HomeMy WebLinkAboutXC2023-0378 - PermitsQ ��WPOar City of Newport Beach
O
Community Development Department -Building Division
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone: (949) 718-1888
u newportbeachca.gov/civic
Combination Type - ELEC
Work Class - Other
COMB Permit : XC2023-0378
Plan Check No : PC2023-2322
Issued Date : 09/22/2023
Final Date:
Permit Status: Issued
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: 101 BAYVIEW PL Legal Desc : N TR 12528 BILK LOT 1
Description: COMM ILLUM SIGN - BLADE (1), ADDRESS (7), PARKING CLEARANCE (1), AND MONUMENT PLACARD (1). "CLEAR WATER NEWPORT"
Owner:
CLEARWATER AT NEWPORT BEACH OWNER
Contractor: YESCO SIGNS LLC
Architect
LLC
Address :
400 WATER ST, 200
Address : 10235 BELLEGRAVE AVE
Address
EXCELSIOR, MN 55331
MIRA LOMA, CA 91752
Phone:
(612)741-8936
Phone: (909)923-7668
Phone:
Con State Lic : 980698
State Lic:
Lic Expire : 01/31/2025
Applicant :
RYAN CAIN
Bus Lic : BT30042357
Engineer:
CARL MEYERS
Address :
4679 S River Rd .
Bus Lic Expire : 02/28/2024
Address:
165 GRAMERCY RD S
St George, UT 84790
SALT LAKE CITY, UT 84104
Phone:
(435) 628-0350
Workers' Compensation Insurance
Phone:
(861) 464-4600
Carrier: LIBERTY MUTUAL INSURANCE COMPANY
Owner/Builder
:
Policy No : WA569D459473122
Designer
Address :
W. C. Expire : 10/1/2023
Address
Phone: Phone
Code Edition :
2022
Fire Sprinklers :
NO
Construction Valuation : $37,000.00
Type of Construction :
II-B
Fire Hazard Zone :
NO
Added/Now/Ti sq. ft. Bldg : 0
Occupancy Groups :
B,U
No of Units :
0
Alteration sq. ft. Bldg: ,
Bldg Height :
No of Stories :
3
Added/New sq. ft. Garage: 0
TOTAL sq. ft.: 0
Building Setbacks
Flood Zone :
X
,
Use Zone:
PC - Bayview
PROCESSED BY:
SPECIAL CONDITIONS
OWNER -BUILDER DECLARATION
1 hereby affirm under penalty of perjury that € am exempt from the Contractors' Slate 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
the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' Stale. 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 fora permit subjects the applicant to a civil penalty of
not more than five hundred dollars ($500).
❑ I, as ewner of the properly, 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 safe (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 properly, 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 the purpose of sale).
❑ 1, as owner or 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
ap...ply 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' Slate 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 feast 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 if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable 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,leginfo.ca.govfcalaw.htmi.
Signature of Properly 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 700) f D' ision 3 of the Business and Profes ' a my license is in full force
and effect. License Class License No Date Contractor Signature� ,
WORKERS' COMPENSATION DECLARATION
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE 19 UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINE$ UP TO ONE HUNDRED THOUSAND DOLLARS t$100,000), IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
t 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 IN
performance of the work for which this permit is Issued. Policy No.
5rhave 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' compensation
Insurance career and policy number are:
Tier Policy Number Expiration Date
ne of Agent Phone ff
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 agree
t, if I should become subj theyr¢rkers pensatlon provisions of Section 3700 of the Labor Code. I shall forthwith comply with those provisions.
nature of Applicant_ / Date---15
CLARATION REGARDIN C $ RUCTIGN LENDING AGENCY
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 Cade).
ides Name Lender's Address
my signature below, I certify to each of the fOIIOWing::
I am the property owner or authorized to aoton the property owner's behalf.
I have rape tnls application and the Information I have provided Is correct.
I agree to campy with all applicable city and county ordinances and state laws relaying to building construction. '7
uulhorize . cpresantahves of this city or county to e�%��r;,a atwve-i entitled property for inspection purposes.
nature of Pruuedv Owner or Authorized Acent //.� � _ Print Prooertv Owner's or Authorized Anant's Name i% j T i ❑nta
IXTION
PERMIT EXPGREC
PERMIT CANCECE7
PERMIT EXTENOEC
FEPo1A:7 FINAL
CER NFICATE Of
LCCJ,'ANCYfSSUEO
DATE By DECLARATION OF COMPLIANCE WITH CODE OF FEDE'
REGUI ATIONS PART 61 OF TITLE 40 AND AQMD RULE
1403
I SUBMITTED ASBESTOS NOTIFICATION TO
PROPOSED
NOT'IFICAlION.15NOTAPPLICARU '10
FOR OFFICE USE ONLY