HomeMy WebLinkAboutXC2023-0265 - PermitsCity of Newport Beach
Community Development Department - Building Division
04'.
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone: (949) 718-1888
newportbeachca.gov/civic
CoCombination Type - ELEC
Work Class - Other
Illi�����I I) COMB Permit : XC2023-0265
Plan Check No : PC2023-1719
Issued Date: 0711812023
Final Date:
Permit Status: Issued
0 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 : 1132 IRVINE AVE Legal Desc : N TR 4824 BLK LOT 2 TR 4824 LOTS 2 TO 6 INC AND PO
Description: COMM ILLUMINATED WALL SIGN & BLADE SIGN FOR "NEWPORT NAILS" 14.4 SF
Owner: IRVINE COMPANY
Address : 110 INNOVATION DRIVE
IRVINE, CA 92617
Phone: (949)720-2000
Applicant: LEENOLA MILLIORN
Address: 1852 W POMONA RD
CORONA, CA 92878
Phone: (909)855-2130
Owner/Builder :
Address :
Phone:
Contractor: SOUTHWEST SIGN COMPANY
Address : 1852 POMONA RD
CORONA, CA 92880
Phone:
(951)734-6275
Con State Lic
: 724929
Lic Expire :
07/31/2024
Bus Lic:
BT30052367
Bus Lic Expire : 09/30/2023
Workers' Compensation Insurance
Carrier: OAK RIVER INSURANCE COMPANY
Policy No : FOWC319046
W. C. Expire : 7/21/2023
Architect
Address
Phone:
State Lic
Engineer
Address
Phone:
Designer: SOUTHWEST SIGN COMPANY
Address: 1852 POMONA RD
CORONA, CA 92880
Phone: (951)734-6275
Code Edition :
2022
Fire Sprinklers :
NO
Construction Valuation :
Type of Construction :
III-B
Fire Hazard Zone :
NO
Added/New/TI sq. ft. Bldg
Occupancy Groups :
U
No of Units :
0
Alteration sq. ft. Bldg :
Bldg Height :
No of Stories :
1
Added/New sq. ft. Garage
TOTAL sq. ft.
Building Setbacks
Flood Zone :
X
Use Zone :
CN - Commercial Neighborhood
jJ5
PROCESSED BY:
SPECIAL CONDITIONS:
$3,170.00
0
0
0
OWNER -BUILDER
I hereby affirm under penally of perjury that I am exempt from the Contractors' State License Law for the reasons) 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
Ji 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
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
Tot more than five hundred dollars ($500).
❑ I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044.
Susiness and Professions Code. The Contractors' State License Law does not apply to an owner of properly who, through employees' or personal effort, builds or improves the property, provided that the
hnprovements are not Intended or offered for sale. If, however. the building or improvement is sold within one yearof completion, the Owner -Builder will have the burden of proving that it was not built or
improved for the purpose of sale).
❑ I, 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 properly who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Lew).
❑ I am exempt from licensors 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 legally
sell a structure that I have built as an owner -builder it 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 sfte:http:lfwww.leginfo.ca.gov/calaw.htmi.
Signature of Property Owner or Authorized Agent ,__,_ _._ ___A_ _ Data _
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 Profession �E)%nd 's_ force
and effect. License Class License No Date J-• 13 Contractor Signature
WORKERS' COMPENSATION DECLARATION
NARNINO: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (S1D0.000), IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3704 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of 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 th,
perf9imance 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'
ranee carrier and policy number are:
Policy Number
of Agent
Date
certify that, in performance of the work for which this permit is issued, I shallnot employ any person in any manner so as to become subject to the workers' compensation laws of California, and
if I should become subjectjyERfpvolkem:.;�eRtpensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
of
Date '?I-
Ireby affirm under 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).
rder s Name Lenders Address _
my signature below, I certify to each of the following:
I am, the property owner or authorized to acton the property owner's behalf.
I lie a read'hiF application and the information I have provided is correct.
I agree to comply with all applicable city and county ordinances and state laws relating to building construction.
12Jthorize representatives of this city or count�y �j t bove-i Ificn pw{lehy for inspection purposes. )��
naVire of Prnpertv Owner or Authorized Agent/ // Print Property Owner's or Authorized Agents Name 4le� N,,
'ACTIJA
DATE
BY(/ i DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL
FOR OFFICE USE ONLY
I REGULATIONS PART 51 OF TITLF 40 AND AQMD RULE
1403
rTq"41TEXP(RE.D'
', I SUBMITTED ASBEST05 NOTIFICATION TO
PERMIT CANCEI It 1)
DEPA
Cn".U.. EXTENDED
I lMWIFFlNAt
ASBESTOS NOI MCATION 15 NOT APPLICABLE TO
CERTIFICATE OF
,J g PROPOSED DEMOUT �?
Ij
OCCUPANCYI5SUED
yy
SIGNATURE: i�f��