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Home My WebLink AboutXC2023-0074 - PermitsEwPo City of Newport Beach III��IIIIII�I��II��I��IIIII�� II 4� RT Y p Q Community Development Department- Building Division COMB Permit : XC2023-0074 X C 2 0 2 3 0 0 7 4 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: PC2023-0542 ? ? Permit Counter Phone: (949) 644-3288 Issued Date: 03/14/2023 c .�.Inspection Requests Phone: (949) 644-3255 Inspection Area : 7 94FoaN�P newportbeachca.gov/inspections Combination Type - Work Class - Other 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 : 320 MARINE AVE Legal Desc : A TR BALBOA..ISLAND SEC 4 BLK 14 LOT 11 BALBOA ISLAND SEC 4 L OT 11 BILK 14 E 75 FT Description: COMM -DIMENSIONAL SIGNAGE LETTERS (NON -ILLUMINATED) "MERCADOTACO SHOP" Owner: 320 MARINE AVE LLC Address : 2505 W COAST HWY STE201 NEWPORT BEACH, CA 92663 Phone Applicant: JOSE CERRUDO Address : 301 N. SPURGEON ST SANTA ANA, CA 92701 Phone: (714)388-2446 Owner/Builder : Address : Phone Code Edition : 2022 Type of Construction : V-B Occupancy Groups: A-2 Bldg Height: Building Setbacks Flood Zone : X Use Zone : MU-W2 - Mixed -Use Water PROCESSED BY: /e I Contractor: SIGNSOURCE INC Architect Address'. 1610 EAST MC FADDEN AVE Address SANTA ANA, CA 92705 Phone : (714) 979-9979 Phone Con State Lic : 770028 State Lic Lic Expire : 10/31/2023 Bus Lic: BT30080952 Engineer: Bus Lic Expire : 03/31/2024 Address Workers' Compensation Insurance Phone: Carrier: EMPLOYERS COMPENSATION INS CO Policy No: EIG257113705 Designer W. C. Expire : 12/30/2023 Address Phone: Fire Sprinklers : NO Construction Valuation Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg No of Units : 0 Alteration sq. ft. Bldg : No of Stories : Added/New sq. ft. Garage TOTAL sq. ft. : SPECIAL CONDITIONS: LIQCIEFAO ION; HI61 DENSITY ZONE $2,000.00 0 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 cheokmark(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 file 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 iicensure 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), El I, as owner of the property, or my employees with wages as their sole compensation, will do(_) 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, fire building or Improvemant is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or Improved for the purpose of sale), 0 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 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). 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 Iagall sell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contraclors. I understand that a copy of the applicable law, Section 7044 of the Business and Professions Code„ is available upon request when this application is submitted or at the following 'Arab site:hUp:i/www.leginfo.ca,govfcalaw.html. Signature of Property Owner or Authorized Agent .6 Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter g icomalancing with Section 7000) f Di 'skm 3 of the Business and Prof Sons ;ode, a of my enss is In full force and effect, License Class License No Date Contractor Signat WORKERS' COMPENSATION DECLARATION WARNING: FAPLURE TO SECURE WORKERS' COMPENSATION COVERAGE 10 UNLAWFUL, AND SMALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CPflL FINES UP TO ONE HUNDRED THOU RS fSi(MAN0), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION STOS OF THE LABOR CODE, INTEREST, AND ATTORNETS FEES. �I hereby affirm under penalty of perjury one of the following declarations; I have and will molnlam a certificate of consent to sofAnsure for workers' compensation, Issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Coda, for IN p once of the work for which this permit is issued. Policy No. I ova 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` compensado Insur rice carrier and policy number are' r Policy Number Expiration Date Name of Agent Phone # 1 certify that, in th9penalty Whatthere ich this permit is issued. I shall not employ any person in any. manner sous to become subject to the workers' compensation laws of California, and ogre that, if I should becoensatlon provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. dp�� Signature of Applica to l7/23 DECLARATION RENDING AGENCY I hereby affirm undeconstruction lending agency for the performance of the work for which this permit is issued (Section 3097,. Civil Code). Lenders Name Lender's Address By my signature below, I certify to each of the fallowing; I am the property owner or authorized to act on the property owner's behalf, I have read this application and the information 1 have provided incorrect. �,t/QI' ✓� �i�H/� I agree to comply with all applicable city and County ordinances and state laws relating to building construction. I authorize representatives of this city or cnu ty to en ve-identified property for Inspection purposes. 3 Si nature of Pr err Owner or Authorized Again Pont PropertyOwner s or Authorized Agent's Na s Gate 7 ACTION DATE By ECL ATIO F COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGr. ATIONS PART 61 OF TITLE 40 AND AQMD RULE 11403 PERMIT EXPIRED El I SUB MITTED ASBESTOS NOTIFICATION TO ~ PERMIT CANCEtEED MEPA P@R'MiT FINAL ASBESTOS NOTIFICATION 15 NOT APPLICAEL'E TO CERTIFICATE Of PROPOSEO DEMOUPON OCCUPANCY651JED SIGNATURE;