HomeMy WebLinkAboutXC2023-0496 - Permits�EwPoR, City of Newport Beach II IIII I IIII IIIIIIIIIII III II III I II II COMB Permit : XC2023-0496
A Community Development Department - Building Division X C 2 0 2 3 0 4 9 6
F 1"y 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2023-2950
Permit Counter Phone: (949) 718-1888 Issued Date : 12121/2023
u newportbeachca.gov/civic Final Date:
Cq</FORN`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: 3700 COAST HWY E Legal Desc : N TR 323 BLK W LOT 3 TR 323 LOT 3 BLK W ALL -EX HW
Description : COMM - INSTL NON ILLUMINATED CHANNEL LETTER SIGN 'Ift MAGI 'P1R0 hSP5"
Owner: TJJ COX PROP LLC
Address: 1434 SEACOAST DR -
IMPERIAL BEACH, CA 91932
Phone:
Applicant: MIKE JOHNSON
Address : 31352 VIA COLINAS STE 101
WESTLAKE VILLAGE, CA 91362
Phone: (949)662-4443
Owner/Builder :
Address :
Phone
Code Edition :
Type of Construction
Occupancy Groups:
Bldg Height :
Building Setbacks
Contractor :
Address
EAGLE DEVELOPMENT
CONSTRUCTION INC
23679 CALABASAS ROAD #724
CALABASAS, CA 91302
Phone : (818) 597-1326
800756
10/31 /2025
BT30073754
Con State Lie
Lie Expire
Bus Lie :
Bus Lie Expire
12/31 /2023
Workers' Compensation Insurance
Carrier: STATE FUND
Policy No : 9328312
W. C. Expire: 11/28/2024
Fire Sprinklers :
III -A Fire Hazard Zone
B No of Units :
No of Stories
& Architect
Address
Phone:
State Lie:
Engineer
Address
Phone:
Designer
Address
Phone :
NO Construction Valuation :
NO Added/New/Ti sq. ft. Bldg
0 Alteration sq. ft. Bldg :
Added/New sq. ft. Garage
TOTAL sq. ft. :
Flood Zone : X
Use Zone : CC - Commercial Corridor
PROCESSED BY: r
Y:`r
SPECIAL CONDITIONS:
$8,000.00
0
0
0
€ hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) indicated below by the checkrnark(s) I have placed next to the applicable items)
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
1e 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
'rofessions Code) or that he or she is exempt from hoensure 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
of more than five hundred dollars IWO).
1, as owner of the property, or my employees with wegas 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,
rusiness 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
nprovemants 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
nproved for the purpose of sale).
1 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
poly 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 I am exempt from licensure under the Contractors' Stale License Law for the following reason
',y 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 legally
ell a structure that I have built as an owner -builder if ithas not been constructed in its entirely by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and
'rofessions Code, is available upon request when this application is submitted or at the following Web site:http:liwww.leginfo.ca.govfcalaw.html,
.ignature of Property Owner or Authorized Agent , Date
.ICENSED CONTRACTOR'S DECLARATION
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 Professio od , andmy lice s IT ull o e
nd effect. License Class License No Date f2- 14- "b3 Contractor Signature
VORKERS' COMPENSATION DECLARATION
'ARNING: 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 (3100,0001. IN ADDITION TO THE
DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES.
hereby affirm under penalty of perjury one of the following declarations:
I 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, for the
erformance of the work for which this permit is issued. Policy No.
KJI 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' compensatior
insurance carrier and policy number are:
Carrier Policy Number Expiration Date
Name of Agent Phone #
Dl 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 agree
that, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply Will those provisions.
of Ap �am _ _ _ _ _ _ Date
UL-IcrLAA_�..I_�?�lic'I?EFARp3NG CDN5TRUCTIONENDILNG 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 and the information I have provided is correct,
I agree to comply with all applicable city and county ordinance ad Pelgli,o to building conslruclion.
I authorize representatives of this city of county to e erth abovo-den Ye roporty f f inspection purposes.
Signature of Property Owner or Authorized Agentr Prim Property Owner's or Authorized Agent's Name IKc Jrlr=H,,Jxc / Date y'Z—
ACTION DATE BY DECLARATIONOF LnMPLANCE WIT14 CODE OF FEDERAL FOR OFFICE USE ONLY
I REGULATIONS PART 61 OF TITLE 40 AND AQMD RUIF,
PERMYT EXPIRED I I I I SUBMITTED ASBESTOS NOTIFICATION TO
PERMIT CAN CELL c,
FER,b;YT FATENOED.
PERMYT FINAL
DccCERTIFICATE OF
LrPArrcv+ssuED
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LJ ASBESTOS NOT [F"ICA'f[ON 15 NOTAPPUCABLE TO
PROPOSED DEMOLITION