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HomeMy WebLinkAboutXC2022-1912 - Permitse £WPORT City of Newport Beach II IIII I I II I II p & Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 S Permit Counter Phone: (949) 644-3288 Inspection Requests Phone: (949) 644-3255 newportbeachca.gov/inspections Combination Type - Work Class - Other COMB Permit : XC2O22-1912 Plan Check No: PC2022-2093 Issued Date : 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 : 3424 VIA LIDO Legal. Desc : N TR:1235 BLK LOT 6 TR NO 1235 LOT 6, 7 AND SELY 112 LOT 8 Description: COMM NON ILLUMINATED SIGN "LIDO VILLAGE BOOKS' _. Owner: DJM AR LIDO LLC Contractor: FORD SIGNS INC Architect Address : 60 S MARKET ST STE1120 SAN JOSE, CA Address : 1605 ORD WAY OCEANSIDE, CA 92056 Address 95113 Phone : Phone : (760)'631-1936 Phone Con State Lie : 717137 -. State Lie Applicant: FORD SIGNS INC Lie Expire : 06/30/2023 Address : 1605 ORD WAY OCEANSIDE, CA 92056 Bus Lie: BT30073883 Engineer: Phone: (760) 631-1936 Bus Lie Expire :'01/31/2023 Address Workers'. Compensation Insurance Phone: Owner/Builder: Carrier: STATE COMP Address Phone: Policy No: 9297813 Designer: FORD SIGNS INC W. C. Expire: 5/9/2023 Address: 1605 ORD WAY OCEANSIDE, CA 92056 Phone: (760)631-1936 Code Edition : 2019 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 : Added/New sq. ft. Garage: Building Setbacks Flood Zone : X Use Zone : MU-W2 - Mixed -Use Water _. PROCESSED BY SPECIAL CONDITIONS: $5,000.00 0 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 tome applicable item(s) coon 7031,5, Business and Professions Cade: Any city or county that requires a permit to construct alter:, improve, demolish, or repair any structure, prior t6: its issuance, also requires the applicant for permit to file a signedstatement that he or she is licensed pursuant to the, provisions of lheContractors' State License Law (Chapter g (commencing with Section 7000) of Division 3 of the Business and fessions Code) or that he or she is exempt from licensure, and the basis for the alleged exemption. Any. violation of Section 7031.5by any applicant for a permit Subjects the applicant to a civil penalty of morn than five hundred dollars ($500)1. I, as owner of the property., or my employees with wages as then sole compensation, will do („} all of or (_) portions of the work, and the structure Is not intended or effered for sale (Section 7044, ;iness and Professions Code: The Contractars State License taw does not apply to an owner of property who, through employees' or personal effort, builds or Improves the property, provided that the rovements arenot 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 roved 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 Gods;. The. Contractors' Stale License Law does not iiy town 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 licensors under the Contractors' -Slate License Law for the following reason: 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 bythis permit, I:cannot legalli 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 7044 of the Business and fessions Code, is available upon request when this application is submitted or at the following Web site:http:tlwww;leginfo.ca.govic law.html. nature of Property Owner or Authorized Agent Date TENSED CONTRACTOR'S DECLARATION �J) Ireby affirm under penalty of perjury that I am licensed under provisions of Chapter (commencing with :Section 7 00) of Division3.of the Business and pass Cgael and license is into orce effort. License Class License No Date ZZ- Contractor Signal IRKERS' COMPENSATION DECLARATION HONG; PAR.URE TO SECURE WORKERS` COMPENSATION COVERAGE IS UNLAWFUL', AND SHALL SUBJECT AN EMPLOYER TO CRIAMNAL. PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS 7SIS0,0601; IN ADDITION TO THE IT OF COMPENSATION, DAMAGES. AS PROWOEO FORIN SECTION 3706 OF THE LABOR CODE, INTEREST,ANO ATTORNEr'S FEES. herebyaffirm under penalty of perjury one ofthe following declarations: 1 have and will maintain a certificate of consent to self -insure for workers' Compensation, Issued.. by. the DirectorofIndustrial Relations as provided for by Section 3700 of the Labor Code, for th ormance of the work for which this permit is issued. Policy No. Nava 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 eompensatiol isurance carrier and policy number are: :artier Policy. Number ExpirahonDate lame of Agent Phone # 31 certify that, intheperformance of the work for which this permit is Issued, tshall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree TaL if I should become ubjed he s' co ensatiDt provisf of Section 3700 of t€ia Labor Code tshall forthwith comply with those prdvfeions. 3lgnatureofApplican_ IECLARATIQN RE RLiTIC LENDING AGi~NGY 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, 'CA 1 Cade):. ,ender`s Name. Londer'sAddress. ly my signature below, I certify to each of the followitig: I am the pry owner or authorized to act on the: property owner's behalf. I Have mZ-I i ,9F?pIk;aU0h and the information I have provided is correct. Pigme to ocrr.* with all applicable city and county ordinances 5g stale lays- relating tobuilgk construction, h t DATE BY. V I orn—AREGULATIONS PART 61 OF oN OF COMPLIANCE ITLE 40ANO AQVID RUEAL ( FOR OFFICE: •s •n EpA.. - - All required alarms, latches gates and fenceswhich serve .aspart of a pool/spa barrier, shall [ IJACUAO I be in place prior to approval to fill pool/spa &-shall remains in place & be maintained for the ASR£STOS NOT}FCATION IS NOT APPLICABLE TO I life of the pool.