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HomeMy WebLinkAboutXC2023-0110 - PermitsaEWPoRT City of Newport Beach II IIII III I IIII III III IIIII IIIIIIII II COMB Permit : XC2023-0110 p4 6 Community Development Department- Building Division X C 2 0 2 3 9 1 1 100 Civic Center Drive, Newport Beach, CA 92660 9 Plan Check No : PC2023-0812 U= Permit Counter Phone: (949) 718-1888 Issued Date : 05/2312023 *a. newportbeachca.gov/civic Inspection Area : 7 ciC�cosN�P Combination Type- ELEC Work Class - Other 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 : 3300 COAST HWY E Legal Desc : N TR 323 BLK S LOT 1 TR NO 323 BLK S LOTS 1, 2, 3 & 4 - EX H WY ' Description: COMM "BANK OF AMERICA" 2ILLUMINATED WALL SIGNS, 1 WALL PLAQUE, 2 SETS OF DOOR VINYL REGULATORY PARKING POLE SIGN$, 5 PARKING POLE PLAQUES , Owner: TJJDE COX LLC Address : 1509 SUMMERFIELD WAY BEAUMONT, CA 92223 Phone: Applicant: COAST SIGN INCORPORATED Address: 1500 W EMBASSY ST ANAHEIM, CA 92802 Phone: (818)675-5849 Owner/Builder : Address: Phone: Contractor: COAST SIGN INCORPORATED Address : 1500 W EMBASSY ST ANAHEIM, CA 92802 Phone: (818)675-5849 Con State Lic : 654238 Lic Expire: 03/31/2024 Bus Lic: BT30037561 Bus Lic Expire : 11/30/2023 Workers' Compensation Insurance Carrier: REPUBLIC INDEMNITY COMPANY OF AMERICA Policy No: 25440904 W. C. Expire : 10/1/2023 Code Edition : 2022 Fire Sprinklers : Type of Construction : Fire Hazard Zone Occupancy Groups : U No of Units : Bldg Height: No of Stories: Building Setbacks : Flood Zone : X Use Zone : CC - Commercial Corridor PROCESSED BY: _ftm SPECIAL CONDITIONS: HIGH -DENSITY ZONE Architect Address Phone: State Lic Engineer: Address Phone Designer: Kasey Clark Address : 15197 Lighthouse Lane Lake Elsinore, CA 92530 Phone: (951)471-8419 NO Construction Valuation : $9,800.00 NO Added/New/Ti sq. ft. Bldg : 0 0 Alteration sq. ft. Bldg : Added/New sq. ft. Garage : 0 TOTAL sq. ft. : i� CONSTROCTION NOI E t)N THE WEEKEND 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 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 j 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 fora permit subjects the applicant to a Civil penalty of not more than five hundred dollars ($500). 0 I, as owner of the property, or my employees with wages as their sole Compensation, will do L) all of or L) 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). ❑ 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 doe's 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). 113 I 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 legally sell a structure trial 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 Coue, Is available upon request when this application is submitted or at the following Web site:http:fiwww.leginfo.ca..govlcalaw.html. Finrzti•re of Pt ciJrty Owner or Authorized Agent _Date LICENSED CONTRACTOR'S DECLARATION 11 aereov affirm unr'er penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7 of D"V aO 3 of the Business and Profess' e, and my license is In fall force lend effect. License C)lass License Date Contractor Signature WORAERS' (.n"PENSATION DECLARATION IYARNAG: FAILURF To SECURE WOF04ERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS 151011,000). IN ADDITION TO THE COST O� COMPENSATION, LAMAOES AS PROVIDED FOR IN SECTION 3705 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I herPbv affirm under penalty of perjury one of the following declarations: P '. 'L;.e and will maintairn. a cerlifucale 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 th, performance of the work for which this permit Is issued. Policy No. El; have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Codc. for the performance of the work for which this permit is issued. My workers' compensatior To of Agent Certify that, in the pI , if I should become Ialure of Applicant/ Policy Number Lu "4o lc) ( Expiration Date [ D/ 1113 Ice of the work for which this permit is issued. I shall notemploy any person in any manner so as to become subject to the workers' compensation laws of Celifemia, and agre, to workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. -L3 Date areby 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). Aar s Name Lender's Address _ my signature below, I certify to each of the following: I am the property owner or authorized to act on the property owner's Denali. I have read this application and the information I have provided is correct. I agree to comply with all applicable city and County ordinances and slate laws relating to building construction. I authorize representatives of this city or count ter the above -identified property for inspection purposes. /i (nature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name L-10 iTION DATE BY DECLARATION OE COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY i REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED I I i LI I SUBMITTED ASBESTOS NOTIFICATION TO CERTIFICATE OF v l-� PRASBESTOS OPOSED ET 1F'CAN ION IS NOTAPPLICABLE TO OCCUPANCY ISSUED SIGNATURED: M��1r�jO