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HomeMy WebLinkAboutXC2023-0123 - PermitsC�"EWIpoRT City of Newport Beach @m Community Development Department- Building Division y 100 Civic Center Drive, Newport Beach, CA 92660 i Permit Counter Phone: (949) 644-3288 .sInspection Requests Phone: (949) 644-3255 o4�co aN`'' newportbeachca.gov/inspections Combination Type - ELEC Work Class - Other COMB Permit: XC2023-0123 X C����������������������������������������������� II Plan Check No : PC2023-0867 Issued Date: 04/1712023 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: 21109 NEWPORT COAST DR Description: COMM ILLUM SIGN "GOLDEN SPOON" Owner: IRVINE COMPANY LLC Address : 111 INNOVATION DR IRVINE, CA 92617 Phone: (949)720-3100 Applicant: RYAN YBARRA Address: 400 COMMERCIAL WAY La Habra, CA 90631 Phone: (951)310-2896 Owner/Builder : Address : Legal Desc : P BK 318 PG 27 PAR 2 Contractor: ORANGE COUNTY SIGNS Address : 636 W WILLIAMSON AVE FULLERTON, CA 92832 Phone: (562)756-9155 Con State Lic : 1064067 Lic Expire : 03/31/2024 Bus Lic : BT30081285 Bus Lic Expire : 04/30/2024 Workers' Compensation Insurance Carrier: PREFERRED EMPLOYERS INSURANCE CO Policy No: WKN1726331 W. C. Expire: 6/27/2023 Architect Address Phone: •• State Lic Engineer: Address Phone: Designer : - - Address Phone: Phone: Code Edition : 2022 Fire Sprinklers : NO Construction Valuation Type of Construction : V-B Fire Hazard Zone : NO Added/New/Ti sq. ft. Bldg Occupancy Groups : B No of Units : 0 Alteration sq. ft. Bldg : Bldg Height : No of Stories : 1 Added/New sq. ft. Garage TOTAL sq. ft. : Building Setbacks Flood Zone : X Use Zone : PC -iNewport Ridge PROCESSED BY: nA r � IPA e— P- g 7) SPECIAL CONDITIONS: r Wes' b i H i 1 $1,500.00 0 OWNER -BUILDER DECLARATION € hereby affirm under penally of perjury that I am exempt from the Contractors' Slate License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable item(s) ieclion 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 to 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 'rofessions Code) or that he or she is exempt from lieensure 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). 7 I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) portions of the work, and the structure is not intended or 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 nprovements are not Intended or offered for sale. It, however, the building or improvement is sold within one year of completion, the Owner -Builder will crave the burden of proving that It was not built or nproved for the purpose of sale). 1 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 pply to an owner of property who builds or improvesthereon, and who contracts for the projects with a licensed Connector pursuant to the Contractors' State License Law). I I am exempt from lieensure under the Contractors' State License Law for the following reason: ,y 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 legallt ell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensad contractors. I understand that a copy of the applicable taw, Section 7044 of the Business and 'rofessions Code., is available upon request when this application is submitted or at the following Wed site:http:i/www:leginto.ca.gov/calaw.html. 'signature of Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of pequ t t I m licensed under provisions of C he ter 9 (yommencing with SecUo 70 ) of Division 3 of the Business and Prof sslo Code, and If ,nee is In fell force nd effect. License �lss Cis it License No l v 7 L t-�' Date —/-7 _ 7 Contractor Signature ` UORKERS' COMPENSATION DECLARATION ( �' 'ARNIOw P,a,URE TO ScWRE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLAR (6100,000), IN ADDITION TO THE DST OF COMPENSATION, O V VGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYa FEES. hweo- affl�m under penalty of perjury one of the following declarations: and will claintain 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 Ic-, of the work to -which this permit is issued. Policy No, 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 currier ar,d policy number are: Policy Number of Aaant Date ,,-'Jfy Vi 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 it I Fl id hecnme sbhiectAn the workers' compensation oflovisions of Section 3700 of the Labor Code. I shall forthwith comply with those provisions. of Applicant Date G/ 17-Z-7 I hereby affirm under penaltyfbf pgrJury that there is a ofI ruc(ion lending agency for the performance of the work for which this permit Is issued (Section 3097, Civil Code). Lenders Name 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 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 cou ty enter a. Bove-id�nf i property for inspection purposes. Signature of Property Owner or Authorized Agen C Print Property Owner's or Authorized Agent's Name 4, y i�� pat ACTION DATE BY I DECLARATION OF C r IPLI ANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PAR 61 OF TITLE40 AND AOMD RULE 1403 PERMIT EXPIRED I LJ I suBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED IJEPA PERMIT EXTENDED PERMI7 FINAL __ lo'll�Lj _MD SBE5'TOSNOTI LICA'HON IS NOTAPPL ABLE TO CERTIFICATE OF PROPOSED DEMCLITON OCCUPANCYISSUED SIGNATURIi- I'vI�