HomeMy WebLinkAboutXC2024-0030 - Permits�EWPORr City of Newport Beach 11111111111111111111111111111111111111111111111111111 111jjCOMB Permit : XC2024-0030
O� 6 Community Development Department- Building Division X C 2 0 2 4 0 0 3 0
100 Civic Center Drive, Newport Beach, CA 92660 Plan Check NO : PC2024-0169
Permit Counter Phone: (949) 718-1888 Issued Date : 0311212024
} newportbeachca.gov/civic Final Date:
°"<rcoaN�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: 2200 OCEAN FRONT W
Description: COMM AWNING "22ND STREET PIZZA"
Owner: MKT ENTERPRISES LLC
Address: 3949 HIGHLAND DR
CARLSBAD, CA 92008
Phone
Applicant: Jerry Lee MARROQUIN
Address : 1803 HUMMINGIBRD DR.
COSTA MESA, CA 92626
Phone: (949)500-0762
Owner/Builder :
Address :
Legal Desc : A TR NEWPORT BEACH CITY BLK 22 LOT 1
Contractor:
SUPERIOR AWNING INC
Address :
14555 TITUS ST
PANORAMA CITY, CA 91402
Phone:
(714)654-6440
Con State Lic
: 589431
Lic Expire :
05/31/2025
Bus Lic:
BT30081227
Bus Lic Expire
: 04/30/2024
Workers' Compensation Insurance
Carrier: A I U INSURANCE COMPANY
Policy No: 015332271
W. C. Expire: 6/1/2024
Architect
Address:
Phone:
State Lic:
Engineer: MADRONA CERENICO GOZO
Address: 7868 DE SOTO AVE
CANOGA PARK, CA 91304
Phone: (661)259-0700
Designer:
Address
Phone: Phone:
Code Edition : 2022 Fire Sprinklers : NO Construction Valuation : $5,000.00
Type of Construction : Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg : 0
Occupancy Groups : U No of Units : 1 Alteration sq. ft. Bldg : J -
Bldg Height : No of Stories : Added/New sq. ft. Garage : 0
TOTAL sq. ft.: 0
Building Setbacks
Flood Zone : X '
Use Zone : MU-W2 - -Mixed-Use Water p']� 1 1 w9 WOW
PROCESSED BY: Q + No CONS-TRUCT!®N J
SPECIAL CONDITIONS: „
,�M S/jUIRDAYS
I hereby affirm under penally of perjury that I am exempt from the Contractors' State License Law for the reason(s) indicated below by the checkmark(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
the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State 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
not more than five hundred dollars ($500).
❑ I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044,
Business and Professions Code: The Contractors' Slate 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 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).
❑ 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).
❑ 1 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 by this permit, I cannot legalll
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 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://www.leginfo.ce.gov/calaw.html.
Signature of Property Owner or Authorized Agent
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 Professi C y license is in full force
and effect. License Class License No Date Contractor Signature
WORKERS' COMPENSATION DECLARATION
NARNING: 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 ($100,0001, IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 0706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS 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, forth
performance 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:
of Agent
certify that, in the performance
if I should become subject to
Iature or Applicant 4
Policy Number
Date
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
Tlpensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. r
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
enders Name Lender's Address
ly my signaure oelow, I certify to each of the following:
I am the property owner or authorized to act on the property owner's behalf.
I , lave reLd this application and the information I have pf vided is orrect.
I agree tc con.py with all applicable city and county 94 ncgs nd state laws relating to building construction. —�
I authorize representatives of this city or county to me th a ve-identified property for inspection purposes.
in na,i,m of Dr—.1,, n...-- A. Jhnrrurl anent pan, Dr—&,, n... nu: a nl—
,iCTIC.N I DATE BY DECLARATION OF I REGULATIONS PART061 OF TIITLE 40 AND AQMD RULE�CE WITH CODE OF L FOR OFFICE USE ONLY
PkkMIT EXPIRED
thMIT CANCEI LED
PER10IT EXTENPED
PERA"IT FINAL
CthTIFICATE OF
OCCUPANCY ISSUED
SIGNATURE:
TO
Civil Code).
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