HomeMy WebLinkAboutXC2023-0320 - PermitsWP City of Newport Beach IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit : XC2O23-0320
o� Community Development Department - Building Division X C 2 8 2 3 0 3 2 0
100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2023-2040
Permit Counter Phone: (949) 718-1888 Issued Date : 08131/2023
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 : 401 NEWPORT CENTER DR, A224 Legal Desc : P BK 221 PG 30 PAR 2 PM 221-30 PAR 2 (LLA 09-01504
Description: COMM - INSTIL ILLUMINATED WALL SIGNS (9), EXTERIOR (3) / INTERIOR (6)
Owner: IRVINE COMPANY LLC
Contractor: STELLAR INSTALLATIONS INC
Architect
Address : 111 INNOVATION DR
Address : 400 COMMERCIAL WAY
Address
IRVINE, CA 92617
LA HABRA, CA 90631
Phone : (949) 720-3100
Phone : (951) 310-2896
Phone
Con State Lic : 810013
State Lie
Lie Expire : 06/30/2024
Applicant : RYAN YBARRA
Bus Lie: BT30082508
Engineer:
Address : 1209 EUCLID AVE
Bus Lie Expire : 08/31/2024
Address
LONG REACH, CA 90804
Phone: (951) 310-2B96
Workers' Compensation Insurance
Phone:
Carrier: EMPLOYEE SERVICE GROUP
Owner/Builder :
Policy No : C55540457
Designer
Address :
W. C. Expire : 8/1/2024
Address
Phone:
Phone:
Code Edition : 2022
Fire Sprinklers : NO
Construction Valuation :
$13,000.00
Type of Construction : II-B
Fire Hazard Zone : NO
Added/New/TI sq. ft. Bldg :
0
Occupancy Groups : B
No of Units : 0
Alteration sq. ft. Bldg :
Bldg Height:
No of Stories :
Added/New sq. ft. Garage :
0
TOTAL sq. ft.
0
Building Setbacks
Flood Zone : - X
Use Zone : PC - North Newport Center
PROCESSED BY: M
SPECIAL CONDITIONS:
OWNER -BUILDER DECLARATION
I hereby aff Tin under penalty of perjury that I am exempt from the Contractors' Slate License Law for the reason(s) indicated below by the checkrnark{s) I have placed next to the applicable items)
3ecllon 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
Ic 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
rofessioms Code) or that he or she is exempt from ficensure and the basis for the alleged exemption. Any violation of Section 7031 S 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 (_) portions of the work, and the structure is not intended or offered for sale (Section 7044,
usiness 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 properly, provided that the
rimovemanls 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).
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
Coy 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).
1 I aim exempt from llcensure under the Confraotars' State License Law for the following reason
,y my signature belovi 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 legalll
ell 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
'rofessions Code, is available upon request when this application is submitted or at the following Web site: Ntp:llwww, leginfo.cia gov/calaw.html.
:ignah re of Property Owner or Authorized Agent ___...... _ Date
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty,gf perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professio o e and ntry lif n is uli farce
nd effect. License Class yR \00 \3 License No Date S -)1• L) Contractor Signature,
VORKERS' COMPENSATION DECLARATION
[ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDREDTH USANO DOLLARS (S1 g000),IN ADDITION TO THE
DST OF COMPENSATION, DAMAGES As PROVIDED FOR IN SECTION 370E OF THE LABOR CODE, INTEREST, AND ATTORNEY'$ FEES.
hereby affirm under penalty of perjury one of the following declarations:
I I have and Will maintain a Certificate of Consent to self- insure tot workers' compensalion, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for th
erforma:nce of the work for which this permit is issued. Policy No.
�va and will maintain workers' compensation insurance, as required by Section 37CC of the Labor Code. for the performance of the work for which this permit is issued. My workers' compensatior
isuranee carrier and pclley number are:
:airier Policy Number Expiration Date
Jame of Agent Phone #
-1I certify Chat, in the performance of the work for which thispermit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agie
hat, if I should become sublet to the workers co per satior rovisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
iignalure of Applicant . _......... _ .._w _ __�---the
DatB,._„__.1._(,,.� .__�_._...._�....__
>BCLARATICtN REGARDIN C TRl1CTION L' ❑ G AGL.
hereby affirm under penal of yury that there is nstruction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Cade).
.enders Name Lenders Address _ _ _
3y 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 application and the information I have provided is correct.
I agree to comply with all applicable city and county ordinances and state laws rBI Jo building construction.
I authorize representalives of this ,ity or ou-ily to cntcr th a ave-identi e far CT—inspectlon purposes.
ii nature of Property (,wns, or Aufhonzerl Ar,en' Print Property Owner's or Authorized Agents Name � J4%�'f Date
ACTION DATE BY _ DFCL ATI OF COMP NCE W171-I CODE OF FEDERAL FOR OFFICE USE ONLY
RFGLI ATIO S PART 51 OF TITLE 40 AND ACIIAD RULE
I,W3
PERAIW EXARED )EMITTED ASBESTOS NOTIFICATION TO
PERhR1T CANCEidED CPA
PER,Yt7T EXiFNDED OMD
❑
PCima FINAL l.j�'ift "Z�l. t- `. ASBESTOSNCIIFICArIONISNOI'APPLICABLE TO
CERTIFICATE OF ? PROPOSED DEMOLITION
OCCUPANCY 15SLED r. SIGNATURE: