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Home My WebLink AboutXC2023-0143 - Permits�EWPORT City of Newport Beach IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit : XCZO23-o143 o� Community Development Department- Building Division x c 2 0 2 3 8 1 a 3 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: PC2023-1032 R Permit Counter Phone: (949) 718-1888 Issued Date: 06/21/2023 o- x newportbeachca.gov/civic Inspection Area : 7 cq4/Fp RN�P Combination Type - ELEC Work Class - Other 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: 21157 NEWPORT COAST DR Legal Desc : P BK 318 PG 27 PAR 2 Description: COMM ILLUMINATED SIGN "NEWPORT ANIMAL HOSPITAL" Owner: IRVINE COMPANY LLC Address : 111 INNOVATION DR IRVINE, CA 92617 Phone: (949)720-3100 Applicant: SUSAN CHIARI Address: 21157 NEWPORT COAST DR NEWPORT BEACH, CA 92657 Phone: (208)284-4236 Owner/Builder : Address : Phone: Code Edition : Type of Construction : V-B Occupancy Groups: U Bldg Height : Building Setbacks : Flood Zone: X Use Zone : PC - Newpo idge PROCESSED BY: SPECIAL CONDITIONS: Contractor: 3 - D SIGNS Address : 23011 MOULTON PLWY LAGUNA HILLS, CA 92653 Phone: (949)770-9252 Con State Lie : 770637 Lie Expire : 11/30/2024 Bus Lie: BT30072686 Bus Lie Expire : 08/31/2023 Architect Address Phone: State Lie Engineer Address Workers' Compensation Insurance Phone: Carrier: STATE+COMPENSATION+INSURANCE+FUN D Policy No: 9259041 Designer: 3 - D SIGNS W. C. Expire: 8/14/2023 Address : 23011 MOULTON PLVv%' LAGUNA HILLS, CA 92653 Phone: (949)770-9252 Fire Sprinklers : NO Construction Valuation : $4,750.00 Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg : 0 No of Units : 0 Alteration sq. ft. Bldg : No of Stories : Added/New sq. ft. Garage: 0 TOTAL sq. ft.: 0 OWNER -BUILDER DECLARATION 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 Item(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 the 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 Professions Code) or that he or she fs exempt from licensure and the basis for the alleged exemption. Any violation of Section 7031.6 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). 111, as owner of the property, or my employees with wages as their sole compensation, will do U 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 improvements 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 improved 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 apply 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). I am exempt from licensure under the Contractors' Stale 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 at 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 law, Section 7044 of the Business and Professions Code,, is available upon request when this application is submitted or at the following Web site:http:lAvww.leginfo.ca.gov)calaw.htmi. Signature of Property Owner or Authorized Agent _ _ _ D• _ LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of pay' Jay U�latlaIn licensed under provisions oLChpV0 7, 9 {(aim , gcIng with Section 7000) " to. the Business and Pro ssio C 'cense is In full force and effect. License Class ( % Q License No i �f'CC// JJ .Jl`` Date / Contractor signature NORKERS' COMPENSATION DECLARATION NANNING: FAILURE To SECURc WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (5100,000), IN ADDITION TO THE COST OF COMPENSATION, eAMAGFS AS PROVIDED FOR IN SECTION 37VO OF THE LABOR COVE, INTEREST, AND ATTORNEYS FEES" hwreoy a+rirm under penalty of perjury one of the following declarations: JJ-hava and will maintain a cenifdcate of consent to SOINnsure for workers' Compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for th a}��.-., /om�//�''egce of the work for which this permit is issued. Policy No. 'Inva Find 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` compensatiol a�nranc:: Carrier and policy number are: 1.6i_ _ us of Agent Policy Number Date 11 cnnity that, in the performance of tp6 for which this permit is issued, I shall not employ any person it) any manner so as to become subject to the workers' compensation laws of California, and agra iat, if I should be"Ornb Subject to the or N-p ' of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. "iynature of Apph ant, -- Date � �I 2 iECLARATION REV F -1 CONSTRUCTION LENDING AGENCY hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work forwhich this permit is issued (Section 3097, Civil Code). enders Name Lenders Address y my signature below, I Certify to each of the fallowing: I am the property owner or authorized to act on the property owner's behalf. I have read this application and the nformatfon I have ided is correct. �� sbE I agree to comply with all applicable city and county rdina c and slate laws relating to building construction. / I authorize representatives of this city or coun t rite abo4v-id�rNifieN Bw for inspection purposes. _ ignalure of Property Owner or Authorized Agent Print Prdoertv Owner's or Authorized Alien€s N nary PERMIT CANCELLED PERMIT EMENDED PERMIT FINAL CERTIFICATE OF OCCUPANCY(SSUED DATE BY ' DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL 1 FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE AO AND AQMD RULE NOT APPLICABLE TO