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HomeMy WebLinkAboutX2020-2095 - PermitsYr City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIII�IIIIIIII�IIIIIIIIIIIIIIII II COMB Permit: X2020-2095 �'$ ` 100 Civic Center Drive, Newport Beach, CA 92660 X 2 9 2 0 2 0 9 59 Project No : 1704-2020 ��. "k Permit Counter Phone (949)644-3288 _ u - Inspection Requests Phone (949)644-3255 ""'+rraw.'� * - Combination Type - BLDG ELEC Issued Date: 10129/2020 - Inspection Area : 7 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 10/30/2023 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: 1016 BAYSIDE DR NS v^ Description: COMM (2) ILLUMINATED SIGNS "RITE AID" e° Legal Desc.: IRVINE SUB BLK 94 FOR OF SLK Owner: IRVINE COMPANY Contractor: COAST SIGN INCORPORATED Architect: Address: 550 NEWPORT CENTER DR Address: 1500 W EMBASSY ST Address: C ► NEWPORT BEACH, CA 92660 Phone: Phone: ANAHEIM CA 92802 818-675-5849 Phone: State Lic: 9 Applicant: STOUT DENNIS Con State Lic: 654236 Engineer: Address: 504 E PALMYRA AVE Lic Expire: 03/3112022 Address: ORANGE CA 92866 - Bus Lic: _ BT30037561 Phone: 714-744-2845 Lic Exp Date: 11130/2020 Phone: State Lic: Code Edit: 2019 Worker's Compensation Insurance Designer: RYTE DARREN Type of Construction: VB Carrier: REPUBLIC INDEMMNITY Address: 1500 E EMBASSY ST Occupancy Group: U Policy No: 25440901 ANAHEIM CA 92802 Added /New sq.ft. Bldg: 0 Expire: 10/01/2021 Phone: Added /New sq. ft. Garage: 0 No of Stories: 0 Building Setbacks Rear: / Special Conditions: No of Units : 0 - Front: / Bldg Height: 0 Left: / Bldg Sprinklers: Right: I _ Flood Zone: X Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $9,500.00 Building Permit Fee: $246.00 Excise Tax: $0.00 Planning Department- Fire Department Plan Check Fee: $214.02 Additional Fee : $0.00 Plan check Fee : $46.25 Fire Inspection: $0.00 Overtime Plan Ck: $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 : $26.00 Grading Permit Fee: $0.00 In -lieu Housing Fee : $0.00 Building Dept Adm $0.00 Energy Compliance: $61.00 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 PNV Plan Check: $0.00 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical W $32.20 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: $626.47 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Plan Check Fee $290.00 Fee Due at Permit Issuance : $336.47 y � tl YY4 ,9U,lc WORKS APPROVAL: u o V PLAN CHECK BY:" " APPROVALT%ISSUE: „ o 0 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, prior to its issuance, also requires the applicant for 1e permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' Slate 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). 7 I, 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, Iusiness 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). 7 I am exempt from licensure under the Contractors' State License Law for the following reason: Iy 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 legall ell 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 'rofessions Code, is available upon request when this application is submitted or at the following Web site:hftp://www.leginfo.ca.gov/calaw.htmi. ignature of Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000 of is n 3 of the Business and Profess' ¢ o ense is in full force nd effect. License Class License No Dat Contractor Signatur YORKERS' COMPENSATION DECLARATION ARMING: 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 OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. hereby affirm under penalty of perjury one of the following declarations: 3 1 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, )erfWMance of the work for which this permit is issued. Policy No. I have and will l aF fain workers' compensationin'surance, as required by Section 3700 of the Labor Code, for the perf ormance of the work for which this permit is issued. My workers' compensatior nsurance carrier an! p(icy numbertipirg ;a`rnerol(c u bar Expiration Date 4ame of Agent Phone # If :1I certify that, in the performance of t work or which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensa on la s of California, and agree hat, if I should become ubje s'compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisionssignature pte of Applicant D Da 2d)ECLARATION REGA DI UC L ING AGENCY hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, 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 I have provided is correct. / I agree to comply with all applicable city and count'oLdingncec and ate laws relating to building construction. A I authorize representatives of this city or county e e i mi f' d property for inspection purposes. t 3i nature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name Date ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY - REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED ISUBMITTEDASBIVOSNOPIFICA;l NTO ; PERMITCANCELLED Epp • • • • : �. PERMIT EXTENDED QMD PERMIT FINAL U ASBESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATE OF PROPOSED DEMOLITION • .•• ••• •• OCCUPANCY ISSUED SIGNATURE: ••• • . . • • _.