HomeMy WebLinkAboutXC2023-0106 - Permits�EwaoRT City of Newport Beach IIIIIIII II I II I III IIIIIIII� IIII III II COMB Permit : XC2023-01 OS
p� e Community Development Department- Building Division X C 2 0 2 3 0 1 0 6
100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: PC2023-0790
W ? Permit Counter Phone: (949) 644-3288 Issued Date : 0410612023
e.. Inspection Requests Phone: (949) 644-3255 Inspection Area : 7
°g4coar'P newportbeachca.gov/inspections
Combination Type - ELEC
Work Class - Other
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 : 226 MARINE AVE, A Legal Desc : A TR BALBOA ISLAND SEC 4 BLK 11 LOT 14
Description : COMM 1 ILLUMINATED SIGN "GOURMET TOAST + JUICE BAR" AND 1 NON ILLUMINATED SIGN "TOASTIQUE"
Owner: GARY SAUTER
Contractor: GERARD SIGNS & GRAPHICS INC
Architect
Address: 735 CAMEO HIGHLANDS DR
Address : 2000 PLACENTIA AVE
Address
CORONA DEL MAR, CA 92625
COSTA MESA, CA 92627
Phone :
Phone : (949) 631-2499
Phone
Con State Lie : 789424
State Lie
Lie Expire 01/31/2025
Applicant: GERARD SIGNS & GRAPHICS INC
Bus Lie: BT300L3('Z(J
Engineer
Address : 2000 PLACENTIA AVE
Bus Lie Expire : 04/30/2024
Address
COSTA MESA, CA 92627
Phone : (949) 631-2499
Workers' Compensation Insurance
Phone
Carrier: MID-CENTURY+INSURANCE+COMPANY
Owner/Builder :
Policy No: A09465008
Designer: GERARD SIGNS & GRAPHICS INC
Address :
W. C. Expire : 7/1/2023
Address: 2000 PLACENTIA AVE
COSTA MESA, CA 92627
Phone:
Phone: (949) 631-2499
Code Edition : 2022
Fire Sprinklers : NO
Construction Valuation : $9,977.00
Type of Construction :
Fire Hazard Zone : NO
Added/New/TI sq. ft. Bldg : 0
Occupancy Groups : U
No of Units : 0
Alteration sq. ft. Bldg :
Bldg Height :
No of Stories ; 0
Added/New sq. ft. Garage : 0
TOTAL sq. ft. 0
Building Setbacks
Flood Zone : AO 1; X
Use Zone: w
PROCESSED BY:
SPECIAL CONDITIONS:
OWNER -BUILDER OfCLARATION
I hereby affirm under penalty of perjury that i am exempt from the Contractors' State License Law for the reason(s) indicatel below by the checkmark(s) I have placed next to the applicable Items)
clion 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, after, Improve, demolish, or repair any structure prior to its issdance, also requires the applicant for
permit to fife a signed statement that he or she is licensed pursuant to the provisions of the £ontraptors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and
fessians Code) or that he or she is exempt from Ncensure and the basis for the alleged exemption_ Any violation of Section �031.5 by any applicant for a permit subjects the applicant to a civil penalty of
more than five hundred dollars ($500).
1 1, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or L) portions of the
usiness and Professions Code: The Contractors' State License Law does not apply to an owner of property who., through am
nprovements are not Intended or offered for sale,. If, however, the building or improvement is sold within one year of complet
nproved for the purpose of sale),
1 I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, BL
ty to an owner of property who builds or Improves thereon, and who contracts for the projects with a licensed Contractor pL
I am exempt from llcerisure under the Contractors' State License Law for Hie following reason
y my signature below I acknowledge that, except for my personal residence nt which I must have resided for at least one yea
ell a structuro that I have built as an owner -builder If It has not been constructed In its entirety by licensed Contractors. ) undo
Tofessions Code,. is available upon request when this application is submitted or at the following Web s1ta:http:7/www.leginfo.,
Ignmare of Property Owner or Authorized Agent
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of D
rid effect. L:jcense Class License No Dato
COMPENSATION DECLARATION
AKNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE 13 UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENAL'.
DST OF COMPENSATION, DAMAGES AS PROVIDED FOR 1N SECTION 37" OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm oirm under penalty of perjury one of the following declarations:
i I have and Will malmam a certificate of consent to self -insure for workers' CamponsatiDn, issued by the Director of
�f�mance of the work for which this permit is issued. Policy No.
Il ve and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the ps
rice carrier and policy number are:
artier_ Policy Number
re of Agent.
certify that, in the pador m Of tt rk for which this permit is issued. !shall not employ any person in any manner so
if I should became at (act the ers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith c
lature of Applicant
k, and the structure is not intended or offered for sale (Section 7044,
ees' or personal effort; builds or improves the property, provided that the
the Owner -Builder will have the burden of proving that it was not built or
and Professions Cade; The Contractors` State License Law does not
to the Contractors` State License Law).
to Completion of the improvements covered by this permit, I cannot
that a copy of the applicable law, Section 7044 of the Business and
Date
3 of the Business and Profs o s Co 'end my license is In full force
_ .Contractor SignalurW
WIL FINES UP TO ONE HONOR:/TROUSAND DOLLARS r5100,0001, IN ADDITION To THE
Relations as provided for by Section 3700 of the Labor Code, for
of the work for which this permit is issued. My workers`
Dale
to become subject to the workers' compensation laws of California, and agre
ply with those provisions.
hereby affirm under peha#iy ofy6riury that there is a construction lending agency for the performance of the work for Which is permit is. issued (Section 3097, Civil Code).
miner's Name. v Lenders Address
y my signature below, I certify to each of the following:
t am the property owner or authorized to act on the property owner's b half. I have rear ihia application and tfie mtormaUon I have provider is c r t I agree to comply with all applicable city and county 1nan s a ate laws relating to building construction.
I authorize representatives of this city br county to rater the o - tifliad p arty forinspection purposes.ionature of Pronenv Owner or Authorized Aaent r Print Prooetty Owner's or Authorized ADent's Name rJa/,C�ZrDate
ACTION DATE. BY , NrfxARATrNOF COMPLIANCE WITH CODE OF FEDER.A�;R. orrice USE ONLY
GULAJA'ONS PART 63: OF TITLE 40 AND AQNlO RUl.F. j
11103
PERM11 EXPIRED LJ 15UHMITT€D ASBESTOS NOTIFICATION TO
PERMIT FINAL DGCUFICATE OFPROPOSED
(�//U //�� PROPOSED DEMOLITIONrtON IS NOT ARP4tGS6l.E TO