HomeMy WebLinkAboutXC2023-0011 - PermitsCity of Newport Beach
�F.'. Community Development Department- Building Division
100 Civic Center Drive, Newport Beach, CA 92660
D Permit Counter Phone: (949) 644-3288
u Inspection Requests Phone: (949) 644-3255
C,�IFURN\P newportbeachca.gov/inspections
Combination Type - ELEC
Work Class - Other
COMB Permit : XC2023-0011
Plan Check No: PC2023-0142
Issued Date : 0112512023
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: 1501 WESTCLIFF DR Legal Desc : N TR 4225 BLK LOT 8 TR 4225 LOT 8 FOR OF LOT (PAR 1 OF 7529/ 474 O.R.)
Description: COMM (2) ILLUMINATED SIGNS, RESURFACE (2) MONUMENT SIGNS, (1) NON ILLUMINATED SIGN AND REFACE ATM PANELS "UNION BANK"
Owner: WESTCLIFF PROPERTIES LLC
Address : 1600 DOVE ST STE480
NEWPORT BEACH, CA 92660
Phone:
Applicant: STEVEN THERRIAULT
Address : 444 FEDERAL BLVD
SAN DIEGO, CA 92102-2505
Phone: (619)571-9675
Owner/Builder
Address :
Phone:
Contractor: SIGNTECH ELECTRICAL ADV INC
Address : 4444 FEDERAL BLVD
SAN DIEGO, CA 92102
Phone: (619)527-6100
Con State Lie : 457406
Lie Expire : 06/3012024
Bus Lie : BT30059897
Bus Lie Expire : 07/31/2023
Workers' Compensation Insurance
Carrier: ZURICH AMERICAN INS CO
Policy NO: WC5513790
W. C. Expire: 10/1/2023
Code Edition : 2022 Fire Sprinklers : NO
Type of Construction : Fire Hazard Zone : NO
Occupancy Groups : U No of Units : 0
Bldg Height: No of Stories :
Building Setbacks :
Flood Zone : X .
Use Zone: MU-GW-Jvl'IXed-Use DoverANesteliff
PROCESSEDBY:
SPECIAL CONDITIONS:
Architect
Address
Phone:
State Lie
Engineer
Address
Phone:
Designer: STEVEN THERRIAULT
Address : 444 FEDERAL BLVD
SAN DIEGO, CA 92102-2505
Phone: (619)571-9675
Construction Valuation : $25,000.00
Added/NewITI 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 Caw (Chapter 0 (commencing with Section 7000) of Division 3 of the Business and
?rofessions 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 fora permit subjects the applicant to a civil penalty of
lot more than Ave hundred dollars ($500).
1 1, as owner of the property, or my employees with wages as tl 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,
3usiness 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
mprovements 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 buitt or
'nproved 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' State License Law does not
Ipply 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 Rcensureunder the Contractors' State License Law for the following reason:
------ - ty my signature below I acknowledge that, except for my personal residence inwhich I must have resided for at least one year prior to completion of the improvements covered by thispermit, I cannot IegalP,
ell a structure that I have built as an owner-buildor 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:lYwww.leginfu.ca,gov/calaw,htmi.
tignature 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 B (commencing with Section 7000)of Division 3 of the Business and Professio s C my lice is in full force
nd effect. License Class C License. No �` (u(Q W Data 1 -"L3 Contractor Signature
VORKERS' COMPENSATION DECLARATION
'ARNING: FAILURE TO SECURE WORMERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIE ND Civil FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
DST OF COMPENSATION, DAMAGES AS PROVIOEO FOR 1N SECTION 3706 OF THE LABOR CODE, 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 th
orformance of the work for which this permit is issued. Policy No. _
we 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'
nce carrier and polic number are: _ _
r ZU nil.1_H twit c1Mj Policy Number tN L- 0 �3?y�`j Expiration Date
of Agent Phone N
I certify that, in the performance of the work for which this Dorm Is' sued. I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agi
it, if I should become subject in the wor r ' tempers �lavesi oof Section 3700 of the Labor Code, I shall forthwith comply with those provisions. _
i
(nature of Applicant _ e - 2- Z
CLARATtON REGARDiN 9TRUC7IGN LCNDtNG AGENCY �p_/y�
=reby affirm under penalty perjury that there is a construction lending agency for the performance of the work for which this permit is issued (section 3097, Civil Cede).
tier s Name Lenders Address
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.
1 have read this application and the information I have provided is correct.
I agree to comply with all applicable city and county ordinances and SIaAe laws relating to building construction. _
I authorize representatives of this city or county to enter th�"�beye-Ide led property for inspection purposes.
nature of Property Owner or Authorized Agent S�y�L�✓✓-L Print Property Owner's or Authorized Agent's Nome �oy I �,��� v i Date
ACTION DATE BY 'DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
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