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Home My WebLink AboutXC2024-0117 - PermitsCity of Newport Beach D Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 UY S Permit Counter Phone: (949) 718-1888 a o'1�rFOR��" newportbeachca.gov/civic Combination Type - ELEC Work Class - Other COMB Permit : XC2024-0117 IIpIII�IIIIIII�IIIOI�II�lll�lllulll�lllllll� II Plan Check No: PC2024-0595 Issued Date : 03/2512024 @. 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: 400 MAIN ST Legal Desc : A TR BALBOA BAY FRONT TR BILK G LOT 4 BALBOA BAY FIR Description: COMM ILLUMINATED WALL SIGNS FOR "HARBORSIDE RESTAURANT BALLROOM" Owner: BALBOA MANOR LLC Contractor: SOUTHWEST SIGN COMPANY Architect Address: 400 MAIN ST Address : 1852 POMONA RD Address NEWPORT BEACH, CA 92661 CORONA, CA 92880 Phone: Phone : (951) 734-6275 Phone: Con State Lic : 724929 State Lic Lic Expire : 07/31/2024 Applicant: LEENOLA MILLIORN Bus Lic: BT30052367 Engineer: Address : 1852 W POMONA RD Bus Lic Expire: 09/30/2024 Address CORONA, CA 92878 Phone: (909) 855-2130 Workers' Compensation Insurance Phone: Carrier: CYPRESS INSURANCE COMPANY Owner/Builder: Policy No: FOWC420800 Designer: SOUTHWEST SIGN COMPANY Address: W. C. Expire : 7/21/2024 Address: 1852 POMONA RD CORONA, CA 92880 Phone: Phone: (951)734-6275 Code Edition : 2022 Fire Sprinklers : NO Construction Valuation : $4,083.00 Type of Construction : V-B Fire Hazard Zone: NO Added/New/Tl sq. ft. Bldg : 0 Occupancy Groups : U No of Units : 0 Alteration sq. ft. Bldg : Bldg Height: No of Stories : 1 Added/New sq. ft. Garage: 0 TOTAL sq. ft.: 0 Building Setbacks Flood Zone: AE, 8 FT; AO 1; X _ Use Zone: CV - Commercial Visitor -Serving PROCESSED BY: SPECIAL CONDITIONS: 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) 1 have placed next to the applicable dem(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 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 violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of of more than five hundred dollars ($500). 7 1, 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 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). 1 I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7D44, 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). I am exempt from licensure under the Contractors' Stale 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 owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 70" of the Business and 'rofessions Code, is available upon request when this application is submitted or at the following Web site:http:/1www.leginfo.ca.govlcalaw.html. signature of Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Co��ee.��pppppp my license is in full force Ind effect. License Class License No Date O o�5-Z W Contractor Signature /// VORKERS' COMPENSATION DECLARATION �G '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 ($100.000), IN ADDITION TO THE OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 37N OF THE LABOR CODE, INTEREST, AND ATTORNE)r'S FEES. hereby affirm under penalty of perjury one of the following declarations: 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 ;miance of the work for which this permit 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 permit is issued. My workers' compensa rance carrier and policy number are: Policy Number Date no of Agent Phone # certify that, in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to became subject to the workers' compensation laws of California, and , if 1 should become subject to jjdworters' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. of Date CLARATION RECC4RMNG CONSTRUCTION LENDING AGENCY Ireby 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). Ides s Name Lenders Address my signaturb LL;cw, I certify to each of the following: I am the pr�pa.ty owner or authorized to act on the property owner's behalf. , have reed this 3pplicallon and the information I have provided is correct I agree to com?'y with all applicable city and county ordinances and state laws relating to building construction. 13ulhorize representatives of this city or county to enter bove-identif edy for Inspection purposes. ) ,, % ''''pp nature of PrODedv Owner or Authorized Agent L Print Property Owner's or Authorized Agent's Name _ zeey-& 01. 1 ACTION DATE BY '#DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED U I SUBMITTED ASBESTOS NOTIFICATION TO PEir04tT CANCELLED EPA PERMIT EXTEYOEC QMD SBESTOSNOTIFI OTAPPUCABLE TO PROPOSED DEM ON PERMITFINAI. LEd71FICATEOF OCCUPANCYISSUED SIGNATURE: