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Home My WebLink AboutXC2023-0024 - PermitsF`�WPoR' City of Newport Beach D Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 644-3288 Inspection Requests Phone: (949) 644-3255 cgticopN�P newportbeachca.gov/inspections Combination Type - Work Class - Other 11�1 11111111111111111111111111111111111111111111111111 111JillCOMB Permit : XC2023-0024 Plan Check No: PC2023-0215 Issued Date : 01/31/2023 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 : 600 BAY AVE E, B Legal Desc : BAYSIDE LOT 1 BLK BAND LOTS 2 TO 5 INC(AND ALL -INC POR OF ST ADJ - LOT6 (AND ALL -INC BET SAME &HIGH TIDE LINE & POR 0 Description: COMM SIGN- ALUMINUM FLAT -CUT LETTERS "BALBOA FUN ZONE" (NON -ILLUMINATED) Owner: HENRY PYLE Address: 151 INNOVATION DR IRVINE, CA 92617 Phone: (949)701-5128 Applicant: ASHLEYZILL Address : Phone: (949)423-7707 Owner/Builder : Address Phone: Contractor: GRAFFITI INC Architect Address : 13845-B ALTON PKWY Address IRVINE, CA 92618 Phone: (949)457-2300 Phone: Con State Lie : 712829 State Lie: Lie Expire : 10/31/2023 Bus Lie : SP2580 Engineer Bus Lie Expire : 01/31/2023 Address Workers' Compensation Insurance Phone: Carrier: SECURITY+NATIONAL+INSURANCE+COMPA NY Policy No: SWC1373325 Designer W. C. Expire: 2/8/2023 Address Phone: Code Edition : 2022 Fire Sprinklers : Type of Construction : Fire Hazard Zone Occupancy Groups : U No of Units : Bldg Height : No of Stories Building Setbacks : Flood Zone : AO 1; X Use Zone : CV - Commercial Visitor -Serving PROCESSED BY: NO Construction Valuation : NO Added/New/TI sq. ft. Bldg 0 Alteration sq. ft. Bldg : Added/New sq. ft. Garage: TOTAL sq. ft. : 4tNo CONSTRILIC`I ION NOISE SPECIAL CONDITIONS: r> I1Z -j% r- ,-, ON THE WEEKENC? $9,900.00 0 0 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 chadlur k(s) I have placed next to the applicable item(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 1a permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' Slate License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and 'rofessions 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 fora permit subjects the applicant to a civil penalty of of 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 7044, iusiness 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 nprovements 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 nproved for the purpose of sale). 3 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 Iply 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: ly my signature below 1 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 legall, oil a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. ) understand that a copy of the applicable law, Section 7044 of the Business and 'rofessions Code, is available upon request when this application is submitted or at the following Web site:http:Uwww.leginto.ca.govlcalaw.btml. Lgnature of Property Owner or Authorized Agent _ Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 00 ) f Division 3 of the Business and Profession Co and license is in full force nd effect. License Class License No - Date - Contractor Signature J`-' p VORKERS' COMPENSATION DECLARATION ARNING: FAILURE TO SECURE WORXERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,0001, iN ADDITION TO THE OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3709 OF THE LABOR CODE, INTEREST, AND ATTORNEY's FEES. hereby affirm under penalty of per}ury one of the following declarations: 3 . have and will i,win:a.n 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 erfernarce of the work for which this permit is issued. Policy No. pi nave 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' compensatiol isur: nce carrier ai.d colic, number are: ,or. ier Policy Number Expiration Date Vault A Age. Phone # :3I 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 ogre ,hat of , should become\snhject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Signature ofplicalA Ap, Date / _ ✓ / DECLARATION RrOARDINO-CMTRUCTION LENDING AGENCY hereby affirm and^r 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). _ender's Name Lender's 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. 1 have read this application andthe information 1 have provided is correct. I agree to comply with all applicable city and county ordinances and state laws relating to building construction. 3/ I authorize representatives of this city or county to enter the ve-Identified property for inspection purposes.0 / 3i nature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name J/' 1. (( Dat ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED 1 SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED DEPA PERMIT EXTENDED 1 7 �— M6 ASBESTCERTIF CATF OF `a v �� PROPOSED DE�VyOQL117101�10'N/IS NOT APPLICABLE TO OCCUPANCY ISSUED srcwnnrRF�/) �-) - 0 Q