HomeMy WebLinkAboutX2022-0915 - PermitsCity of Newport Beach - Building Division
*^ ,h 100 Civic Center Drive, Newport Beach, CA 92660
-'4 v Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255
Combination Type - BLDG ELEC
IIIIIIIIIIIIIIIIIIIIIIIII�IIIIIIIIII� II COMB Permit: X2022-0915
Project No: 0848-2022
Issued Date : 0313012022
Inspection Area : 7
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0313012025 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: 2131 WESTCLIFF DR NB St: 1 Ft: 1 Unit: 200
Description: CORM ILLUM SIGN "BARKATE & NEHI"
Legal Desc.: N TR 4225 LOT 1
Owner:
HANKEY INVESTMENT CO
Address:
4751 WILSHIRE BLVD, STE 110
LOS ANGELES CA 90010
Phone:
Applicant:
ADIMPACT CORPORATE SIGNAGE
Address:
19772 MAC ARTHUR BLVD #110
IRVINE CA 92612
Phone:
949-476-0015
Code Edit : 2019
Type of Construction:
Occupancy Group: U
Added /New sq.ft. Bldg:
Added /New sq. ft. Garage:
No of Stories: 0
No of Units : 0
Bldg Height: 0
Bldg Sprinklers:
Flood Zone:
Contractor:
ADIMPACT CORPORATE SIGNAGE
Address:
19772 MAC ARTHUR BLVD #110
IRVINE CA 92612
Phone:
949-476-0015
Con State Lic:
490124
Lic Expire:
06/3012022
Bus Lic:
BT30074271
Lic Exp Date:
02/2812023
Architect:
Address:
Phone: State Lic:
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Engineer: ....
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Address: .. a •. •
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Phone: -State Lic: , •° °®,
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Worker's Compensation Insurance
Designer: GOLSHANI AZAD
Carrier: TRAVELERS INS
Address: 19772 MAC ARTHUR BLVD #110
Policy No: UB7J022083
IRVINE CA 92612
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0 Expire: 10/01/2022
Phone:
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Building Setbacks Rear. I
Special Conditions:
Front: I
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Left: I
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Right: I
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Use Zone: Parkina Spaces: 0
Fire Hazard 7nna - N
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Building Permit Fee: $147.00
Plan Check Fee: $127.89
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 : $347.13
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Excise Tax:
$0.00
Planning Department -
Additional Fee :
$0.00
Plan check Fee
Grading Bonds Fee:
$0.00
Fair Share
Grading PC Consultant:
$0.00
SJH Trans
Grading Permit Fee:
$0.00
In -lieu Housing Fee
Grading PC Fee:
$0.00
Public Works Department -
WQ Insp. Fee:
$0.00
Park Dedication :
$0.00
PAN Plan Check:
$0.00
Electrical %:
$19.24
San Dist:
$0.00
Mechanical %:
$0.00
NMUSD Fee:
$0.00
Plumbing %:
$0.00
Plan Check Fee:
Fire Department
$52.00
Fire Inspection:
$0.00
$0.00
Fire Plan Rev
$0.00
$0.00
Demolition Fee
$0.00
Building Dept Adm
$0.00
General Service
$0.00
Refund Deposit
$0.00
Grading Bond:
$0.00
$0.00
$0.00
$0.00 Fee Due at Permit Issuance : $347.13
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
APPROVAL TO ISSUE:
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that 1 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)
(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
the 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
Professions 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
not 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 U 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
improved 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).
I am exempt from licensure under the Contractors' State 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 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 Prpp&Y(2wner or Authorized Agent Date
LICENSED COMPRACTOR'S DECLARATION
t pereb;affirm tinder -penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7 00 of Division 3 of the Business and Pro Sam g , d-my license is in full force
'and effect. Lic4sai Class �;�� �_ /�� License No �9 al )� Date Contractor Signature
WNAERS' COMPENSATION DECLARATION
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PEN TIES ANO CIVIL FINES UP TO ONE HUNDRED OUSAND DOLLARS ($100,000), IN ADDITION TO THE
CS ST OF COMPEN-SAMON, EAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
Fherstry affirm ur de or penalty of perjury one of the following declarations:
i Vaye and wili "'Intain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for thI
p ante of thework for which this permit is issued. Policy No.
K1I:have and w4 maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensatior
uranCe carnerana oalicvAmbe, are: , I
Policy Number
ne of Agent
Date
I certify that, in the performance of Ole work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre,
Iat, if I should becor$ke/$ubjec m t w tens' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
signature of Applicanth r Date}''} / & 7,
IECLARATION RE(JAR NSTRUCTION LENDING 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, Ci) Code).
ender's Name Lender's Address
ly 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.
1 have read this application and the information I have provided is correct.
I agree to comply with all applicable ci d co my ord cps an s laws relating to building construction.
I authorize representatives o Is city or co t toe a abo a Ified pro y for inspection purposes. �yo ��
iicnature of Prooertv Owner o Authorized A. t Print Property Owner's dr Authorized Agent's Na ) �,i Dat ,}5 _,tGC"'
ACTION D4E __� BY V R40G3 LATIONS PART N OF 061 O TIITLE 40 AND ACMD RULECE WITH CODE OF RAL FOR 0 CE U E ONLY r / \
PERMIT EXPIRED I SUBMITTED ASBESTOS NOTI FICATI0N TO
PERMITC4NCELLED EPA
PERMIT EXTENDED AOMD
PERMIT FINAL
CERTIFICATE OF
OCCUPANCY ISSUED
IS NOTAPPLICABLE TO