HomeMy WebLinkAboutXC2024-0046 - PermitsatiwPo4,r City of Newport Beach III IIII III I IIII IIIII IIIIII III IIIIIII II COMB Permit: XC2024-0046
0 Community Development Department - Building Division X C 2 0 2 4 0 0 a s
100 Civic Center Drive, Newport Beach, CA 92660
plan Check No : PC2024-0251
Permit Counter Phone: (949) 718-1888 Issued Date : 02/07/2024
newportbeachca.gov/civic _ - — --^. Final Date:
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 : 1075 NEWPORT CENTER DR
Legal Desc : P BK 221 PG 30 PAR 6 P.M. 221-30 PAR
6 FOR OF PAR
Description: COMM INSTALL (2) ILLUMINATED WALL
SIGNS FOR "AMERICAN VINTAGE" (XC2023-0125)
Owner: IRVINE CO
Contractor: SOUTHWEST SIGN COMPANY
Architect
Address : 111 INNOVATION
Address : 1852 POMONA RD
Address
IRVINE, CA 92618
CORONA, CA 92880
Phone : (949) 720-3100
Phone : (951) 734-6275
Phone
Con State Lic : 724929
State Lic
Lic Expire : 07/31/2024
Applicant : LEENOLA MILLIORN
Bus Lic : BT30052367
Engineer
Address : 1852 W POMONA RD
Bus Lic Expire : 0913012024
Address
CORONA, CA 92878
Phone: (909) 855-2130
Workers' Compensation Insurance
Phone:
Carrier: CYPRESS INS CO
Owner/Builder :
Policy No : FOWC420800
Designer: SOUTHWEST SIGN COMPANY
Address :
W. C. Expire : 7/21/2024
Address : 1852 POMONA RD
CORONA, CA 92880
Phone:
Phone: (951) 734-6275
Code Edition : 2022
Fire Sprinklers : NO
Construction Valuation : $4,300.00
Type of Construction : III-B
Fire Hazard Zone : NO
Added/New/Ti sq. ft. Bldg : 0
Occupancy Groups : M,U
No of Units : 0
Alteration sq. ft. Bldg: 375
Bldg Height:
No of Stories : 0
Added/New sq. ft. Garage : 0
TOTAL sq. ft. : 0
Building Setbacks
Flood Zone : X
Use Zone : PC - North Newport Center
BY:
PROCESSED kJ
SPECIAL CONDITIONS:
OWNER -BUILDER DECLARATION
I hereby affirm under penally of perjury that t 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 Itern(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
no permit to NO a signed statement thathe or she is licensed pursuant to the provisions of the Contractors' State License Liw (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and
'rofessions 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
of more than five hundred dollars ($500).
3 I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044,
lusiness 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
nprovements 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
nproved for the purpose of sale).
D I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7D44, Business and Professions Code; The contractors' State. License Law does not
poly to an owner of properly 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 front licensure under the Contractors' State License Law for hie following reason -_ __..
ly 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
ell a structure that I have built as an owner -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
'rofessions Code, Is available upon request when this application is submitted or at the following Web site:http:(fwww.leglnfo.ca.gov/calaw.'html.
signature of Property Owner or Authorized Agent - Date
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of ivision 3 of the Business and Professi ns Code, and. my license. is in full force
no effect. License Class License No Date 6 �[N Contractor Signal
VORKERS' COMPENSATION DECLARATION
DARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL., AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FWES WP TD ONE H DRED THOUSAND DOLLARS (5100,000j, IN ADDITION TO THE
DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, Me ATTORNEY'S FEES.
hereby affirm under penalty of perjuryone of the fallowing 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
'ormance of the work for which this permit is issued. Policy No.
i
have 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' compensa
Trance carrier and policy number are:
I n 5 • CD h, Policy Number Jos (✓ C. Expiratic
of Agent Phone #
Date
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 California, and
if i shouldbeco7sat7]e to of ln' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
of ��J
Date— —6_1_fl7 - 2N
Ireby 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).
iders Name Lender's Address
my signature below, ! certify to each of the following.:
I am the property owner or authorized to acton the property owner's behalf.
I ha'•e read 'his -pp'icalion and the Information I have provided is correct.
I agree to comply with at applicable city and county ordinances and state lawsrelating to building construction,
i a'nncrize representatives of this city or county to a its 'fled propert pection purposes. I .,A
naU ire of Property OwLner or Authorized Agent PrnTl Property Owner's or Authorized Agent's Name veu o [ e h i At o rAl Date
DATE ( BY DEC TIONWCOMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY
GULATIONS PART 61 OF TITLE 40 AND AOMD RULE
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