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Home My WebLink AboutXC2022-2094 - Permits��Wv rr City of Newport Beach 1111111111111111111p11111111111111111111p111111�� pF- Community Development Department - Building Division X C 2 0 2 2 2 0 9 4 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 644-3288 U 2 Inspection Requests Phone: (949) 644-3255 cqG/pppN�P newportbeachca.gov/inspections Combination Type - ELEC Work Class - Other COMB Permit : XC2022-2094 Plan Check No : P02022-3042 Issued Date : Inspection Area : 7 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION, BUT NO LATER THAN 3 YEARS FROM ORIGINAL ISSUANCE DATE NOISE ON SATURDAY OR SUNDAY IN HIGH DENSITY AREAS AND NO WORK ON SUNDAY AND HOLIDAYS IN ALL AREAS NO CONSTRUCTION RELATED Job Address : 1057 NEWPORT CENTER DR Legal Desc : P BK 221 PG 30 PAR 6 P.M. 221-30 PAR 6 FOR OF PAR AND POR PA R 1 OF P.M. Description: COMM -ILLUMINATED WALL SIGN 'BONOBOS' Owner: IRVINE CO Contractor: EMPIRE SIGN & CRANE SERVICE INC Architect Address : 111 INNOVATION Address : 22816 COVE VIEW ST Address IRVINE, CA 92618 SUN CITY, CA 92587 Phone : Phone : (818) 920-1067 Phone Con State Lic : 833106 State Lic Lic Expire : 02/28/2024 Applicant: COLLIN CHOSTNER Bus Lic : BT30076451 Engineer : v Address : 15197 LIGHTHOUSE LN Bus Lic Expire : 08/31/2023 Address LAKE ELSINORE, CA 92530 Workers' Compensation Insurance Phone Phone: Carrier: STATE FUND Owner/Builder : Policy No: 9132563 Designer Address : W. C. Expire: 5/14/2023 Address Phone: Phone: Code Edition : 2019 Fire Sprinklers : NO Construction Valuation : $1,000.00 0 Type of Construction : Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg : Occupancy Groups : B No of Units : 0 1 Alteration sq. ft. Bldg : Added/New sq. ft. Garage: 0 Bldg Height : No of Stories : 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' State License Law for the reasons) indicated below by the checkinark(s) I have placed next to the applicable items) (Section 7031.5. Business and Professions Cade: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the appi[cant 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 fcommencng with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt from ficensure 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). ❑ [,as owner of the property, army employees with Wages as their sole compensation, will do (_) 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' 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)_ ❑ 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 am exempt from ficensure 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 correlation of the improvements covered by this permit, I Cannot legail sell a structure that 1 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 orat the following Web site;hitpalwvrv✓.leginfo.ca.gov/calaw.html. Signature of Property Owner or Authorized Agent _ Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of pe 'U that I am licensed under provisions �qi((C a ter 9 (commencing with Section 7000) of Divisf n 3 of the Business and Professions de, and my license is In full farce and effect. License Class 1 License No u V i h �t Date �g%Z Contractor Signature r WORKERS' COMPENSATION DECLARATION 1 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 ($100,000). IN ACCITON TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CCOE, INTEREST, "a ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: lurance I have antl will maintain a certificate of consent 10 self -insure for workers' compensation, issued by the Director or industrial Relations as provided for by Section 3700 of the Labor Code, for th ormance of thework 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' compersatiol carrier and olicy ru bar are; /� 3arrler_J� i rl Policy Number a �� 325h3 Expiration Date 'Jame of Agent Phone :]I 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 agre hat, if I should becomes act t the w rkers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ��t1 Q 22 Signature of Applic Calllil - I� )ECLARATION IR DING CONSTRUCTION LENDING 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, Civil Code). _order's Name Lender's Address 3y my signature below, I certify to each of the following: I am the property owner or authorized to act on the properly owner's behalf. I have read this application and the information 1 have provided is correct I agree to comply with all applicable city and county ordinances and state laws relating to building construction. 'w^� I authorize representatives of this city or county toe a th above -identified property for inspection purposes. O_y1t,Y 3l0nature of Proeerty Owner or Authored AnAm V � D.,nl o.,...e.n, n,... ', n.. --- __. "--_"- ACTION DATE I BY DECLARNT€ON OF COMPLIANCE W17H CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQNID RULE 1403 PERMIT EXPIRED _ ---�I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED .I�PA PERMIT _ f� t IAD 7 -- Zi1,?f FINAL i(C�• Cf U ASBESTOS NOT I EICALON IS NOTAPPLICABLE TO CERTIFICATE Of PROPOSED [DEMOLITION OCCUPANCY ISSUER III RI;uArI_uc