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Home My WebLink AboutXC2022-1903 - Permits�aE*POR,, City of Newport Beach II IIII I I II I II I II o e Community Development Department - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 644-3288 s.. Inspection Requests Phone: (949) 644-3255 C7L/c00.N�P newpDrtbeachca.gov/inspections Combination Type - ELEC Work Class - Other IIII II COMB Permit : XC2022-1903 Plan Check No : 1614-2022 Issued Date : 08/1112022 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: 1021 NEWPORT CENTER DR Legal Desc : P BK 221 PG 30 PAR 6 P.M. 221-30 PAR 6 FOR OF PAR AND FOR PA R 1 OF P.M Description: COMM ILLUMINATED CHANNEL LETTER SIGN. "DR MARTENS" Owner: IRVINE COMPANY LLC THE Contractor : CS SIGNS LLC Architect Address : PO BOX 2450 NEWPORT BEACH, CA 92658 Address : 4 TERRASTAR LANE LADERA RANCH, Address CA 92694 Phone : Phone: (714) 720-7604 Phone Con State Lic : 1053147 State Lic: Applicant : CS SIGNS LLC Lic Expire : 03/31/2023 Address : 4 TERRASTAR LANE LADERA RANCH, CA Bus Lic: BT30079116 Engineer 92694 Phone: (714) 720-7604 Bus Lic Expire : 06/30/2023 Address: Workers' Compensation Insurance Phone: Owner/Builder : Carrier: OAK RIVER INSURANCE COMPANY Address : Policy No : CSWC352425 Designer: CS SIGNS LLC Phone: W. C. Expire: 5/2/2023 Address: 4 TERRASTAR LANE LADERA RANCH, CA 92694 Phone: (714)720-7604 Code Edition : 2019 Fire Sprinklers : YES Construction Valuation : $4,870.00 Type of Construction : II-B Fire Hazard Zone : No Added/New/Ti sq. ft. Bldg : 22 Occupancy Groups : M,U No of Units : 0 Alteration sq. ft. Bldg : 22 Bldg Height : No of Stories : 1 Added/New sq. ft. Garage : 0 Building Setbacks Flood Zone: X Use Zone: PC - NorthNewport Center BY: PROCESSED SPECIAL CONDITIONS: I hereby affirm under penalty of perjury that I 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 Remits) Cllon 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 permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' Slate License Law {Chapter 9 (commencing with Section 7000) of Division 3 of the Business and fessions Code) or that he or she is exempt from licensors 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 more than five hundred dollars ($500). I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or U portions of the work, and the structure is not intended proffered for sale (Section 7044. Iiness and Professions Code: The Contractors' State License Law does not apply to an owner of properly who, through employees' or personal effort, builds or improves the property, provided that the rovements 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 roved for the purpose of sale). 1, 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 ly 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). LJ I am exempt from licensors under the Contractors' State License Law for the following reason: _ _ _ By my signature below I acknowledge that, except for my personal residence in which I must have resided for et least one year prior to completion of the improvements covered by this permit, I cannot legall, sell 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 paw, Section 7044 of the Business and Professions Code, is available upon request when this application is submitted or at the following Web site:http:llw .leginfo.ca.govlmlaw.html. Signature of Property Owner or Authorized Agent ___—,Cale LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70D )a Div' ion 3 of the Business and Professio , an license is in full farce and effect. License Class License No Datex Contractor Signature WORKERS' COMPENSATION DECLARATION I NANNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOU ➢DOLLARS {5100,W01, IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3704 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. hereby affirm under penalty of perjury one of the following declarations: —11 have and will maintain a certificate of consent to self -insure for workers' compensation, issued by the Director or Industrial Relations as provided for by Section 3700 of the Labor Code, for th )ee{rformance of the work for which this permit is issued. Policy No.. YJI 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' compensafiol insurance carrier and policy number are: G Garner p Ct h �rQ r .1..V�1 UYiilY'CtPclicy Number L`�w !� �J LI"f Z� Expiration Date J 12, / `? `5 Name of Agent _VI° Q CAGI'1 Phone # ,/ c r, - '77 € , Li 82.'5 01 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 lows of California, and agre That, if I should become sublec o e kern' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Signature of Applicant .«.M......_..............—.,.,..,.,.� _�. ..... Date, �/��jj �� l22____.....,�._____... I hereby affirm under penaltytatpp rjur�41hat there is a construction lending agency for the performance of the work forwhich this permit Is issued (Section 3097, Civil Code). Lender's Nam s Lender's Address By my signabrs below, I certify to each of the following: I am the nroneny owner or authorized to act on the property owner's behalf. I have lotto this application and the information I have provided is correct. I agree to comply with all applicable city and county ordinances and state laws relating to building construction. I authorize representatives of this city or count en he o e-identified property for inspection purposes. I5i nature o` PrSper. � Owner or Authorized A ant Print Property Owner's or Authorized A ent's Name Date r n,:TION DATE BY ? DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY ' RFGULATIONS PART FI OF TITLE 40 AND AQMD RULE 1403 PFRMREXPiREU fU I SUBMITTED ASBESTOS NOTIFICATION TO PFI'MITCAA{.E(t5U J DEPA All required alarms, latches gates and fences which serve as part of a pool/spa barrier, shall _.. .. ____ _--_.--� ...._._.___— p P PMl7 EXTENUEO I QMp be in place prior to approval to fill pool/spa &shall remain in place & be maintained for the f P'RMITFIN1! ��ASBESTOS NOTI F9CATI0 IS NOT APPLICABLE TO life of the col. 7-S z CERTIFICATE Ur PROPOSEDDE OLI ,r////I✓ OCCUPANCYISSUED SIGNATURE- /I / I