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Home My WebLink AboutXC2023-0454 - PermitsCity of Newport Reieh a`s IP�R r Community U veloomen*Department- Building Division i1 t yz� Cvic Ce to D ivu, h:ewpo,t Leach, CA 92660 �j PC'0n ,m tiCounte, Phone: (^/T) 710-1888 newportbeadica.gov/civic Combination Type- " Wc:kClass Oa,tr 111111111111111111111111111111111111111111111111111111 jj COMB Permit : XC2O23-®4J4 Plan Check No : PC2023-2696 Issued Date : 1110312023 Final Date: Permit Status: Issued Inspection Area : 7 FEkMi'; S EXPI E 180 DAYS'AF1 ER ISSUANCE OR LAST VALID INSPECTION, BUT NO LATER THAN 3 YEARS FROM ORIGINAL ISSUANCE DATE NO CONSTRUCTI N RELATED NOISE ON SATURDAY OR SUNDAY IN HIGH DENSITY AREAS AND NO WORK ON SUNDAY AND HOLIDAYS IN ALL AREAS Job Address: 4043 BIRCH BT Legal Desc : N TR 3201 BLK LOT 45 Description: REFACE MONUMENT SIGN "HERTZ" Owner: RONALD BEAR Address : 3208 OCEAN B VD CORONA DEL AR, CA 92625 Phone Applicant : SADDLEBACK Address : 20996 BAKE PA LAKE FOREST, Phone: (949)597-1966 Owner/Builder : Address : Phone Code Edition : 202� Type of Construction : III-B Occupancy Groups: B,U Bldg Height: Building Setbacks Flood Zone: Use Zone : PROCESSED BY: VAY #108 92630 X CA - Office -Airport SPECIAL CONDITIONS: Contractor: SADDLEBACK SIGNS Address : 20996 BAKE PARKWAY #108 LAKE FOREST, CA 92630 Phone : (949) 597-1966 Con State Lic : 890194 Lic Expire: 01/31/2025 Bus Lic: BT30082954 Bus Lic Expire: 11/30/2024 Workers' Compensation Insurance Carrier: HARTFORD ACCIDENT AND INDEMNITY CO Policy No: 76WEGGB3545 W. C. Expire : 11/5/2023 Fire Sprinklers : NO Fire Hazard Zone : NO No of Units : 1 No of Stories Architect Address Phone: State Lic Engineer: Address : Phone Designer: SADDLEBACK SIGNS Address: 20996 BAKE PARKWAY #108 LAKE FOREST, CA 92630 Phone: (949) 597-1966 Construction Valuation : $500.00 Added/New/TI sq. ft. Bldg : 0 Alteration sq. ft. Bldg : Added/New sq. ft. Garage : 0 TOTAL sq. ft. : 0 atvrrvcn-ours-uen u�r,.�r�rv+pi�.ery - t hereby affirm under penalty of perjury that I BID Exempt from the Contractors' State. License Law for the indicated below by the ch�eckluarlx:-) :iauawlaced ina�tt to tla:appl-able iten-I (Section 7031.5, Busirmss and Professions Code: Any city, or durably that requires a permit to construct, alter, improve, damQfsh, or repair any structure prir�.r Io 1^ rtiK iiGf°, applicant for the permit to file a signed statement that he or she is licensed pursuant to theprovisions of the Contractors` Slate License Law (Chapter 9 (commencing wnh Suction NGO)o- Divisions of the Business and Professions Code) or that he or she is exempt from iicensura and time basis for the alleged exemption. Any vlolat'Ion of Section 7C31.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). El I, as owner of the property, or my employees with wages as their sole compensation, will do t_) all of or U portionsofthe work, and the structure Is nct in'c r.ded o. otarrr' I— stele "("ec in- 7044, Business and Professions. Code: The Contractors' Stale License Law does not apply to an owner of property who, through employees' or personal after', ourlds or lmpr'n'e= trip. nroperm, prov,00d that the improvements are not Intended or Ofered for stale. If, however,. the building. orimprovement Is sold within one year of completion, the Owner -Builder will have tau. ourden of proving that, i, +va.; ,lot built or improved. for the purposeof sale). " 0 I, as owner of the property, any exclusively. Contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code. The Contractors' Stale License Law does not apply to an owner of property who builds or Improvesthereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' Stale License Law), ❑ I am exempt from licensure under the Contractors' State License Law for (he 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 la completion of the' Improvements covered by this. permit, I cannot legall sell a structure that I have built as an owner-bulldar ifit has not been Consmucted in its entirely 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 o�rat the following Walt s' ttp9lwww leginfo ca.govlcalaw.html. Signature of Property Owner or Authorized Agent c' _ Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of pe Jry that I am licensed under provisions of Chapter g.'(Cnromancing with Section 7000) t Division 4 of the Business and Professions Code, and my license is In full force and effect. License Class L. - �S License.No 5/ o /y c ! Date a Contractor Signature -� f —� WORKERS' COMPENSATION DECIARAT ION WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL; AND SMALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FWES UP TO ONE HUNDRED THOUSAND DOLLARS 15100,000), IN ADDITION TO THE COST OF COMPENSATION, QAMAGEe AS. PROVIDED FOR IN SCCTION 3700 OF THE LABOR CODE: INTEREST, AND ATTORNEYS. FES& I hereby affirm under penalty of perjury one afire following declarations: ❑ I have and will mainlain a certificate of consent to sell -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the. Labor Code, for hi perferma:Poe of The work for which this parents Issued. Poley Nc, I have and will maintain workers' compensationinsurance, as required by Section 3700 of the Labor Code, for theperformance of the work for which this permit: is issued. My workers" compensatio Insurance carrier and policy number j Carrier / ��-fer�/ C�7vC Policy Number !Z j �a rN �C Gr3 �S`I-� r=xpiratjan Dale .% /� / zSc Name of Agent Phoned ❑1 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 that, if I should become subject to the workers Compensation provisions of Section $700 of the Labor Code,: I shall forthwith comply with those provisions. Signature of Applicant r7 _ — Date ll� A-3 DECLARATION REGARDING CONSTRUCTION LENDING AGENCY I 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). Lender's Name _ Lenders Address _ By 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 andthe information I have provided is correct. I agree to comply with all applicable city and county ordinances and state laws relating to building.. construction. I. authorize representatives of thiscity or county to an r ttla abov-ldentifle roperly for Inspection purposes.. /��' ice'✓u./i� /3 Signature of Property Owner or Authorized Ayent e T Print Property Owner's or Authorized Agent's Name -� nti y Date !! 2 ACTION ; DATE BY REGULATIONS PART06117 T€TLE40ANOAQMO RULER+LL FOR OFFICE USE ONLY I I PERM; r EXPIRED PEHivlll CAMCELC&D , PERMIT Ea7ENDED PERNN7' FWAL CERPACATE OF MI OCCUPANCYI550ED I=ASt1ES105 NQTINCATION IS NOT APPLICABLE ED PROPOSED DEMOLITION