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.