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HomeMy WebLinkAboutXC2023-0273 - Permits+ewPo City of Newport Beach II IIII I III IIII III IIIIIII I I IIIIIIII II �r Y P Community Development Department- Building Division COMB Permit : XC2023-0273 X C 2 0 2 3 0 2 7 3 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2023-1755 Permit Counter Phone: (949) 718-1888 Issued Date : 08/31/2023 newportbeachca.gov/civic Final Date: Combination Type - ELEC Permit Status: Issued Work Class - Other 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 : 2919 COAST HWY E, A Legal Desc : P BK 57 PG 20 PAR 2 Description : COMM INSTALL 1 ILLUMINATED WALL SIGNS FOR "THE FILE GROUP" Owner: GARY SAUTER Address : 735 CAMEO HIGHLANDS DR CORONA DEL MAR, CA 92625 Phone : (949) 274-0104 Applicant: SIGNS & SERVICES CO Address : 10980 BOATMAN AVE STANTON, CA 90680 Phone : (714) 761-8200 Owner/Builder : Address: Phone : Contractor: SIGNS & SERVICES CO Address : 10980 BOATMAN AVE STANTON, CA 90680 Phone: (714)761-8200 Con State Lic : 624675 Lic Expire : 08/31/2025 Bus Lic: BT30080943 Bus Lic Expire : 03/31/2024 Workers' Compensation Insurance Carrier: INSURANCE COMPANY OF THE WEST Policy No : WSA5060008 W. C. Expire : 4/1/2024 Code Edition : 2022 Fire Sprinklers : NO Type of Construction : V-B Fire Hazard Zone : NO Occupancy Groups : U No of Units : 0 Bldg Height : No of Stories : Building Setbacks : Flood Zone : X Use Zone : CC - Commercial Corridor PROCESSED BY: R SPECIAL CONDITIONS: e-- Architect Address Phone : State Lic Engineer: Address : Phone Designer: SIGNS & SERVICES CO Address: 10980 BOATMAN AVE STANTON, CA 90680 Phone : (714) 761-8200 Construction Valuation : $5,000.00 Added/New/TI sq. ft. Bldg : 0 Alteration sq. ft. Bldg : Added/New sq. ft. Garage : 0 TOTAL sq. ft. : 0 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reascn(s) indicated below by the checkmark{s) I have placed next to the applicable Item(s) (Section 7031.5, Business and Professions Cade: Any city or county that requires a permit to construct, alter. improve, dernolish, 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 Ihn provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Businoss 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 five hundred dollars ($500). ❑ 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 SITE not Intended or offered for sale. If, however, the building or improvement Is sold within one year of completion, the Owner-Elulider will have the burden of proving that It was not built or improved for the purpose of sale). 'j© 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 improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors State License Law). I❑ I am exempt from lcensure 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 forat least one year prior to completion of the improvements covered by this permit, I cannot legally ''soll a structure that I have built as an owner -builder if it has not been constructed in its entirely by licensed contractors. 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 Web site:hftpahvw'w.leginfo.ca.gowca law.htmi. Signature of Property Owner or Authorized Agent _ Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions ode, n my license is In full force 'and effect. License Class License No Date (-! 7 I —� 7 Contractor Signature ILLI LA (WORKERS' COMPENSATION DECLARATION !WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUSI AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED T DUSANO DOLLA S ISt00,000L IN ADOmON TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR 1N SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one el the following declarations: I 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 orma.nce of the work for which this permit is issued. Policy No. have 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' compensa rance carrier and policy number are: Policy Number of Agent Date certify that, in the performance of the work for which this permit is issued'. I shall notemploy any person in any manner so as to become subject to the workers' compensation laws of California, and if I should became stybject to the worher4.eorppensalipn provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. of Date _ L l 1 Heby affirm underperlalty of perjury that lF�a're is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Cade). Idor's Name _ Lenders Address my signature below. I certify to each or t;8 following: I am the property owner or authorized to act on the property owner's behalf. i have read this application andthe information I have provided is correct. I agree to comply with all applicable city and county ordinances and state laws relating to nstruction. I authorize representat'ver of'tnF city or co lnty to IS bove.��f{{f111e lfl erty for Inspection purposes. ��.tt—�/ nature o, Prooertv Owner or Ai thonzed Agent b� A/ � Print Property Owner's or Authorized ADent's Name Date r'3 -22 ACTION DATE BY FCLV'RATION OF C N(ANCE WITH CODE OF FEDERAL fFGUTA fIDNS PART F TITLE 40 AND AQMD RULE 1403 FOR OFFICE USE ONLY PERM T EXPIRED I SUBMITTED ASBFSTOS NOTI FICATION TO ... ... ..... -- ' _..__ — ---- -.�u. �... PFRPrlir CANCELLED ` CPA , .... t .......... ....... ._._. �r--1I _. .— ...._... PFRiWiT EXTENDED nQMD 7� PLRMq?YNAL � LIASBESTOS NOT IFICA1[ON ISNOI APPLICABLE TO CE.RTfFICATE Of PROPOSED DEMOLITION OCCUPANCYISSUED 5IGNATURE: