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HomeMy WebLinkAboutXC2023-0270 - PermitsCity of Newport Beach �Ewv O� ��� e Community Development Department - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 r ,f = Permit Counter Phone: (949) 718-1888 newportbeachca.gov/civic `:,yo RNA" Combination Type - ELEC Work Class - Other Ill IIIIIII IIII lull lull lull llll llllll illll lull 7ull0 II S +,.. q ?a u�.. a+. ,n•-h•�� ,mow P'R COMB Permit : XC2023-®270 Plan Check No : PC2023-1728 Issued Date: 07119)2023 Final Date: Permit Status: Issued 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 : 1059 NEWPORT CENTER DR Legal Desc : P BK 221 PG 30 PAR 6 P.M. 221-30 PAR 6 FOR OF PAR Description: COMM R/R ILLUMINATED WALL SIGNS "TRAVIS MATHEW" Owner : IRVINE COMPANY LLC Contractor : T D I SIGNS Architect Address : 111 INNOVATION DR Address : 13158 ARTIC CIR Address IRVINE, CA 92617 SANTA FE SPRINGS, CA 90670 Phone : (949) 720-3100 Phone : (562) 436-5188 Phone Con State Lid : 909989 State Lic Lic Expire : 02/2912024 Applicant : T D I SIGNS Bus Lic : BT30078384 Engineer: Address : 1315B ARTIC CIR Bus Lic Expire : 04/30/2023 Address SANTA FE SPRINGS, CA 90670 Phone: (562) 436-5188 Workers' Compensation Insurance Phone: Carrier: INSURANCE CO OF THE WEST Owner/Builder : Policy No : WVE506291201 Designer: T D I SIGNS Address : W. C. Expire : 11/12/2023 Address : 13158 ARTIC CIR SANTA FE SPRINGS, CA 90670 Phone: (562) 436-5188 Phone: Code Edition : 2022 Fire Sprinklers : YES Construction Valuation : $4,800.00 Type of Construction : III-B Fire Hazard Zone : NO Added/New/Tl sq. ft, Bldg : 0 Occupancy Groups : M,U No of Units : 0 Alteration sq. ft. Bldg : 33 Bldg Height : No of Stories : 1 Added/New sq. ft. Garage : 0 TOTAL sq. ft. 0 - Building Setbacks Flood Zone : X+ Use Zone : PC - North Newport Center PROCESSED BY: SPECIAL CONDITIONS: I hereby aflinn under penalty of perjury that I. am exempt Irom the Contractors' State License Law for the reason(s) indicated below by the check,mark(s) I have placed next to the applicable Rent(s) (Section 7031.5, Business and Professions Code: Any city or county Ihat requires a permll to construct, alter, int prove. demolish, or repair any structure, prior to its Issuance, also requires the epplIcant for the permit to file a signed statement that Ile or she is licensed pursuant to the provisions or the Gontractors' State License Law (Chapter 9 (commencing with Section 7000)of Division 3 of the Business and Professions Code) or that he or silo 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 not more than five hundred dollars ($500). ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do I_) all of or U 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 intfiiovemenls are not Intended or offered for sale If, however, the building or innprovement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built of improved for the purpose of sale). © I, as owner of [tie property, am exclusively contracting with licensed) Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' Slate License Law does not El 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 front licrinsure under the Contractors' .Clete License Low 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, . soll a structure that I have built as an owner-buildor it it has not been constructed in its entirely by licensed contractors. I understand that a copy of the applicable law, Suction 7044of the Business and Professions Code, Is available upon request when this application is submitted or at the following Web siteihttp.Iiwww.leginfo.ce.govlcelavchtml. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 0) visl 3 of the Business and Prof ns Code, y II e Is In ful�(,/(o ccee and effect. License Class License No Data'' L Contractor Signature �QJ L` t�V�- ✓ ORKERS' COMPENSATION DECLARATION NARNING: FAILURE TO SECURE WORKERSCOMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS IS100,0001, IN ADORION TO THE COST OF COMPENSATION; DAMAGES AS PROVIDED FOR PI SECTION 370605 THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penally of perjury one of the following declarations: I have and will maintain a certificate of consent to Self -insure for workerti compensation. Issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for Gymanco of tho work for which. [[its permll is Issued. Policy No. 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 pennon is issued. My workers' compensa hence carrier and policy number are, Policy hiumber of Agent Dale cortiry that in the performance of the work for which this permit is Issued, I shall hotemploy any person in any mannor so as to become subject to the workers' compensation laws of Califnme and agre , If I should become ers' c pensadc provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Id becomes 'ecl to the • r elure of (f(Y� treby affirm under penalty of perjury that there Is aWns.truction lending agency for the performance of the work for which this permit is Issued (Section 3097, Civil Code). ider's Name _ _ Lender's Address my signature below, I certify to each of Ilia following: I ant Ilia properly owner or aulhorl7ed to act on the property owner's behalf. 1 have rend this application and the infomtallon I have provided Is correct I agree to comply wiih all applicoblo city and county ordinances and slate laws relating to building construction. I authorize representatives of this city or comc?r-try, mer the ,,,,,,(((q ve-I liffll�(d pro fly for inspection purposes. T'�n, ` �I f�L noon B of Pror'eriv Owner or Authorized Acanl /� 1�/yi�A Q I .A L41 I �l.P/� Print Property Owners or Authorized ADenl's Name 1 Jl A n\�%\\,Y 1-?f ACTION EXPIRED DATE. BY DECLARATION OF COM RJNCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY R FGLILATIOPJS. FART 61 OF TITLE 40 AND AQMD RULE. 1403 prcryll, cMAl, Lei ASBESTOS NUI IFICAT'ION 15 NUI' APPLICABLE 10 Cr R7,HG1 rE OF PROFOSr:O DMLITION C� ( (),CPA, �l OCCUPANCVL5SIJE0 i 51GNATURE: ,WiiWIAIL�_A V/I