HomeMy WebLinkAboutXC2024-0038 - Permits�EvvaoRT City of Newport Beach II IIIIII I IIII IIII I IIIII IIIIIIIII II I II COMB Permit : XC2024-0038
Community Development Department- Building Division X C 2 0 2 4 0 0 3 8
100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2024-0216
Permit Counter Phone: (949) 718-1888 Issued Date : 01/31/2024
U newportbeachca.gov/civic Final Date:
cq(/Fp RN�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 : 221 NEWPORT CENTER DR
Legal Desc : P BK 221 PG 30 PAR 6 P.M. 221-30 PAR 6 POR OF PAR
Description: COMM ILLUM SIGN - "VINCE" (XC2023-0447)
Owner: IRVINE COMPANY
Contractor: R N F SIGNS INC
Architect
Address : 110 INNOVATION DRIVE
Address : 330 EAST NEWMARK AVENUE
Address : „, , , ° ° •,
IRVINE, CA 92617
MONTEREY PARK, CA 91755
Phone : (949) 720-2000
Phone : (626) 991-9048
Phone
Con State Lie : 1004002
State Lie
Lie Expire : 05/31/2025
Applicant: JIMMY FULLER
Bus Lie BT30083518
Engineer:
Address : 309 S. Irwindale Ave
Bus Lie Expire : 01/31/2025
Address
Azusa, CA 91702
Phone:
Workers' Compensation Insurance
Phone:
Carrier: STATE FUND
Owner/Builder :
Policy No: 9138410
Designer
Address :
W. C. Expire: 7/24/2024
Address
Phone:
Phone:
Code Edition : 2022
Fire Sprinklers : NO
Construction Valuation : $10,000.00
Type of Construction : III-B
Fire Hazard Zone : NO
Added/New/Ti sq. ft. Bldg : 0
Occupancy Groups : M
No of Units : 0
Alteration sq. ft. Bldg :
Bldg Height:
No of Stories : 1
Added/New sq. ft. Garage: 0
TOTAL sq. ft. 0
Building Setbacks
Flood Zone : X
Use Zone : PC - North Newport Center
PROCESSED BY: 1 ,
SPECIAL CONDITIONS:e,.g--
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' Stale License Law for the reason(s) indicated below by the checkmark(s) I have placednext to the applicable item(s) '
(Section 7031.5, Business and Professions Cade: 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 fare permit subjects the applicant to a civil penalty of
not more than five hundred dollars ($500).
0 1, as owner of the property, or my employees withwages as their sole compensation., will do (_) all of or L) portions of the work, and the structure Is not intended er 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. It, 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).
n 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
appiy to an ownerof propertywho builds or Improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).
❑ 1 am exempt from licensure under the Contractors' State License Law for the following reason:
By my signature below t 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, 1 cannot legally
sell a structure that I have built as an owner -builder if it has not been constructed in its antirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of tho Business and
Professions Code„ is available upon request when this application is submitted or at the following Web site:htip:liv:ww.leginfo.ca.gov/calaw.titmi.
Signature of Property Owner or Authorized Agent _ Date
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm undi, penalty of perjury that I am licensed under provisions of Chapter g (commencing with Section 7 00 f Division 3 Of the Business and fofessi e, a any license is In full farce
and eff_n! License Claes C ��l � License No icyC�h/ram 7- Date Contractor Signatu
WORKERS' COMPENSATION DECLARATION
WA. RNNG: FAILURE TOE --CURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS J$100,1 , IN AOOn10N TO THE
CLST GI .:ONPENSA710N, DAMAGES AS PROVIDED FOR 1N SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES_
I he,eby affirm under penalty of perjury one of the following declarations:
I have and will main'am 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
ormance of the work or which this permit is issued. Policy No.
have and will m..intain 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' compensa.
rpnce arrier and pcli y number are:
Policy Number
of R gent
Date
11 certify that, in the penormance 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 workerscompensation laws of California, and agre
hat, if I should become sub' t to the work mpensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
Bignalure of Applicant
)ECfARATIGN REGARIi lty NG U ION ND G A `rN2i
hereby affirm under penaerjury that there is a Ga atrrruO noting agency for the performance ofthe work for which this permit Is Issued'. (Section 3097, Civil Code).
_endai s Name I Lenders Address
By 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,
I have read this applicalion and the information I have provided is correct.
I agree to comply with all applicable city and county ordinances and stale laws relating to building. construction.
I authorize representatives of this city or count for ter the e-identified property for inspectlon purposes. _ _
Signature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's NamBY'o. a i WA1M U Ihl n JPJ✓ Datgigf%/-3j-�
ACTION DATE BY LARATMN OF CON1@1aWCE VATH CODE Of FEDERAL IpOR OFFICE USE ONLY
REGULA""-IONS FART 61 OF TITLE A0 AND AQNID RULE
PERMIT EXPIRED �W I SUBMITTED ASBESTOS NOTIFICATION TO
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PERMIT FXTENDED L tJ,1p
PERNIi FINAL 4..� 3-Zz�Zc( I tlr:51USy 1IFICOTAPP-I CABLE TO
CER71FlCAif OF PROPOSED/`/I ION
OCCUPANCY65UED SIGNATURY ,