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XC2023-0436 - Permits
aEWPO�T City of Newport Beach IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: XC2023-0436 Ck 1� Community Development Department- Building Division X C 2 0 2 3 0 4 3 6 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: PC2023-2605 ? Permit Counter Phone: (949) 718-1888 Issued Date : 10124/2023 n.newportheachca.gov/civic Final Date: Cq<IFp0.N�P Combination Type - 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: 809 NEWPORT CENTER DR Legal Desc : P BK 221 PG 30 PAR 6 P.M. 221-30 PAR 6 POR OF PAR Description : COMM ILLUM WALL SIGN & NON ILLUM BLADE SIGN "GOOD AMERICAN" (XC2023-0208) Owner: IRVINE COMPANY Contractor: TAKO TYKO Architect Address : 110 INNOVATION DRIVE Address: 5010 VENICE BLVD Address IRVINE, CA 92617 LOS ANGELES, CA 90019 Phone : (949) 720-2000 Phone : (800) 731-6012 Phone Con State Lie : 690492 State Lie Lie Expire: 06/30/2024 Applicant : TAKO TYKO Bus Lie : BT30047524 Engineer Address : 5010 VENICE BLVD Bus Lie Expire : 09/30/2024 Address LOS ANGELES, CA 90019 Phone: (800) 731-6012 Workers' Compensation Insurance Phone: Carrier: TRAVELERS PROP CASUALTY COMPANY OF AMERICA Owner/Builder : Policy No: UB8S909462 Designer Address : W. C. Expire : 1/1/2024 Address Phone: Phone: Code Edition : Fire Sprinklers : NO Construction Valuation : $2,300.00 Type of Construction : V-B Fire Hazard Zone : NO Added/New/Ti sq. ft. Bldg : 0 Occupancy Groups : R-3,U No of Units : 0 Alteration sq. ft. Bldg : Bldg Height : No of Stories : Added/New sq. ft. Garage : 0 TOTAL sq. ft. : 0 Building Setbacks Flood Zone : X Use Zone: PC - North Newport Center PROCESSED BY SPECIAL CONDITIONS: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' Slate License Law I'or the reasons) indicated below by the eheckroark(s) I have placed next to the applicable (teas ;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 :ho permit to file a signed statement that hD or she is liconsod pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Drofessions 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 for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500j. 1 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 proffered 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 anprovemants 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 mproved for the purpose of solo). I, BE 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 a ply to an owner of property who builds or Improvesthereon, 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 bythis permit, I cannot legail, sell a structure that I have builtas an owner-buildor if it has not boon constructed in its entirety 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:http:liwww.legmfo.ca.gov/calaw.html. Signature Of Property Owner or Authorized Agent T, Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9 {commencing with Section. ) of Division 3 of the Business and Proles ns Code, andyry lice se force and effect. License Class License No ''DaEI 2"1,72, Contractor Signami �. COMPENSATION DECLARATION NARNINO: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FINES UP TO ONE HUNDRED THOUSAND DOLLARS f6100,000i, IN ADDITION TO THE COST OF COMPENSATION,DAMAGES As PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. hereby affirm under penally of perjury one of the following elects rations: I hav and will maintain a certificate of consent to son -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for Ih �erfo once of the work roe which this permit is issued. Policy No. Khave 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 rsurance carrier and pGlicy number or 72 �r ^, �e )J/' q © 2 _ r ? V ^arrier �c. Jz t-C r�' =n(�p1Lr<i �'�l Policy Number l% /`� VS �/l ©-` LE7 C— Expiration Date ( Fy-E/ Name of Agent Phone # Certify that, in the perform co 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 if I should become ct to the workers',mompensation provisions of Section 3700 or the Labor Code, I shall forthwith comply with those provisions. of Date.-yL(? rECLARATION REGARDING CONSTRUCTION LENDIRG AGENCY hereby 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 Ender's Name lenders Address _ ly 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. I have read this application and the information I have provided is correct. I agree to comply with all applicable city and county ordinances and slate laws relating to building construction. I authorize representatives of this city or county to 9h a"ove,ktentlfied property for inspection purposes, p ACTION I DAT9 I fly PERM(T CANCFLCED PERNUT EXTENDED PCRbRT FIAtA1 -_ )iT ZD(�— CERTIFICATE OF OCCUPANCYISSUED REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 Ll 14UBMITT€D ASBESTOS NOTIFICATION TO LJ ASBESTOS N011FICAIION 15 NOI APPLICABLE I"0 PROP05EO DEMOLITION FOR OFFICE USE ONLY Civil Code).