HomeMy WebLinkAboutXC2023-0370 - Permits�e�Pogr City of Newport Beach II IIII I I I II I III IIIIIIII II III II COMB Permit : XC2023-03%0
Community Development Department- Building Division X C 2 0 2 3 0 3 7 0
y' 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: PC2023-2264
u > T Permit Counter Phone: (949) 718-1888 Issued Date : 09/15/2023
rn. newportbeachca.gov/civic Final Date:
cgG�FORN`P Combination Type-ELEC Permit Status: Issued
Work Class - Other Inspection Area : 7
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION, BUT NO LATER THAN 3 YEARS FROM ORIGINAL ISSUANCE DATE
NO CONSTRUCTION RELATED NOISE ON SATURDAY OR SUNDAY IN HIGH DENSITY AREAS AND NO WORK ON SUNDAY AND HOLIDAYS IN ALL AREAS
Job Address: 365 NEWPORT CENTER DR
Description:
COMM ILLUM SIGN - "MELIN"
Owner:
IRVINE COMPANY
Address :
1101NNOVATION DRIVE
IRVINE, CA 92617
Phone:
(949)720-2000
Applicant:
ASHLEY ZILL
Address :
Phone:
(949)423-7707
Owner/Builder :
Address :
Phone
Legal Desc : P BK 221 PG 30 PAR 3
Contractor: GRAFFITI INC
Address : 13845-B ALTON PKWY
IRVINE, CA 92618
Phone:
(949)457-2300
Con State Lie:
712829
Lie Expire :
10/31/2023
Bus Lie:
BT30082618
Bus Lie Expire : 09/30/2024
Workers' Compensation Insurance
Carrier: SECURITY+NATIONAL+INSURAN CE+COMPA
NY
Policy No: SWC1373325
W. C. Expire : 2/8/2024
Code Edition : 2022
Fire Sprinklers : NO
Type of Construction : II-B
Fire Hazard Zone : NO
Occupancy Groups : B
No of Units : 0
Bldg Height:
No of Stories :
Building Setbacks :
Flood Zone : X
Use Zone : PC - North Newport Center
PROCESSED BY: RtA
y ;,
SPECIAL CONDITIONS:
Architect
Address
Phone:
State Lie
Engineer:
Address
Phone
Designer: GRAFFITI INC
Address: 13845-B ALTON PKWY
IRVINE, CA 92618
Phone: (949)457-2300
Construction Valuation : $4,000.00
Added/New/Ti sq. ft. Bldg : 0
Alteration sq. ft. Bldg :
Added/New sq. ft. Garage : 0
TOTAL sq. ft. : 0
OWNER -BUILDER DECLARATION
hereby affirm under penalty of penury that I ant exempt from the Contractors' State License Law for the reason(s) indicated below by the checkrnark(s) I have placed next to the applicable items)
(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' Stale 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).
11 1, as owner of the property, or my employees with wages as their sole compensation, will do (_} all of or L) 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-8uilderwi9l have the burden of proving that It was not built or,
Improved for the purpose of sale).
El 1, 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 propertywho builds or Improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).
0 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
Sol a structure that I have built as an ownor-builder if It has not been constructed in its entirely 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:llwww.leginfo.ca.govfcalaw.html.
Signature of Property Owner or Authorized Agent _ _ _� �__ Date
LICENSED CONTRACTOR'S DECLARATION
l hereby affirm under penally of perjury that I am licensed under provisions of Chapter g (commencing with Section 7 00) if Division 3 of the Business and Professi ns e, and my license is in full force
and effect. License Class License No Dat �/ a Contractor Signature `4 a
(WORKERS' COM'.PENSATION DECLARATION \
IWARNING: FAILURE TO SECURE WCR%ERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TOONE HUNDRED THOUSAND DOLLARS 4100.000), IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3Te8 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
i;I hereby affirm under penalty of perjury one of the following declarations:
IQ I have and will meintem a certificate of consent to salt -insure for workers' compensation, Issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for fro
perfo�pfalnce of the work for which this permit is issued. Policy No.
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'
carrier and policy number are:
Policy Number
Date
is of Agent Phone #
Certify that, in the 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 workers' compensation laws of Calffornla, and agree
if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
lature of Apeiaard_c �9 --- Data
!reby 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, Civil Code).
ider's Name Lenders Address
my signature below, I certify to each of The following:
I am the property owner or authorized to act on the property owner's oehalf.
I have read this application and the information I have provided is correct.
agree p y County ordinances
state Paws relating to building construction. �t
I authorize represenitaly es of this city or county to ter,*n aboye�.dentffied property for inspection purposes. �/1// 7 � '' C _
naf ,re of Pronadv, Owner or Authorzed Aoent �� Print Property Ov:ner's or Authorized Aqent's Name/`�`1�C Date
ACTION I DATE I BY
PERMIT EXPIRED
PERMIT CANCEtIE3
PER, T EXTENDED
PERMIT FINAL
_ _.....
CERTIFICATE Of
OCCUPANCY ISSUED
DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 51 OF TITLE 40 AND AQMD RULE
1403
I SUBMITTED ASBESTOS NOTIFICATION TO
I__IASBESTOS NOTIFICATION ISNOI'APPLICABLE TO
PROPOSED DEMOLITION
CIGNATUREr -.__