HomeMy WebLinkAboutXC2023-0046 - PermitsCity of
Newport Beach
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Development Department- Building Division
100 Civic C
nter Drive, Newport Beach, CA 92660
z Permit Cour
ter Phone: (949) 644-3288
w.Inspection Requests
Phone: (949) 644-3255
cgC�FOpP�P newportbea
hca.gov/inspections
Combination
Type - ELEC
Work Clas
3 - New
PERMITS
NO CONSTRI
Job Address : 545 NEV
Description : COMM -
Owner: IRVINE CO
Address : 111 INNOVA
IRVINE, CA f
Phone : (949) 720-31
Applicant: R SIGN BE
Address : 530 ESPLA
REDONDO
Phone: (323) 372-5
Owner/Builder :
Address :
Phone
Code Edition :
Type of Construction
Occupancy Groups:
Bldg Height:
Building Setbacks
Flood Zone : X
Use Zone: P
PROCESSED BY:
SPECIAL CONDITIONS:
COMB Permit: XC2023-0046
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Plan Check No: PC2023-0341
Issued Date : 02/14/2023
Inspection Area : 7
180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION, BUT NO LATER THAN 3 YEARS FROM ORIGINAL ISSUANCE DATE
RELATED NOISE ON SATURDAY OR SUNDAY IN HIGH DENSITY AREAS AND NO WORK ON SUNDAY AND HOLIDAYS IN ALL AREAS
IT CENTER DR Legal Desc : P BK 221 PG 30 PAR 1
MINATED WALL SIGN'LUGANO'
ES
E, 501
CH, CA 90277
North Newport Center
Contractor:
R SIGN SERVICES
Address :
530 ESPLANADE, 501
REDONDO BEACH, CA 90277
Phone:
(323)372-5922
Con State Lic
: 1031552
Lic Expire:
10/31/2023
Bus Lic:
BT30080079
Bus Lic Expire : 11/30/2023
Workers' Compensation Insurance
Carrier: STATE COMPENSATION INSURANCE FUND
Policy No: 9204301
W. C, Expire: 2/3/2024
Fire Sprinklers : NO
Fire Hazard Zone : NO
No of Units : 1
No of Stories
Architect
Address
Phone:
State Lic
Engineer
Address
Phone
Designer: R SIGN SERVICES
Address : 530 ESPLANADE, 501
REDONDO BEACH, CA 90277
Phone: (323)372-5922
Construction Valuation : $2,400.00
Added/New/TI sq. ft. Bldg: 0
Alteration sq. ft. Bldg :
Added/New sq. ft. Garage: 0
TOTAL sq. ft. : 0
7CTOOR
OWNER -BUILDER DECLARATION
I hereby affirm under penalty 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)
Sect on 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
is 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 licensure and the basis for the alleged exemption. Any violat€on of Section 7031.5 by any applicant fora permit subjects the applicant to a civil penalty of
of more than five hundred dollars ($500)..
11, as owner of the property, or my employees with Wages as their sole compensation, will do L) all of or L) 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. 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
nproved for the purpose of sale).
3 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
pply 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),
3 1 am exempt from licensure 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 legalll
ell a structure that I have built as an ownor-builder if It has not been constructed in its entirety by licensed contractors. j understand that a copy of the applicable law, Section 7044 of the Business and
'rofessions Code, is available upon request when this application is submitted or at the following Web site:http:liwww.loginfo.ca.govlcalaw.html.
,ignamre of Property Owner or Authorized Agent __ Date
.ICEN'..SED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7 0) iv' if ilia Business and Profes > rrtt'my license is In fall farce
no effect. License Class License No Da Contractor SignI tt
VORKERS' COMPENSATION DECLARATION �V
ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (S1D0,000), IN ADDITION TO THE
OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3TDa OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the following declarations:
1 have and will maintain a certificate of consent to self4risure for workers' compensation, Issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for th
ormance of the work for which this permit is issued. Policy No.
ave 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' compensadol
Isur nce carrier and policy number are:
Policy Number Expiration Date
of Agent Phone # _
certify that, in the performance of tPoNwork 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 agre
I, If I should become subje to the o rs' Gompansa rovisions of Section 3700 of the Labor Code, I shall forthwith comply *in those provisions. h� nature of Applicant
CLA affirm REGAR ty CON Cthe ENRING AGENCY
!racy affirm under penalty of perjury that them is a construction landing agency for the performance of the work for which this permit Is issued (Section 3097, tica,d'e�),
.
wars Name Lender's Address
my signature below. I certify to each of tine 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 laws relating to building. construction.
I authorize representatives of this city or county to/�nt r e-Identified property for inspection purposes. n�/J
nature of Procienv Owner or Authorized Aaent lC // � Print Prooertv Owner's or Authorized Aaent's Name ..0 l"t� (f '/l V ' "
FOR OFFICE USE ONLY
PART 61 OF TITLE 40 AND AQMD RU LE
PLKWrr MIAs, [:•ry-[y e iL ASBESTOS N0TIFVCAT[ON 15 NOT APPLICABLE TO
CERTIFICATE OF - PROPOSEO DEMOLITION
OCCUPANCYISSUtD SIGNATURE;