HomeMy WebLinkAboutX2019-2201 - PermitsCity of Newport Beach - Building Division ✓ Illllllllllllllllll�llllllllllllllllllllllllllllu COMB Permit: X2019-2201
e7 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 1 9. 2 2 0 1
tom,' Permit Counter Phone (949)644-3288 Project NO : 1581 -2019
rp3 a Inspection Requests Phone (949)644-3255
° m Combination T e - BLDG ELEC Issued Date: 0711512019
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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: 4101 BIRCH ST NB
Description: COMM ILLUMINATED MONUI�A_FN-�'NF tP P -F1LW11Gs,,,�.,o'-",.�,Z„".' s .
Legal Desc.: N TR 3201 LOT °a-"-� - -
Owner: IRVINE FOUR LL(
Address:o1600,19151E ST #4
o. mw• NEWPORTBEAC
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Appiieank. CURTIS TYLER
Addaesg®m 1401 E ST ANDRE
0000°° SANY'A QWXCA 9,
Phone: o0 714-84'9--93113
0
Code Edit 02016
Type of Genstruction:
Ocd oncyibroup: ° B
Addgd /Newesq ft E08gi
Acided,/NaV q. ft. tiara§€ o
No of Stories; ° ®° oQ
No of Units : co° Bldg Height: o0
Bldg Sprinklers:
Valuation:
Building Permit Fee: $152.0
Plan Check Fee: $132.24
Overtime Plan Ck:
-$0.0
Investigation Fee:
$0.0
Record Management
$0.0
Energy Compliance:
CA Seismic Safety:
$0.00
Disabled Access:
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$1.00
PROCESSED BY:
s Contrai r
cTANCO cLGNAr-_,_c_
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-�-Address:
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1401 SAINT AL
P
CA 92660
GNDREW
�SANTA NA y0
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O�lnyState Ulq 17,413
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Bus Lie:
BT30059136
Lic Exp Date
05/31/2020 -
9 's py
Worke�f's Oompensatidn Insdrance , e'
FATE FUND ;
x'GdY�`
,'3
9ii6 sir "K-n F L.=V,
lxpire:
10/0112019
Building Setbacks Rear: /
Front: I
p
Use Zone:
Parking Spa
)00.00
V,L;I o wIc
C;" --
Excise Tax:
$0.00
N st-o.
Additional Fee
TOTAL FEE: $386.39
ZONING APPROVAL:
Grading PC Consultant
WQ Insp. Fee
Electrical %:
Mechanical %:
Plumbing %:
$0.00
$0.00
$19.90
$0.00
$0.00
Plan Check Fee:
If c tile:,
iec:
Address*
❑ 80o r ❑ 100% refund
Phone: Stat
Llb'�,
y Vjq+nIg peer" JACOB TONY
x'%
Ad rerssi P.O. BOX.802060
h.
SANTA CLARITA CA 913
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Phone: 661-259-0700 Stat
Lid'V-059022
Designer:
Address:
v,
Phone:
Special Conditions
Planning Department-
-
Fire De men
,_.P_lau-eheelFF-ee c---
---y40-00-
spectio
Fair Share
$-0011 it Rev
SJHTrans
t$O OITa -Demo' orr'Fee
In Ileu Hsi _
Housing Fee
$0,00 ,�.�. ,,,B ding'Dep c
Public VllorkS Depa`rfinent-
General Service
Park Dedication :
$0.00
Refund Deposit
PAN Plan Check :.
$41.25
Grading Bond:
San Dist:
$0.00
rNMUSD Fee:
$0.00
$0.00
Fee Due at Permit Issuance
PUBLIC WORKS APPROVAL:
PLAN CHECK BY: UCJy
GRADING APPROVAL: APPROVAL TO ISSUE:
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$386.39
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)
ction 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
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
fessions Code) or that he or she is exempt from Iicensure 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
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 U portions of the work, and the structure is not intended or offered for sale (Section 7044,
;iness 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
rovements 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
roved for the purpose of sale).
I, as owner of the property, am exclusively contrAotin f�RseC�gentcaoto M :oaf:;^".e,w;.�g;,; n 7044 Business and Professions Code: The Contractors' State License Law does not
dy to an owner of property who builds or improve 'tfje on, and who contracts for tFje project with a licensed ant
o purse h - ieen^a��•• ���eazo.„�e� •s
J I am exempt from Iicensure under the ContractdfE
ly my signature below I acknowledge that except 0.
ell a structure that I have built as an owner bwlderif
'rofessions Code, is available upon request when
signature of Property Owner or Authorized Agent =t3;
.ICENSED CONTRACTOR'S DECLARATIO[T
hereby affirm under penalty of perjury that I am 116an
nd effect. License Class _
IIORKERS' COMPENSATION DECLARATI%
DARNING: FAILURE TO SECURE WORKERS' COMPENSATION'S&
DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SIffi
hereby affirm under penalty of perjury one of the Ya11i
I have and will maintain a certificate of consent
erio ance of the work for which this permit is isRbb
and will maintain workers' cot
carrier and policy number are:
s Lk
)v9gWfor the f mg.r son—
arso i�� I flee-iR-w s or at least one year prior to complet�h s`f�r�7pc��e@nts covered by this yerfnit I ;' nnot legs
not been constructed m is entirety by license contractors. I un ers an at a copy' 6fYh�@¢}fIIC461d'I'aw, Section 7044 if th a Bes e� :and..
catiaa4saubmitted or at.Abe_followina Web_site:http://www.leginfo.ca.gOV/Galaw.html._- _ 1....o
by
No.
and PrgkffdajL rya= and my
UP TO ONE HUNDRED THOUSAND DOLLARS 41.00, 00011
as provided for by Section 3700 of if
as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ); *40
is of Agent •= wma y s �,a' d a k,, a
-rnvn ' - K
certify that, in the performance of the work for' which his permit is issue ��L a`l eler�pIgy,a���yy person in any mann so a •to becpme subject to the workers' copensation laws of
if I should become subject to the workers' conlpen lion provisions of echon 7f7b"d} tl� i'abbr Code, I shall forth ith cam y wit III
Q korafa rted l.—�� �
of Applicant
hereby affirm undeo- nalty of Wrjury that there is a c struction lending agency
ender's Name
y my signature below, 1 certify to each of the following:
I am the property owner or authorized to act on the property owners b6f dff7'
I have read this application and the information I have provided is correc
I agree to comply with all applicable city and county ordinances
I authorize representatives of this city or county li anted-th entifiedp
Lender's Address
to building construction.
rr inspection purposes.
DATE @l'.1 �b4RATION OF COMPLIANCE WITH CODE OF FEDEI
GULATIONS PART 61 OF TITLE 40 AND AQMD RULE
PERMITFINAL V ASBESTOS NOTIFICATION IS NOT APPLICABLE TO
CERTIFICATE OF PROPOSED DEMOLITION
OCCUPANCYISSUED SIGNATURE:
FOR OFFICE USE ONLY
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