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Home My WebLink AboutXC2023-0162 - Permits�gwroRT City of Newport Beach IIIII IIII IIIIIIIIIII IIIII IIIIIIIII IIIIIII I II COMB Permit : XC2023-0162 Community Development Department -Building Division > n 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2023-1146 ' = Permit Counter Phone: (949) 718-1888 Issued Date : 05/17/2023 newportbeachca.gov/civic Combination Type - ELEC Inspection Area : 7 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 : 690 NEWPORT CENTER DR Legal Desc : P BK 196.PG 13 PAR 2 PARCEL MAP 196-13 PAR 2 FOR OF PAR AND PAR 3 POR Description: COMM -2 ILLUMINATED (HALO -LIT) BUILDING SIGNS -"PENDRY" Owner: 690 HOTEL LLC Contractor: TRUEMARK INC/JB3D Architect Address : 690 NEWPORT CENTER DR Address : 731 N MAIN STREET Address NEWPORT BEACH, CA 92660 ORANGE, CA 92868 Phone : Phone : (714) 204-0077 Phone Con State Lic : 926653 State Lic Lic Expire : 12/31/2024 Applicant: SCOUT BUTLER Bus Lic : BT30055601 Engineer : JACOB TONY Address : 731 MAIN ST N Bus Lic Expire : 06130/2023 Address : P.O. BOX 802050 ORANGE, CA 92868 SANTA CLARITA, CA 91380 Phone: (714) 613-3522 Workers' Compensation Insurance Phone: (661) 259-0700 Carrier: EVEREST NATIONAL Owner/Builder: Policy No: 7600008388211 Designer Address : W. C. Expire: 9/1/2023 Address Phone: Phone: Code Edition : 2022 Fire Sprinklers : NO Construction Valuation : $11,000.00 Type of Construction : V-B Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg : 0 Occupancy Groups : U No of Units : 0 Alteration sq. ft. Bldg : Bldg Height : No of Stories : Added/New sq. ft. Garage: 0 TOTAL sq. ft. 0 Building Setbacks Flood Zone : X Use Zone : PC - North Newport Center PROCESSED BY: _ SPECIAL CONDITIONS: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reasan(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 the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' Stale License Low (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt from ficensure 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 not more than five hundred dollars ($500). 11 1, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or U portionsof 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 improvements 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). El 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 is ply 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' 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 for at least one year prior to completion of the improvements covered by this. permit, I cannot legally soil a structure that I have built as an owner -builder if ithas not been constructed in its entirety 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:liwww.leginfo.ca.govlcalaw.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 Division 3 of the Business and Rrofess'lons Code, and my license is In full force and effect. License Class License No Date Contractor Signetu WORKERS' COMPENSATION COMIPENSATION DECLARATION WARNING; 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 (S100A00), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES - hereby affirm under penalty of perjury one of the following declarations: I have and oil 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, forth formance of the work for which this permit is issued. Policy No. I eve and wi11 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' compensatioi "lnsu nee carrier and policy number are a,IP�M Policy Numbedbffll%��3g�� 2� Expiration Name of Agent Phone tE 01 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 become subject to the workers' compensation laws of California, and agm that, if should become su Oct to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Signature of Applican _ _ DECLARATION REO CONSTRUCTION Ll;NOINO AGENCY I 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 (Sec lon3097, Civil COde). Lender's Name Lenders Address By 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. 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 to enter the aboveAdentified property for inspection purposes. 1 } may, _ Print Property 0wner's or Authorized Agent's Name I l�il� Date a i L L; ACTION DATE k BY DECLARATION. OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY RF,GULAfIONS PART 6I OF TITLE 40 AND AQMD RULE .1403 _ PERMITEXPfRED I L_IISSUBM:TTEC A5RESTC3 NOT`ICWION TO PERMiiW;NCELLEO �— _CEPA PCRMlT FINAL {{ / ASBFSTpS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATE OF Z-7-2- GS PROPOSED QJEMCLITtON OCCUPANCY ISSUED SIGI JAI URa.