HomeMy WebLinkAboutXC2022-2088 - PermitsCity of Newport Beach 11111111111111111111111111111111111111111111mi11111111jj COMB Permit : XC2o22-toss
o�` G Community Development Department - Building Division x C 2 0 2 2 2 0 8 8
n 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2022-3005
^ Permit Counter Phone: (949) 644-3288 Issued Date : 12/02/2022
Inspection Requests Phone: (949) 644-3255 Inspection Area :7
newportbeachca.gov/inspectionse-
Combination Type - • , _ , -i ;w
Work Class - Other f `r
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: 611 HELIOTROPE AVE Legal Desc : A TR CORONA DEL MAR BLK 634 LOT 9 CORONA DEL MAR LOT 9 BILK 6 34(AND LOTS 11, 13,15
Description: COMM (N) 70" WIDE X 68" TALL SIGN *COMMUNITY CHURCH CONGREGATIONAL" 30 SF ***STOPWORK 122-2535***
Owner: CHURCH CORONA DEL MAR / COMMUNITY Contractor
CONGREGRATIONAL
Address :
611 HELIOTROPE AVE
Address
CORONA DEL MAR, CA 92625
Phone:
(310)779-3507
Phone:
Con State Lie
Lie Expire
Applicant :
CHURCH CORONA DEL MAR / COMMUNITY
Bus Lie:
CONGREGRATIONAL
Address:
611 HELIOTROPE AVE
Bus Lie Expire
CORONA DEL MAR, CA 92625
Phone : (310) 779-3507 Workers' Compensation Insurance
Carrier :
Owner/Builder : CHURCH CORONA DEL MAR / Policy No
COMMUNITY CONGREGRATIONAL
Address : 611 HELIOTROPE AVE W. C. Expire:
CORONA DEL MAR, CA 92625
Phone: (310)779-3507
Architect
Address
Phone:
State Lie
Engineer:
Address
Phone:
Designer: TEMEKA GROUP SIGNS A& SERVES
Address : 9073 PULSAR CT
CORONA, CA 92883
Phone : (602) 899-8003
Code Edition :
2019
Fire Sprinklers : NO
Construction Valuation :
Type of Construction :
V-B
Fire Hazard Zone : NO
Added/New/TI sq. ft. Bldg
Occupancy Groups:
U
No of Units : 0
Alteration sq. ft. Bldg :
Bldg Height :
No of Stories :
Added/New sq. ft. Garage:
TOTAL sq. ft.
Building Setbacks
Flood Zone :
X
Use Zone :
PI - Private Institutions
W1
PROCESSED BY:
SPECIAL CONDITIONS: HIGH DENSITY ZONE
STOPWORK: 122-2535
$1,500.00
0
0
0
NO CONSTRUCTION NO;SE,
ON THE WEEKEND
DECLARATION
I hereby affmm 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
ie 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 licensure and the basis forthe 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 ($500).
I, as owner of the property, or my employees with wages as their sale compensation, will do U all of or ( ) portions of the work, and the structure is not Intended or offered for sale (Section 7044,
usiness 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
nprovements 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
n�rpr%ved for the purpose of sale).
J 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 licensors under the Contractors' Slate License Law for the following reason:
y my signature below f. 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 legal
all a structure that I have built as an ovmar builder if it has 9gt been Constructed 2 t ant ety by�l'Icans contractors. understand that a copy of the applicable taw, Section 7044 of the usiness and
rofessions Coda, is available upon request when this p ica�tion��Is sub Itt d o a the ll e:http�.11wwv✓.leg'rnfo.ca..gov/calaw.him{.
Ignature of Property Owner or Authorized Agent 'tTm 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 Professions Code, and my license is in full force
nd effect. License Class License No Date Contractor Signature
VORKERS' COMPENSATION DECLARATION
'ARNING: FAILURE TO SECURE WORKERS" COMPENSATION COVERAGE IS UNLAWFUL, AND SMALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (S100,000), IN ADDITION TO THE
DST OF COMPENSATION, DAMAGES A$ PROVIDED FOR IN SECTION 3106 OF THE LABOR CODE, INTEREST, AND ATTORNEYa FEES.
hereby affirm under penalty of perjury one of the following declarations:
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 th
eriormance of the work for which this permit is issued. Policy No.
11 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' compensatiol
Isurance, carrier and policy number are:
an-ier Policy Number Expiration Date
amine of Agent Phone fP
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 Califomia, and agm
tat, if I should become subject to workers' componsa ion prey, i o Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
pplicant _M____..0 Cate l Z
Ignature of A2Z� _
IECLARATION REGARDING NSTRUCTtON LENDING AGENCY
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).
enders Name Lenders Address
y my signature below, I certify to each of the following:
I am the pro;rerly cwmer or authorized to act on the property owner's behalf.
I have reap ins apnlication and the information I have provided is correct.
I a+free to comply with all applicable city and county ordinances and Itate
to reI ling to building construction,
1 authorize repr,se.,itatives of this city, id ff or coup Bit the?bq'g-mirty for.^spection purposes,
.,. a„m...,�en e„�,.e d vil
AM IUN DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
1403
�'T@9�TEXPlRE9� I SUBMITTED ASBESTOS NOTIFICATION TO
°P^P.?IT CANCELLED EPA
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, P I 1 ]! EXTENDED
PERM FINAL ASBESTOS NOTIFICATION IS NO APPL j JfE TO
C T F CATE OF { ,&A / RODPOSED I N
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