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Home My WebLink AboutX2021-1035 - PermitsCity of Newport Beach - Building Division *X2021-1035* 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 COMB Permit-:>X2021-1035 Project No : 0951-2021 Inspection Requests Phone (949)644-3255 1 Ir Ste' Combination Type - BLDG ELEC j P � C Issued Date : 2021 Inspection Arearea : 7 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 07/22/2024 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: 4225 MACARTHUR BLVD NB Description: COMM SIGN -'OPTIMA SALONS' 1 ILLUMINATED, 3 NON-ILLUMNATED Legal Desc.: Owner: RIDGEWAY REAL ESTATE Address: 4221 DOLPHIN STRIKER WY NEWPORT BEACH CA 92660 Phone: Applicant: DIAZ JORGE Address: 843 E MOUNTAIN WY UNIT C AZUSA CA 91702 Phone: 626-644-6259 Code Edit : 2019 Type of Construction: Occupancy Group: U Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 0 No of Units : 0 Bldg Height: 0 Bldg Sprinklers: Construction Valuation: 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: Contractor: JORGE DIAZ Address: 843 E MOUNTAIN WAY #C AZUSA CZ 91702 Phone: 626-644-6259 Con State Lic: 991482 Lic Expire: 03/3112022 Bus Lic: BT30064042 Lic Exp Date: 08131/2019 Worker's Compensation Insurance Carrier: EXEMPT Policy No: Expire: Building Setbacks Rear: / Front: / Left: / Right: / Excise Tax: $0.00 Additional Fee: $0.00 Grading Bonds Fee: $0.00 Grading PC Consultant : $0.00 Grading Permit Fee: $0.00 Grading PC Fee: $0.00 WQ Insp. Fee: $0.00 Electrical %: $19.24 Mechanical %: $0.00 Plumbing %: $0.00 0 Architect Address: Phone: State Lic Engineer: Address: Phone: State Lic: Designer: DIAZ JORGE Address: 843 E MOUNTAIN WY UNIT C AZUSA CA 91702 Phone: 626-644.6259 Special Conditions Fire Hazard Zone : N Planning Department - Plan check Fee Fair Share SJH Trans In -lieu Housing Fee Public Works Department - Park Dedication : $0.00 PNV Plan Check : $0.00 San Dist: $0.00 NMUSD Fee: $0.00 Fire Department $52.00 Fire Inspection: $0.00 Fire Plan Rev $0.00 Demolition Fee $0.00 Building Dept Adm General Service Refund Deposit Grading Bond: $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Plan Check Fee : $134.05 Fee Due at Permit Issuance : $213.08 _- PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: uaa OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reasons) indicated below by the checkmark(s) I have placed next to the applicable tern(s) (Section 7031.5, Business and Professions Code: Any city or county that requires apermit 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 U 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 Property Owner or Authorized Agent Date LICENSED CONT.44CTOR'S DECLARATION I hereby affirm under penalty of pery�ry that I am licensed under provisions of Chapter 9 (DOFF ncing with Sectio 7 00) of vision of the Business and Pro ions Cod d my license is in full force drrd effe�.t. License Class L License No �L g/ Q'fi Z'" Da Contractor Signature WORKERS' C1?NIPENSATION DEC ARATION N,'4R^ZING: FAILURE TO, SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THU SAN OLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. I harebv 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 th pa, fom.ance of tae work for which this permit is issued. Policy No. Xnave and will 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' compensatiol i,�su*ance carrier and policy number are: Policy Number Date -Mia,of Agent 9sroUId rfythat,in the performance ofthe workorwhich thispermit is issued, shall not employ any person in any manner so as to become subject to theworkers' compensaton laws of California, and are becomes ject to the workers' mpensation provisions of Section 3700 of the Labor Code, shall forthwith comply with those provisions. ng nature of Applicant Date IECLARATION EGA D CONST LENDING AGENCY hereby affirm under penalty of perju that ere is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil ode). end,r'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 owners behalf. I have read this application and the information I have provided is correct. I agree to comply with all applicable city and county ordinances and state laws relating to building construction. I authorize representatives of this city or countWkenter th j e-identified property for inspection purposes. ;innatore of Pronerty Owner or Authorized Aoent I Print Property Owner's or Authorized Agent's Name ACTION I DATE I BY PERMIT EXPIRED I SUBMIT PERMITCANCELLED EPA PERMIT EXTENDED AQMD PERMIT FINAL CERTIFICATE OF OCCUPANCY ISSUED �L I STO: PROPOSED SIGNATURE: OF COMPLIANCE WITH CODE OF FEDEi PART 61 OF TITLE 40 AND AQMD RULE ASBESTOS NOTIFICATION TO IS NOTAPPLICABLE TO FOR OFFICE USE ONLY