HomeMy WebLinkAboutXC2023-0140 - PermitsCity of Newport
Beach
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p4 e Community
evelopment Department- Building Division
y to 100 Civic Center
Drive, Newport Beach, CA 92660
u Permit Courier
Phone: (949) 644-3288
fie,. Inspection R
quests Phone: (949) 644-3265
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hca.gov/inspections
Combination
Type - ELEC
Wnrk Class
- Other
PERMITS EXF
NO CONSTRUCTI
Job Address : 900 BF
Description : COMM
Owner: ELEVATION
Address : 18800 VON I
IRVINE, CA
Phone
Applicant: R C SIGNS
Address : 2308 MARII
GARDENA,
Phone : (310) 488-7
Owner/Builder :
Address :
Phone
Code Edition : 2t
Type of Construction : V
Occupancy Groups: U
Bldg Height:
Building Setbacks
Flood Zone : X
Use Zone : P
PROCESSED BY:
SPECIAL CONDITION;
1111111ill1111lill1111111111111111111111111111111111�111ill COMB Permit : XC2023-0140
Plan Check No : PC2023-0997
Issued Date : 05103/2023
Inspection Area : 7
180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION, BUT NO LATER THAN 3 YEARS FROM ORIGINAL ISSUANCE DATE
RELATED NOISE ON SATURDAY OR SUNDAY IN HIGH DENSITY AREAS AND NO WORK ON SUNDAY AND HOLIDAYS IN ALL AREAS
_ ST N
Legal Desc : P BK81 PG 43 PAR 1
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j 9 "' °
A SIGN "KALAVERAS FINE
MEXICAN CUISINE" ON EXISTING MONUMENT
UITIES LLC
Contractor: R C SIGNS
Architect
2MAN AVE STEA
Address : 2308 MARINE AVE.
Address
12
GARDENA, CA 90249
Phone: (310)488-7104
Phone:
Con State Lic : 873228
State Lic
Lic Expire: 02/29/2024
Bus Lic: BT30079438
Engineer:
AVE.
Bus Lic Expire : 08/3112023
Address
90249
Workers' Compensation Insurance
phone:
Carrier: CLEAR SPRING PROPERTY AND CASUALTY
COMPANY
Policy No : CWC00720100
Designer: R C SIGNS
W. C. Expire : 4/22/2023
Address: 2308 MARINE AVE.
GARDENA, CA 90249
Phone: (310)488-7104
Fire Sprinklers : NO
Construction Valuation : $5,000.00
2
Fire Hazard Zone : NO
Added/New/TI sq. ft. Bldg : 0
1
Alteration sq. ft. Bldg:
No of Units :
Added/New sq. ft. Garage: 0
No of Stories :
TOTAL sq. ft. : 0
- Newport Place
I hereby affirm under penalty of perjury that l am exempt from the Contractors'Slate License Law for the reasons) indicated below by thecheckmark(s) I have placed next to the applicable item(s)
(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 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 of the Business and
Professions 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 fora permit subjects the applicant to a civil penalty of
not more than five hundred dollars ($50D).
❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do t_) all of or (_) 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 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).
0 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).
u I am exempt from ricensure tinder 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 fMPrOVaments covered by this. permit, 1 cannot logall,
sell a structure that I have built as an owner -builder if it has not boon constructed in its entirely by licensed contractors. I understand that copy of the applicable taw, Section 7044 of the Business and
Professions Cole., is a.ailable upon request when this application is submitted or at the following Web site;httpaAvww. leginto.ca.gov/calaw.html.
Signature of Property Owner or Authorized Agent __ Date
L;CEf1eED COrYTIRA,CTOR'S DECLARATION -- --
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 3 (commencing with Section 0) CIAv' ion 3 of the Business and Pro ions C my licens %In full force
2nd efte^t. Licenss Class License No Date 5 o Contractor signature
VVORKERS' CC&IPENSATION DECLARATION
PAWING: FAILURE TJ SaeURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SMALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDREDTH USAND DOLLARS ($100,0001,1N ADDITION TO THE
COST �r COMPENSATION, nAMAGES "PROVIDED FOR IN SECTION STOS OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES.
'hera:,y affirm uuderv�Rnalty of perjury one of the following declarations:
I have and will .»alntain 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 thl
i:anna,ice of the wor% for which this permit is issued. Policy No.
and will ,naintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. ivty workers"
carrier and p„ licy number are:
Policy Number Expiration Date
of Agent .1-_ .
LII certify that, in the performance of the work for which this 9,ormlt 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
Ihat, if I should become pupiect to the 6 r cars i mpensah ovisions of Section 3700 of the Labor Code, I shalt forthwith comply with those provisions.
Signature T Applicant Date �)Z 3
DECLARATION REGytxwn CONSTRUCTION nt,uI luN f.dNulN.G-AGENCY �T
hereby affirm under penalty perjury that there is a construction lending agency for the performance of the work for which this permit is issued. (Section 3097, ON Code).
_ender's Name Lender's Address
3y my signature below, I oeriify 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 andthe information I have provided is correct.
I agree to comply with all applicable city and copri ordinances and state laws relating to building. construction.
I authorize representatives of this city or county enter the - nlified prop for inspection purposes,
signature of Proport Owner or Authorized Agent I Print Property Owner's Or Authorized Agent's Name Date S Z Zj
ACTION DATE. RV DE. LAR OF COMPLIANCE ODEOF L�!
FEDERAL FOR OFFICE USE ONLY
REGULATIONS. PART 61 OFT€TLE 40AND AQMD RULE
TO
remmrr ronat I/L /6 � J / UASBESTOS NOTIPCAI ION IS NOTAPPLICABLE TO
CERTIFICATEOF lfl/ PROPOSED DEMOLITION
OCCUPANCY ISSUED caru �n .or.