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Home My WebLink AboutXC2022-2109 - PermitsaEwPoRr City of Newport Beach III IIII III I IIII III I IIIIIIIIIII II IIII II COMB Permit : XC2022-2109 D4 Community Development Department- Building Division X C 2 0 2 2 2 1 0 9 �. 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: PC2022-3152 n Permit Counter Phone: (949) 644-3288 Issued Date : 01/12/2023 u Inspection Requests Phone: (949) 644-3255 Inspection Area : 7 Cq<icO pN�P newportbeachca.gov/inspections Combination Type - Work Class - Tenant Improvement 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 Description : Owner: Address Phone : 451 NEWPORT CENTER DR Legal Desc : N TR 6015 BLK LOT W COMM TI "TRUE FOOD KITCHEN" REPLACE FABRIC COVERS @ (E) PATIO COVER AND SUN SHADES @ OPEN PATIO AREA. _ IRVINE CO 111 INNOVATION IRVINE, CA 92618 (949)720-3100 Applicant: HERMAN AJAMIAN Address : 18652 FLORIDA ST, 105 HUNTINGTON BEACH, CA 92648 Phone: (714)313-6815 Owner/Builder Address Phone Code Edition : 2019 Type of Construction : Occupancy Groups: U Bldg Height: Building Setbacks : Flood Zone : X Use Zone : PC - North Newport Center PROCESSED BY: SPECIAL CONDITIONS: Contractor : CS SIGNS LLC Address: 4 TERRASTAR LANE LADERA RANCH, CA 92694 Phone : (714) 720-7604 Con State Lic : 1053147 Lic Expire : 03/31/2023 Bus Lic: BT30079116 Bus Lic Expire : 06/30/2023 Workers' Compensation Insurance Carrier: OAK RIVER INSURANCE CO Policy No: CSWC352425 W. C. Expire : 5/2/2023 Fire Sprinklers : NO Fire Hazard Zone : NO No of Units : 0 No of Stories Architect Address Phone: State Lic Engineer: SAUERSBRETT Address : 101 W BROADWAY #300 SAN DIEGO, CA 92101 Phone: (619) 354-1152 Designer: FIRST & MAIN SIGNAGE FOR N BRANDS Address : 2340 SW SHEPLER CHURCH AVE CANTON, OH 44706 Phone: (234)458-0990 Construction Valuation : $10,000.00 Added/New/TI 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 1 am exempt from the Contractors' StateLicense Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicableitem(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 signedstatement 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 not more than five hundred dollars ($500). I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 70", 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 R was not built or Improved. for the purpose of sale). ❑ I, as owner or 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 a ply 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). 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 I I) sell a structure that I have built as an owner-buitdar if It has not been constructed in its entirety by licensed Contractors. I understand that a copy of theapplicable law, Section 7044 t sfnosS Professions Code., is available upon request when this application is submitted orat the following Web site:http:l/Www.leginto.ca.govlcalaw.htmi, Signature of Property Owner ate r Authorized Agent. _ D LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjuryr"t I am licensed under provisions of Chapter 9 (commencing with Section 7000) of DiVI Ion of the Businesand Professio6!dmF isln full force end effect. License Class « C'i D License No /L ?51 /¢ 7 Date o a z Contractor SSignat WORKERS' COMPENSATION 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 ($100,000), rN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE. INTEREST, AND ATTORNEY's FEES. I hereby affirm under penalty of perjury one of the following declarations: I have and will maintain a certificate of consent to self -insure for workers' compensation, Issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for thl )a, ormance of the work for which this permit Is issued. Policy No. :1I ave and will maintain workers' compensation Insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which IN permit. is issued. My workers' compensatior 'nsu nce carder and policy number are; r' r D olicy umber Cs'rwGuf 773 Expiration Date Name of Agent Phone q T I certify that, in the Csubject ance a f wh' this permit is issued. I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California., and agrel that, if I should becomis is. pensation provisions of Section 3700 of the Labor Code; I shall forthwith comply with those provisions. Signature of Applicant Datq�_ �� z DECLARATION REGACONSTRUCTION LENDING AGENCY hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). Landes Name Jeenaers Address By my signature below. I certify to each of the following: I am the property owner or authorized to act on the property r' b I have read This application and the Information Lhave provi c t. I agree to comply with all applicable. city and county ordin d ate Cos relating lu 6uiWiag ccn:aruct:c:a I authorize representatives of this city or county to ant a ova ad property for inspection perposns. of ACTION DATE. 0Y I REGULATI RS DECLART$ONO BS TITLE AND LIANICODE OF FEDERAL FOR OFFICE USE ONLY 1403 PERMITEXPOIEO I I E LJ I SUBMITTED ASBESTOS NOTIFICATION TJ PERMIT EXTENDED UARM D PERMITFINAL / _CT_L'� L ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO CERTIFICATE OF O .PROPOSED DEMOLITION OCCUPANCYISSUED SIGNATURE: