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Home My WebLink AboutXC2022-2053 - PermitsCity of Newport Beach e��WPoRT O Community Development Department- Building Division _ n100 Civic Center Drive, Newport Beach, CA 92660 usK Permit Counter Phone: (949) 644-3288 Inspection Requests Phone: (949) 644-3255 Cq</ppftN�P newportbeachca.gov/inspections Combination Type - ELEC Work Class - Other COMB Permit : XC2022-2053 X C 0�� Plan Check No: PC2022-2791 Issued Date : I I I 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: 191 RIVERSIDE AVE, STE A Legal Desc : N TR 919 BLK LOT F TR 919 LOT F POR OF LOT Description: COMM-ILLUMINATED WALL SIGNS (2)'STARFISH NEWPORT BEACH' Owner : MARINERS CENTER M2 LLC Contractor: SIGNAGE SOLUTIONS CORP Architect Address: 660 NEWPORT CENTER DR STE200 Address : 2231 S. DUPONT DR. Address NEWPORT BEACH, CA 92660 ANAHEIM, CA 92805 Phone Applicant: CANDACEGLEDHILL Address: 2231 S DUPONT DR ANAHEIM, CA 92806 Phone: (714)318-7654 Owner/Builder : Address: Phone Phone: (714)491-0299 Con State Lie : 608238 Lie Expire : 12/31/2022 Bus Lie: BT30078057 Bus Lie Expire: 02/28/2023 Workers' Compensation Insurance Carrier: TRAVELERS PROPERTY CASUALTY CO OF AMERICA Policy No: UB3P3716372243G W. C. Expire: 1/1/2023 Phone: State Lie Engineer: Address : Phone: Designer: CANDACE GLEDHILL Address: 2231 S DUPONT DR ANAHEIM, CA 92806 Phone: (714)318-7654 Code Edition : 2019 Fire Sprinklers : NO Construction Valuation : $7,500.00 Type of Construction : V-B Fire Hazard Zone : NO Added/NewlTl sq. ft. Bldg Occupancy Groups : B No of Units : 0 Alteration sq. ft. Bldg : Bldg Height: No of Stories : 1 Added/New sq. ft. Garage: 0 TOTAL sq. ft. Bldg: 0 Building Setbacks Flood Zone: X Use Zone: MU-MM - Mixed -Use Mariners' Mile PROCESSED BY: 4 SPECIAL CONDITIONS: OWNER -BUILDER DECLARATION 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 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 the permit to rile a signed statement 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 rive hundred dollars ($500), El 1, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or L) 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 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 thepurpose of Sale)- 0 I, 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 apply 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), E3 1 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 legal) sell astructure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. 1 understand that a copy of theapplicable low, Section 7044 of the Business and Professions Code, is available upon request when this application is submitted or at the following Web site:http:llwww.leginlb.ca.govtcalaw.html. Signature of Property Owner or Authorized Agent _ Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of p u that I am licensed under provisions of Chapter commencing with Section 7000) o�f the Business and Prate o , yy e s In full force and effect. License Class �S License No �[� _ Dat Contractor Signature Uh,JJE j WORKERS' COMPENSATION DECLARATION 1/1 WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL PINES UP TOONE HUNDRED THOUSAND DOLLARS (S1100,0001. rN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS. PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES, I hereby affirm underpenalty of perjury one of the following declarations: I have and will maintain a certificate of consent la self -insure for workers' compensation, Issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for IN ormance of Iite work for which this permit is issued. Polley 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' compensatio insur nce carrier and policy nuAtber are•, , I /1 Ca ar "rr�', I Q �^S / r�/,(n_ �-�fi1 Policy Number U R�% ' ,✓I 3IG Expiration Date 1' 1 / 3 Name of Agent hy,101 P I `>k "T� -Phone fE OL,9 1_? [) 1 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 agra that, If I should becomeP work�eArs'I/pI/9/p/D/psatlon provisions of Section 37D0 of the Labor Code, I shall forthwith comply With those provisions. / Signature of Appbcani�//_(�/iu.Y�l.. IS % /Liz ZZ DECLARATION RE4RUGTION LENDING AGENCY I hereby affirm under pedthat them is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Cl it Code). Lender's Name Lender's Address By my signature below, I oartify, 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 coun manes and state laws relating to building construction. / /� I authorize representatives of this. city or countove- it property for Inspection purposes. V /LLi�d./IP Signature of ProDertv Owner or Authorized Anent t Pont Prooertv Owner's or Authorized Aaent's Name / In lAm 1)' - UE,CI!ARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE SUBMITTED. ASBESTOS PERMITCANCELLED PERMiT EXTENDED CEREICAE OF j L..,IA49ESTOS NOTIFICATION IS NOT APPLICABLE TO PROPOSED DEMOLITION OCCUPANCYISSUED SIGNATURE;