HomeMy WebLinkAboutXC2023-0298 - PermitsaEwaoRr City of Newport Beach II IIIIII II IIIII IIIIIIII IIII IIII II III II II COMB Permit: XC2023-0298
0 Community Development Department- Building Division X C 2 0 2 3 0 2 9 8
y 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2023-1901
S Permit Counter Phone: (949) 718-1888 Issued Date : 08107/2023
o— newportbeachca.gov/civic Final Date:
cqG/rppN�r Combination Type - Permit Status: Issued
Work Class - Other 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 : 3505 VIA OPORTD Legal Desc : N TR 1117 BLK LOT 2 TR 1235 LOT 9 AND TR 1117 POR
Description: COMM REPLACE NON ILLUM AWNING SIGN "ALOHA" $}�4�
Owner: DJM ARC LIDO LLC
Address : 60 S MARKET ST STE1120
SAN JOSE, CA 95113
Phone :
Applicant: PACIFIC COAST SIGNS
Address: 24656 MONITA CIR
LAGUNA NIGUEL, CA 92677
Phone: (949)295-0259
Owner/Builder :
Address :
Phone
Contractor: PACIFIC COAST SIGNS
Address : 24656 MONITA CIR
LAGUNA NIGUEL, CA 92677
Phone: (949)295-0259
Con State Lie : 993036
Lie Expire : 05/31/2024
Bus Lie : BT30082313
Bus Lie Expire : 08/31/2024
Workers' Compensation Insurance
Carrier :
Policy No : EXEMPT
W. C. Expire :
Code Edition : 2022 Fire Sprinklers : NO
Type of Construction : V-B Fire Hazard Zone : NO
Occupancy Groups : U No of Units : 0
Bldg Height : No of Stories :
Building Setbacks :
Flood Zone : X
Use Zone : MU-W2 - Mixed -Use Water
PROCESSED BY: C
SPECIAL CONDITIONS:
dr `Jl�✓+ P�lnet S SLai»h—o.l *'
Architect
Address
Phone:
State Lie
Engineer:
Address
Phone:
Designer: PACIFIC COAST SIGNS
Address: 24656 MONITA CIR >>
LAGUNA NIGUEL, CA 92637
Phone: (949)295-0259
Construction Valuation : $850.08 ,
Added/New/Ti sq. ft. Bldg : 0
Alteration sq. ft. Bldg :
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' Slate 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 penrill 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 licensors 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 L.) 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 properly, 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' 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).
0 I am exempt tram 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 entirely 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:lh n .leginto.ca.gov/calaw.html.
Signature of Property Owner or Authorized Agent _- _ Date
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Se 'on 7 i ii W 3 of then '.less U and Profe io n it a. lice 5 e is In full force
and effect. License Class License No DLu7 Co or Signature
WORKERS' COMPENSATION DECLARATION
WARNING: FAILURE TO SECURE WORXERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS IS100;(100), IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 37060E THE LABOR CODE, INTEREST, AND ATTORNEYS FEES.
hereby affirm under penalty of perjury one of the following declarations:
119-F, and will mnlntain 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 thl
K,rkrmance of the work for which this permit is issued. Policy No.
a will m nntain 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' compensatior
ins6ran carrier arr� rlicy number are:
Policy Number
Date
pm1e of Agent _ Phone ti
iR 'nit in hie performance of the work for which this permit is issued. I shell not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre
1 Should becomre subject to the workers compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Q
2 o-�nalure of Ap `=alx , _ .. !J 7 3 _
_.. _ ..—
Pt'f APPTEON CsARUING CONSTRUGTION LENDING. _.A�.GENCY
hereby a,firm uncle dnalty 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).
Finder's Name _ _ Lender's Address
y 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. llp�` /� ��^
I agree to comply with all applicable city and coup dinancas and late laws relating to building construction. Trth J 0
I authorize representatives of this city or by an E-etZova-igitified property for inspection purposes.
ACTION DATE. BY ! DECLARATION OF COMPLIANCE WIT14 CODE OF FEDERAL FOR OFFICE USE ONLY y
REGULATIONS PART 51 OF TITLE 40 AND AQMD RULE
14D
I reRMiT EXPIRED I 3 SUBMITTED ASBESTOS NOTIFICATION TO
PERMFIT EMENDED LJAQMD
PERMfT FfAlAt / qLC �' 4 ASBESTOS NOTIFICA I ION 15 N01'APPLICABLE TO
CERTIFICATE OF IG i. PROPOSED DEMOLITION
OCCUPANCY !$SUED f SIGNATURE: