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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: t ..°° Engineer: .... • Address: .. a •. • ma °• Phone: -State Lic: , •° °®, 0o a Worker's Compensation Insurance Designer: GOLSHANI AZAD Carrier: TRAVELERS INS Address: 19772 MAC ARTHUR BLVD #110 Policy No: UB7J022083 IRVINE CA 92612 .... ° 0 Expire: 10/01/2022 Phone: ' •. a ° ° , """' 0 • 0000 Building Setbacks Rear. I Special Conditions: Front: I • a o ° Left: I • °•° naaoso Right: I ao • a o c a Use Zone: Parkina Spaces: 0 Fire Hazard 7nna - N ° soda 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