, CA 91376 MONTEREY PARK CA 91754 m Phone: Phone: 818.566.1850 Phone: State Lic: e ..... Applicant: STOOT DENNIS Con State Lic: 898078 Engineer: WRIGHT JAMES Address: 504 E PALMYRA AVE Lic Expire: 0613012021 Address: 302 COLLEGE ST Hazardous Mat ORANGE, CA 92866 Bus Lic: - ST30065113 MADISON TN 37354 Phone: 714-744-2845 Lic Exp Date: 1113 012 01 9 Phone: State Lic:C-062520 General Service Park Dedication : $0.00 momemm 0 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: Construction Valuation: $15,000.00 Building Permit Fee: $312.00 Plan Check Fee: $271.44 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management : $0.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access: $0.00 Hazardous Mat $0.00 Building Green Fee : $1.00 TOTAL FEE: $707.37 PROCESSED BY: ZONING APPROVAL: Worker's Compensation Insurance Carrier: PACIFIC COMP Policy No: WA00011507 Expire: 02/0312020 Building Setbacks Zone: Excise Tax: Additional Fee Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: Electrical %: Mechanical %: Plumbing %: Rear: I Front: I Left: I Right: / Parkina Soaces $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $81.68 $0.00 $0.00 Plan Check Fee Designer: CLARK ROB Address: 1290 MONTEREY PASS RD MONTEREY PARK, CA 91754 Phone: 818566.1850 Special Conditions 0 Fire Hazard Zone : N Planning Department - Fire Department Plan check Fee : $0.00 Fire Inspection: Fair Share : $0.00 Fire Plan Rev SJH Trans : $0.00 Demolition Fee In -lieu Housing Fee: $0.00 Building Dept Adm Public Works Department - General Service Park Dedication : $0.00 Refund Deposit P/W Plan Check: $41.25 Grading Bond: 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 : $707.37 PUBLIC WORKS APPROVAL: PLAN CHECK BY: GRADING APPROVAL: APPROVAL TO ISSUE: • n •°mme� • mmmmn 0 ommoo eoe°co c o c e 000coo c c e000 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) lection 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, priorto 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 (_) all of or L) 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 nproved 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 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 ♦fmIn licensure under the Contractors' State License Law for the following reason: .Y my sigQnature OEPOWM 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 legall) ell& stiacture thaj 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 ?ofessidhs Cods -is available upon request when this application is submitted or at the following Web site:http://www. leginfo.ca.gov/calaw. html. IghatuIre of Property Owner or Authorized Agent Date ICEWED CONTRACTOR'S DECLARATION hereby affirm upaerplebalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7 0) of Jivision 3 of the Business and fe 'o de, and i a se s in u rce Ddlef di. LicensE Class License No Date Contractor Sig tura YORKERS' CCW63W.NSATION DECLARATION WRYIOIG: FAILURE TO SECITRE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIIN AL PENALTIES AND CIVIL FINES UP TO ONE HU P RED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. 'h•reby a••s• heffirm under papally of perjury one of the following declarations: • ••••• 1 bave 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 gypavante of �hewor�for which this permit is issued. Policy No. %-'-7h5ave and wili'Mintain 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 Isuace carrier and policy number are: enter Policy Number Expiration Date ne of Agent vnone F certify that, in the perm e antof theWomn permit is issued, I shall not employ any person in any manner so as to become subject to the workers' ompensation laws of California, and agre t, if I should become to the Ir n provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applican e CLARATION REG NSTRUCTION LENDING AGENCY :reby affirm undernalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3 97, 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 coun antes and st toVry to building construction. I authorize representatives of this city or county abo a ide if' for inspection purposes. 1 C �1 __.T t I [?' I( nature of PrODertv Owner or Authorized ADent ) Print Property Owner's or Authorized Agent's Name tel/ 1 ate 7F ACTION DATE BY DUC MATIONKMS OF CO 1 LI TNTCE LE 40 H CODE OF FEDRULE AL FOR OFFICE USE ONLY PERMITEXPIRED PERMITFINAL CERTIFICATE OF OCCUPANCY ISSUED TO TO