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Home My WebLink AboutXC2023-0122 - PermitsCity of Newport Beach Community Development Department- Building Division y ` 100 Civic Center Drive, Newport Beach, CA 92660 ' > ? Permit Counter Phone: (949) 644-3288 Inspection Requests Phone: (949) 644-3255 Cq</FORN`P newportbeachca.gov/inspections Combination Type - ELEC Work Class - Other X C 2 0 2 3 0 1 2 2II COMB Permit : XC2023-0122 Plan Check No : PC2023-0864 Issued Date : 04/14/2023 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 : 930 COAST HWY W Legal Desc : P BK 083 PG 13 PAR 1 Description: COMM -INSTALL (1) ILLUMINATED CHANNEL SIGN "REFRESH ROOMS" AND (1) NON -ILLUMINATED "BEAUTY I WELLNESS" Owner : GUGASIAN LEVON TR Address : 11 RIDGELINE DR NEWPORT BEACH, CA 92660 Phone Applicant: AMERICA'S INSTANT SIGNS Address : 1260 HANDCOCK ST STE 105 ANAHEIM, CA 92807 Phone: (714)693-2989 Owner/Builder : Address : Phone Contractor: AMERICA'S INSTANT SIGNS Address : 1260 HANDCOCK ST STE 105 ANAHEIM, CA 92807 Phone: (714)693-2989 Con State Lic : 1023555 Lic Expire : 02/28/2025 Bus Lic: BT30079522 Bus Lic Expire : 08/31/2023 Workers' Compensation Insurance Carrier: FALLS LAKE FIRE COMPANY Policy No: FLA01712301 W. C. Expire : 5/15/2023 Architect Address Phone : State Lic Engineer: Address: Phone: AND CASUALTY Designer: AMERICA'S INSTANT SIGNS Address : 1260 HANDCOCK ST STE 105 ANAHEIM, CA 92807 Phone: (714)693-2989 Code Edition : 2022 Fire Sprinklers : NO Construction Valuation : Type of Construction : Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg Occupancy Groups : U No of Units : 0 Alteration sq. ft. Bldg : Bldg Height: No of Stories : 0 Added/New sq. ft. Garage TOTAL sq. ft. Building Setbacks Flood Zone : X Use Zone : CG - Commercial General PROCESSED BY: (ZA, $3,700.00 0 0 0 SPECIAL CONDITIONS: °fit" t tlT OWNER -BUILDER DECLARATION € 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 eonsfrucL 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 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 ict more than five hundred dollars ($500). 1 I, as owner of the property, or my employees with wages as their sole compensation, will do U 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 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 built or mproved for the purpose of sale). I, 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 apply to an owner of property who builds or improvesthereon, and who contracts for the projects witha licensed Contractor pursuant to the Contractors' State License Law). 1 am exempt from 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 forat 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:lhm'w.leginfo.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 Section 7000) f Di ision 3 of the Business and Professions e I is In full force and effect. License Class License. No Date Y 2s Contractor Signature el WORKERS' COMPENSATION DECLARATION MARNING: 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 S ID0.0001, IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby aff-m under penally of perjury one of the following declarations: L7 I have dI,G .vit 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, pe,Tormanou c'the work for which this permit is issued. Policy No. and w16 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' ca, der and policy number are: Policy Number of Agent _ Date certify that, in the performance of the work for which this permit is issued.., 1 shall not employ any parson in any manner so as to become subject to the workers' compensation laws of CBlifomla, and agre If I should oecome subject to the rs Comp ions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. lalure of. Applicant _. �..,,��..__...... �i.' Data_(7ct /� /Y7� 2 3 CLARATION REGARDINT ONSTR.IJCTiON LENDING AGENCY !reby 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 Ider'e Npri a Lenders Address _ my s,guatu,e 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. I agree to comply with all applicable city and county ordinances and state laws relating to building construction. I authorize representatives of this city or county toe ov I party for inspection purposes. 1 nature of Property Owner or Authorized Agee _ Print Property Owner's or Authorized Agent's Name ACTION EXPIRED PERMIT EXTENDED PER'M7T FINAL CERTIFICATE OF OCCUPANCY ISSUED DATE I BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL REGULATIONS PART 61 OF TITLE 40 AND AaMO RULE PROPOSED TO NOT IFICAI[ON 15 NOT APPLICABLE FOR OFFICE USE ONLY Civil Cade). e iX• n 3