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HomeMy WebLinkAboutXC2022-2043 - Permits��ewPoR City of Newport Beach D Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 i Permit Counter Phone: (949) 644-3288 a.� Inspection Requests Phone: (949) 644-3255 c9[/FURN�P newportbeachca.gov/inspections Combination Type - ELEC Work Class - Other IIII�IIIIIIIII�IIIIII�I�III�I�IIIIIII�III�IIIII�I�III II COMB Permit : XC2Z022-2043 Plan Check No: PC2022- ,,56 Issued Date : 11/01/2022 Fie .9a. Inspection Area : 7 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION, BUT NO LATER THAN 3 YEARS FROM ORIGINAL ISSUANCE D NO CONSTRUCTION RELATED NOISE ON SATURDAY OR SUNDAY IN HIGH DENSITY AREAS AND NO WORK ON SUNDAY AND HOLIDAYS IN ALL Job Address: 1035 NEWPORT CENTER DR Description : COMM SIGN "JOE BANANAS" Owner: IRVINE CO Address : 111 INNOVATION IRVINE, CA 92618 Phone : (949) 608-9659 Applicant: Jessica E. Dalanni Address : 1852 Pomona Rd. Corona, CA 92878 Phone: (951)734-6275 Owner/Builder : Address : Phone Code Edition : 2019 Type of Construction : V-B Occupancy Groups: U Bldg Height: Building Setbacks Flood Zone : X Use Zone : PC -North Newport Center PROCESSED BY: SPECIAL CONDITIONS: Legal Desc : P BK 221 PG 30 PAR 6 P.M. 221-30 PAR 6 POR OF PAR AND POR PA R 1 OF P.M. Contractor: SOUTHWEST SIGN COMPANY Address : 1852 POMONA RD CORONA, CA 92880 Phone: (951) 734-6275 Con State Lie : 724929 Lie Expire : 07/31/2024 Bus Lie: BT30052367 Bus Lie Expire : 09/30/2023 Workers' Compensation Insurance Carrier: OAK+RIVER+INSURANCE+COMPANY Policy No: FOWC319046 W. C. Expire : 7/21/2023 Fire Sprinklers : NO Fire Hazard Zone : NO No of Units : 0 No of Stories Architect : STEINER STUDIO Address : 17800 MITCHELL NOH.THJ;"WINE, CA 92614 Phone: (714)299-5957 State Lie Engineer: " Address: Phone: Designer: SOUTHWEST SIGNCyNJPANY Address: 1852 POMONA RD ' CORONA, CA 92880 Phone : (951) 734-6275 Construction Valuation : $2,972.00 Added/New/TI sq. ft. Bldg Alteration sq. ft. Bldg : Added/New sq. ft. Garage: 0 TOTAL sq. ft. Bldg : 0 OWNER -BUILDER DECLARATION I 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 items) - — (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 is exempt from licensure 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 penaity of not 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 notintended 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). 0 I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' Stale 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' 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 at least one year prior to completion of the improvements covered by this permit, I cannot legally 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:lfwww.leginfo.ca,govlcalaw.html. Date Signature of Property Owner or Authorized Agent LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penally of perjury that. I am licensed under provisions of Chapter 9 (commencing with Section 700 of Division 3 of the Business and Profess' Code, And my tic es Is In fu(I force ,and effect License Clan= License No Date \\/ 1 7 22 Contractor Signature L 1 IAn i - Date" COMPENSATION DECLARATION wAFMi FNW RE TC ^FC- I-F WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED TWOUSANO DOLLARS IS400;000j, {N ADOIIION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, ANO ATTORNEY'S FEES. hcreLy affirm under; enalty of perjury one of the following declarations: ❑ I.ITavr and wit! mamlPm a certificate Of consent to self -insure far workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for th p no.inee of the e,uj,< nor which this permit is issued. Policy No. f. cv: and will -ra`Ccir 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' compensatio. >nsi v'r�re carrier and oelicy number are: Policy Number Date ne of Apont Phone # ceri fy ,hat, 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' compans Lion laws of California, And ogre t, It I •could became SLb o the workers co pensahen provI i a of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applicant NiVL -� _r'� Date: CLARATION RIC STRUCTIDN LENDING AGENCY mi affirm under penalty of perjury that there Is a construction lending agency for the performance of the work for which this permit Is issued (Section 3097, Civil Code). :der s Name Lender's Address 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 COUIKordinances and state laws relating to building. construction. I authorize representatives of this city or coun to enter the soIv�e-ideentified property for inspection purposes. mature of Property Owner or Authorized Ag �� ni�t� \J _A— — Print Property Owner's or Authorized Agent's Name �/ 11 Sf>' ('CL �Cy1Ctt Date DATE BY I CLARATION OF COMPLIANCE WIT14 CODE OF FEDERAL FOR OFFICE USE ONLY I I REGULATIONS PART 61 OF TITLE 40 ANDAOMD RULE EXP?PED 1 1 10ISU13MITTEDASBF.STOSNOTIFICATIONTO PEAMlT FXTENOEO � LJAi.IMu PEAM1P FfMAL TZS Z) i_.I AS8ES105 NU11FiCA7lUN IS NOY APPLICABLE TO CEATIFICATE OF PROPOSED DEMCUTtON OCCUPANCY ISSUED 1 SIGNATURE: