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HomeMy WebLinkAboutXC2022-2073 - PermitsCity of Newport Beach �'�WPoRr Q, @ Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 y^. Permit Counter Phone: (949) 644-3288 r� Inspection Requests Phone: (949) 644-3255 C9�IG00.N�P newportbeachca.gov/inspections Combination Type - ELEC Work Class - Other X C 2 0 2 2 2 0 7 3COMB Permit : XC2O22-2073 Plan Check No: PC2022-2912 Issued Date : 11/17/2022 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: 2200 OCEAN FRONT W Legal Desc : A TR NEWPORT BEACH CITY BLK 22 LOT 1 Description : COMM ILLUMINATED BLADE SIGN "22ND STREET PIZZA" Owner: MKT ENTERPRISES LLC Address: 3949 HIGHLAND DR CARLSBAD, CA 92008 Phone: Applicant: Matthew Kenney Address : 1565 Creek Street, 105 San Marcos, CA 92078 Phone: (760) 459-1119 Owner/Builder: Address : Phone Code Edition : 2019 Type of Construction : Occupancy Groups: U Bldg Height: Building Setbacks Flood Zone : X Use Zone : MU-W2 - Mixed -Use Water Contractor: Matthew Kenney Address : 1565 Creek Street, 105 San Marcos, CA 9207E Phone: (760)459-1119 Con State Lie : 1082555 Lie Expire : 10131/2023 Bus Lie: BT30080084 Bus Lie Expire : 11/30/2023 Workers' Compensation Insurance Carrier : Policy No: EXEMPT W. C. Expire: Fire Sprinklers : NO Fire Hazard Zone : NO No of Units : 0 No of Stories PROCESSED BY: SPECIAL CONDITIONS: Architect Address Phone: State Lie Engineer: Address Designer: Matthew Kenney Address : 1565 Creek Street, 105 San Marcos, CA 9207E Phone: (760)459-1119 Construction Valuation : $1,500.00 Added/New/TI sq. ft. Bldg : 0 Alteration sq. ft. Bldg : Added/New sq. ft. Garage: 0 TOTAL sq. ft. : 0 • tCIrtl�i�:aiRl�►1�:�57�+IwT.7�1/C�7:1 I hereby afBnn under penally of perjury that I am exempt front the Contractors' State License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable Item(s) (Section 7031a, Business and Professions Code: Arty city or county chat 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 Ire 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 licensors 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). 1, 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 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 properly, 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 four the purpose of sale). © 1, as owner of the properly, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply 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). 0 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 Ur which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legall, sell a structure that I have built as an ownor-builder if it has not been constructed in ifs entirety by licensed contractors. I understand that a copy of theapplicable law, Section 7044 of the Busi as and Professions Code, is available upon request when this application is submitted or at the following Web site:hltp:/lwww.leginfo.ca.gov/calaw.html. Signature of Property Owner or Authorized AgentDate LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that i am licensed under provisions of Chapter 9 (commencing with Section 0 Division 3 of the Business and Pro Sion C , and my license is In full force and effect. License Class License No Date Contractor Signature WORKERS' COMPENSATION DECLARATION NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO 4 ONE HUN ED HO ND DOLLARS (si00,0001, tN AODRION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION OTnS OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: 1 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 th rmanee of the work for which this permit is issued. Policy No. eve 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' componsatio� nsurance carrier and policy number are: gamer /)f Policy Number Expiration Date Name of Agent Phone 9 -1 certify that, In the PoVormance of the work for ' - 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 agre (hat, If I should beco a ubjec th compensation provisions of Section 3700of the Labor Code, I shall forthwith comply with those provisions. / Signature of. Applicant _ Date DECLARATION REG RD 'ONSTRUCTION DING AGENCY hereby affirm under Drafty of p that theca is Destruction lending agency for the performance of the work for which this permit Is issued (Section 3097,. Code). -enders Name Lenders Address 3y 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. Of li, f J I have read this application and the information 1 have provided is correct. I agree to comply with all applicable city and o my ordinances and state laws relating to building construction. I authorize representatives of this city or coup to an the above -identified propity for inspection purposes. Signature of Property Owner or Authorized Agent 11 Print Pro - erty Owner's or Authorized Agent's Name _ Date ACTION DATE BY OF COMPLIANCE WITH CODE OF FEDERAL FOROFHCE USE ONLY I REGULATIONS PART 61 OF TITLE 40 AND AONIp RULE 1403 _ PERMIT EXPIRED I L: I SUBMITTED xSBES13S NOTIFICATION TO PERVATEXTENOED PERIMITFINAd �% y� {t SHESTpS IF ICA 110N15 NOT APPLICABLE TO CERTIFICATE OF "� " i PRODOSEp 1)E UTION OCCUPANCYISSUED 151(rNATl7dE: (( /