HomeMy WebLinkAboutXC2022-2038 - Permits�EWPORT City of Newport Beach IIIIIIII IIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit XC2U22-2U38
Community Development Department - Building Division X C 2 0 2 2 2 9 3 8
F 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2022-2709
u > r Permit Counter Phone: (949) 644-3288 Issued Date : 11/30/2022
Inspection Requests Phone: (949) 644-3255 Inspection Area : 7
Cqt/pepN�P newportbeachca.gov/inspections
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 : 1009 NEWPORT CENTER DR Legal Desc : P BK 221 PG 30 PAR 6 P.M. 221-30 PAR 6 FOR OF PAR AND POR PA R 1 OF P.M.
Description: COMM (2) STOREFRONT FACE LIT CHANNEL LETTER SIGNS AND (2) NON -ILLUMINATED BLADE SIGNS. FOR "PACSUN"
Owner: IRVINE COMPANY LLC
Address : 111 INNOVATION DR
IRVINE, CA 92617
Phone : (949) 720-3100
Applicant:
T D I SIGNS
Address :
13158 ARTIC CIR
SANTA FE SPRINGS, CA 90670
Phone :
(562) 436-5188
Owner/Builder:
Address :
Phone
Contractor :
T D I SIGNS
Address :
13158 ARTIC CIR
SANTA FE SPRINGS, CA 90670
Phone :
(562) 436-5188
Con State Lie
: 909989
Lie Expire :
03/01/2024
Bus Lie :
BT30078384
Bus Lie Expire : 04/30/2023
Workers' Compensation Insurance
Carrier: INSURANCE+COMPANY+OF+THE+WEST
Policy No : WVE506291200
W. C. Expire: 11/12/2022
Code Edition : 2019 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 : PC - North Newport Center
PROCESSED BY:
SPECIAL CONDITIONS:
Architect
Address : `j
Phone: r
State Lie : �` ',
f ✓
Engineer: %
Address
i
Phone
Designer: T D I SIGNS
Address : 13158 ARTIC CIR
SANTA FE SPRINGS, CA 90670
Phone: (562) 436-5188
Construction Valuation : $5,000.00
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' 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
.he 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 tie or she is 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 (5500),
71 1, as owner of the property, or my employees with wages as their sole compensation, will do (_) 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 Contrarers' 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
'mprovemen[s 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).
D 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 Contracors' State License Law),
,.,.( I am exempt from licensure under the Contractors' State License Caw 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 legal
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 orat the following Web sits:http://www.leginfo.ca.govJcalaw.htmi,
a Signature. of Property Owner or Authorized Agent _ Date
5
LICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 0) Qf D�' T n 3 of the Business and Pr LOP%
Co{!a, and my license is In full force
and effect. license Class License No Date _ I 1.]1{_I'EZ Contractor Signaturea,
IIIS Fe+n 1JU
COMPENSATION DECLARATION
IARNING: 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 ($100,000). IN ADDITION TO'.
DST OF COMPENSATION: DAMAGES AS PROVIDED FOR IN SECTION 3TOS OF THE LASOR COME, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the following declarations:
I I have and will maintain 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
-e/rrformance of the work for which this permit is issued. Policy No.
al.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 permit is issued. My workers' compensa
isurance carrier and policy number are:
;ogler Policy Number Expiration Date
dame of Agent Phone #
-1I certify that, in the PeNQmAnce of the work for which this permit is issued. I shall notemploy any person in any manner so as to become subject t11 tl)a work. rs' mpensation laws of California, and agre
hat, if I should become su ithe worke s)'(co,mpens bon provisions �of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
gnalure of Applicant 4^^ �(,J�//`^ Dat ✓ �' ��' �"�,
)FCI.ARATION REGAR ING cONS UCTION LENDING ENCY
hereby 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).
.ender's Name Lender's Address
3y 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 information I have rovided is correct.
I agree to comply with all applicable city and cou dmances and state laws relating to building construction.
I authorize representatives of this city or county to ter the abov-ideribhe roperly for inspection purposes.
signature of Property Owner or Authorized Agent , PnnI Property Owner's or Authorized Agent's Name 'L= Dale 6
ACTION DATE BY 3 DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
' REG LILATIONS PART 61 OF TITLE AO AND AQMD RULE
3
PERMIT EXPIRED I USUBMITTED A"BF.STCS NOTIFICATION TO
PERMITCA.NCELLED .,t1 Epq
PERMIT FINAL (V17-i) F---------Fl--FASBESTOSNOTIFICATION IS NOTAPPLICABLE TO
CERTIFICATE OF PROPOSED DEMOLITION
OCCUPANCY 15SUED SIGNAPIR-: