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Home My WebLink AboutXC2023-0278 - Permits�EWPo�r City of Newport Beach IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit : XC2U23'U278 C4 p)@ Community Development Department- Building Division x C 2 0 2 3 0 2 7 8 D 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2023-1800 Permit Counter Phone: (949) 718-1888 Issued Date : 07/26/2023 s. newportbeachca.gov/civic Final Date: C9�(FORN\o- Combination Type - ELEC Permit Status: Issued Work Class - Other 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 : 406 32ND ST Legal Desc : A TR LANCASTERS ADD BLK 431 LOT 1 Description: COMM ILLUMINATED WALL SIGN "LIL BUDDHAS" Owner: HAROLD TIMOTHY MICHAEL TR Address : 3116 NEWPORT BLVD NEWPORT BEACH, CA 92663 Phone Applicant: ORANGE COUNTY SIGNS Address: 636 W WILLIAMSON AVE FULLERTON, CA 92832 Phone : (562) 756-9155 Owner/Builder Address : Phone Contractor: ORANGE COUNTY SIGNS Address : 636 W WILLIAMSON AVE FULLERTON, CA 92832 Phone: (562) 756-9155 Con State Lie : 1064067 Lie Expire : 03/31/2024 Bus Lie : BT30081285 Bus Lie Expire : 04/30/2024 Workers' Compensation Insurance Carrier: PREFERRED EMPLOYERS INSURANCE CO Policy No : WKN172633-2 W. C. Expire : 6/27/2024 Code Edition : 2022 Fire Sprinklers : NO Type of Construction : V-B Fire Hazard Zone : NO Occupancy Groups : U No of Units : 0 Bldg Height : No of Stories : 0 Building Setbacks Flood Zone : X Use Zone : CV - Commercial Visitor -Serving PROCESSED BY: SPECIAL CONDITIONS: Architect : a Address 4( Phone :" State Lie Engineer: Address Phone Designer: ORANGE COUNTY SIGNS Address: 636 W WILLIAMSON AVE FULLERTON, CA 92832 Phone: (562)756-9155 Construction Valuation : $2,500.00 Added/NewlTl 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 pertury 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 items) 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' Stale License Law (Chapter 9 (commencing with Section 70011 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 fora permit subjects the applicant to a civil penalty of of more than five hundred dollars ($500), 1, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or t ) portions of the work, and the structure Is not Intended or offered for sale (Section 7044, justness 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 Ihat the nprovements are not Intended or bffered 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 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 pply to an owner of property who builds or Improvesthereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).. 7 1 am exempt from licensure under the Contractors' State License Law for the following reason: iy 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 all 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 'rotessions Code, is available upon request when this application is submitted or at the following Web site:hltp:Nwww.leginfo.ca.gov/ca law, mml. .ignature 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 0 ) of Division 3 of the Business and Prof Ion " d , and II n 1 In full farce nd effect. License Class C Y I License No L b L `T U L'}- Data '7.- 7. C - 7J Contractor Signature VORKERS' COMPENSATION DECLARATION 'ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDREDTH sANO DOLLARS (St ,000), iN AODRION TO THE OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN 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 Ulterior of Industrial Relations as provided for by Section 3700 of the Labor Code, for the erfyrmance of the work for which this permit is issued. Policy No.. IrlTave 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' compensatior ur ce carrier and policy number are: mter Policy Number Expiration Date me of Agent Phone # I certify that, in the pert mince 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 c pensation laws of California, and agree L of I should becom bject to the workers' compan all n rev ens of titan 3700 of the Laoor Code, I shall forthwith comply with those provisions. / I L Z nature of Applicant Date CLARATION REG DING TION LENAI A CY ?raby affirm under p alty of pe jury at there is a co ruction lending agency for the performance of the work for which this permit Is issued (Section 3097, iv Code). Tders Name Lenders Address my signature below, 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 cou ty dlQancesand stale fawn elating to building construction. 1 I authorize representatives of this city or county t ter IT above-Ide ere or inspection purposes. IA / \'Z V G ^ .nature of PrODertv Owner or Authorized Auenl �`� I �^ nn rooertv Owner's or Authorized Aoent's Namur` 7 f� c, jY'h eta ACTION DATE By vDEC.4 T NOF CO IANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY / \ RF. ULATI NS PART OF TITLE 40 AND AC1MD RULE 1403 PERMIT EXPIRED FITTED •15S^ESTOS NOTIFICATION TO PERMITCANCFLLED PERMIT EXTENDED ..— MOM,) PERMrrPfNal L. — rr1 _ _CABLE TO LJ ASaE5T05 NOl IFICAItON IS NOT APPLICABLE 7O CERTIFICATE OF 7j' PROPOSED DEMOLITION OCCUPANCY155UED 513NATL'RE: