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HomeMy WebLinkAboutXC2023-0134 - Permits�aEWPoRT City of Newport Beach II I'll 111 l llll 111 11 111 llll llll llll II COMB Permit : XC2023-0134 o @ Community Development Department - Building Division X C 2 0 2 3 0 1 3 4 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2023-0917 u > = Permit Counter Phone: (949) 718-1888 Issued Date : 05/30/2023 o.`P newportbeachca.gov/civic Inspection Area : 7 °gc,coaN Combination Type - 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 : 895 DOVE ST Legal Desc : N TR 7694 BLK LOT 4 TRACT NO 7694 LOT 4 AND LOT 5 POR OF LOT Description: COMM -3 MONUMENT SIGNS, 2 WALL SIGNS, RE -FACE (E) MONUMENT SIGN "895 DOVE" Owner: NEWPORT PLAZA OFFICE LLC Address : 2001 ROSS AVE STE2800 DALLAS, TX 75201 Phone: (949)885-2900 Applicant: STAN IDEKER Address: 288 PANTANEIRO PL FALLBROOK, CA 92028 Phone: (858)735-4080 Owner/Builder : Address : Phone Code Edition : 2022 Type of Construction : V-B Occupancy Groups : U Bldg Height: Building Setbacks Flood Zone Use Zone: PROCESSED BY X PC - Newport Place SPECIAL CONDITIONS: 4 Contractor: PACIFIC NEON Address : 5301 BARSTOW STREET SAN DIEGO, CA 92117 Phone: (858)735-4080 Con State Lic : 746088 Lic Expire : 02/29/2024 Bus Lic : BT30081713 Bus Lic Expire : 05/31/2024 Workers' Compensation Insurance Carrier: EXEMPT- NO EMPLOYEES Policy No: EXEMPT W. C. Expire: Fire Sprinklers : NO Fire Hazard Zone : NO No of Units : 0 No of Stories : 0 Architect Address Phone: State Lic Engineer: JACOB TONY Address : P.O. BOX 802050 SANTA CLARITA, CA 91380 Phone: (661)259-0700 Designer: PACIFIC NEON Address: 5301 BARSTOW STREET SAN DIEGO, CA 92117 Phone: (858)735-4080 Construction Valuation : $15,000.00 Added/New/TI sq. ft. Bldg : 0 Alteration sq. ft. Bldg : Added/New sq. ft. Garage: 0 TOTAL sq. ft.: 0 OWNER -BUILDER DECLARATION I hereby affirm under penalty of penury that I am exempt from the Contractors' Slate License Law for the reason(s) 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 rile a signedstatement that he or she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 700D)of Division 3 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 for a permit subjects the applicant to a civil penalty of not more than five hundred dollars (S500). rl I, as owner of the property, or my employees with wages as their sole compensation, will do (_) 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' Slate 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). El 1, 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 improvesthereon; and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law), 1 am exempt from lieensure under the Contractors' Stale 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 legali sell a structure that I 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 or at the following Web site:http:Uwww.leginlo.oa.gov/calaw.html. Signature of Property Owner or Authorized Agent ._ _ ,__�� Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000.) of Division 3 of the Business and Professions gpde and my licenseis in full force and effect. License Class License No Date /a223 Contractor Signature WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORNERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS 15100.000),IN AODmON TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CORE, INTEREST, AND ATTORNEYR FEES. I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 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 th performance of the work for which this permit is issued. Policy No. Of 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` compensatio insurance carrier and policy number are: Carrier Policy Number Expiration Date Name of Agent Phone fl 01 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 agro that, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Cade, I shall forthwith comply with those provisions. Signature of Applicant _�-S/zar_��-i_ . Data_D5�3o�zaz3 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 and the 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 this city or county to enter the above -identified property for inspection purposes. Signature of Property Owner or Authorized Agent � ��-r'.�u1 Print Pro ert Owner's or Authorized A enf's Nam® S 1�u•� 1 da (=� r Data os�3L��o�3 ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 51 OF TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCEtLEO EP© A PERNiT EXTENDED OMD ____ PERiMiFIT1AL 7 / ASFEST05 NOf{FICAf10N i3 N07 APPLICABLE TO CERTIFICATE OF fl-ti� Gf / POSED DEMOLITION p OCCUPANCYVSSUED SIGNATURE: