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HomeMy WebLinkAboutX2020-0296 - PermitsCity of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIII�IIIIIIIIIII II 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 2 0 0 2 9 6 Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 4rtsrrix�'�' Combination Type - BLDG ELEC PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST,.VALID INSPECTION. Ii Construction Hours: Monday - Friday 7:00 a.m. to 6:30 p.m. and Saturclay from 800 a.m. to 6:00 p.m. No uV Job Address: 330 OLD NEWPORT BLVD NB .t " Description: COMM (2) ILLUMINATED CHANNEL LTR WALL SIGNS, (1) NO - -t9NrG'YiFNNEL LTR WALL SIG1�1,(A.DpRESS SIGNS) Legal Desc.: tr . S _...- Owner: ADVANCED MEDICAL Contractor: SSINSC'r'SIGNS & PRT IT/o [?' �.-Arc 7ect: Address: 320 SUPER 0 Add -- 2981 E WHITE STA N " Address: COMB Permit: X2020-0296 Project No : 0236-2020 Issued Date: 02/03/2020 Inspection Area : 7 on Sundays or Holidays NE BEACH CA 9 3 j t� \ .-�'S 92806 Phone: �_� Phor, .� 7 95-9� to �njilt�lY1'. �hartu�' state Lic: Applicant: SUNS T Si &PRINTING Nsfi ic: 741 Engineer: - Address: 2981 WHITE STA E s,�a.'- 5 Address: ANAH M C I r`+' BT30053207 - Phone: 714.29 910 :�'' Lic Exp Date: 071311 Phone: State Lic: �Y Code Edit: 40,r Worke' 6@n a I n i4 c Designer: HEFFERNAN MIK ' Type of Construction: > rn , CIA i Address: 2981 E WHITEST AVE Occupancy Group: U ,, - - .F61t AHEIL�„CA 9280 Added /New sq.ft. Bldg: ro, ire 02/01/2021 Phan I @6 Added /New sq. ft. Gar a 0 ��� ,q No of Stories: 0°'4'a�' Building Setbacks Rear: I °. e a o itions: ...... ° • •. No of Units? " Front: I Bldg Height: Left: I Sid{tf-;( 1 o c ° • o • •• Bldg Sprinklers: Right: I ` / Qw{�[I% • • Flood Zone: Wffte Z n kin S aces: 0 \� Fire Hazard Zone: ° ° • ° ° o Construction Valuation: A E6,000mo '`" ; eT/ft s� • ° ° ° ° • • • ®° ° Building Permit Fee: V68.O,Fycgl eyaaa � $0.00 PI-ayping-B€partmen� t- jjyljia F ant Plan Check Fee: $146.�iA ditional Fee : $0.00 Plan check Fee : InSP' $40.0 _ Fire Inspection: •$0.00, •••oo Overtime Plan Ck: Grading Bonds Fee: Fair Sh�r� Z+ .00 Fire Plan Rev %00 Investigation Fee: Grading PC ns01 ant: $0.00 _e5J Tf� ran$0.00 Demolition FeeRecord Management : �,._6redf g Permit Fee: efaa41 ousing Fee : $0.00 Building Dept Admo $Q,Q(f. Energy Compliance: Grading PC Fee: _---- $ t) Public Works Department- General Service CA Seismic Safety: WQIn ee : .--�" 0.00 Park Dedication : $0.00 Refund Deposit . 0.00 ••• 4�.;, °Disabled Access : e�"f =` PAN Plan Check : $0.00 Grading Bond: fdo Hazardous Mat e88tral %: $21.99 San Dist : $0.00 Building Green Fee : Mechanical %: $0.00 NMUSD Fee: $0.00 $0.00 Plumbing %: $0.00 $0.00 TOTAL FEE: $449.1 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $449.15 PROCESSED BY: PUBLIC WORKS APPROVAL: ZONING APPROVAL: PLAN CHECK BY: �� EL., GRADING APPROVAL: APPROVAL TO ISSUE: GK Oe t UrZn OWNER -BUILDER DEC 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 itam(a) 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 ie 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 Irofessions 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 (_) 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 n 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 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: ly 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 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 Irofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. signature of Property Owner or Authorized Agent - Date .LCENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perju that am licensed under provisions of Chapter 9 (commencing with Section 00) f Di ision 3 of th siness and Professi Rs Code, d y license is in full force nd effect. License Class ,4� License No *9— "- _ Da '0 r ctor Signature IIORKERS' COMPENSATION DECLARATION DARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HU RED THOUSAND DOLLARS (E100,000), IN ADDITION TO THE DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 0706 OF THE LABOR CODE, INTEREST, AND ATTORNETS FEES. hereby affirm under penalty of perjury one of the following declarations: I 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 IN rmance of th9 Wt ork for which this permit is issued. Policy No. Pve6and will"MAtain 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' compensation lea carrier and policy�nymbler are: aLrier `sly 6, xj ►�/�r f-� Policy Number �41N(. I� 7d "I �s Expiration Date 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 work rs' compensation laws of California, and E subject t the worker comn an pon provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. -011-ARATICIN REGARDJRG CONSTRUCTION LENDING AGENCY \ J lellebyeffirm 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). Aer's;Name ' ' • Lender's Address (.TX gignature 1letow, 4 certify to each of the following: J girhe prolpVtJ ev4ner or authorized to act on the property owner's behalf. I have read thi9 application and the information I have provided is correct. I agree to comply with all applicable city an county ordinances and state laws relating to building construction. I authorize representatives of this city\or}-'�`du.nty to antg. �,abov�-ide Gfied property for inspection purposes. `y/� / L MnMfI Iro of or,... %r n,.,ner �r A„rhn�hod ZZI. 1 //�' �'WC Prooertv Owner's or Authorized ADent's IVaftte DATE BY "4ECLARATION OF I REGULATIONS PART OMPLIANCE WITH CODE OF 61 OF TITLE 40 AND AQMD RULE AL FOR OFFICE USE ONLY PERMIT EXPIRED I /j -is- & I I r I U I SUBMITTED ASBESTOS NOTIFICATION TO PERMITFINAL L_I ASBESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATE OF PROPOSED DEMOLITION OCCUPANCYISSUED SIGNATURE: