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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: