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HomeMy WebLinkAboutXC2023-0479 - Permits��eWPORr City of Newport Beach IIIIX�III II IIIIIII IIII IIIIIII III IIIIII II COMB Permit : XC2023-0479 d Community Development Department - 3uildinr Division �y 100 Civic Center Drive, Newport Beach. CA 99.66 Plan Check No: PC2023-2870 Permit Counter Phone: (949) 718-1888 Issued Date : 01/18/2024 urK newportbeachca.gov/civic Final Date: c'���FORN�P Combination Type - ELEC 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: 1301 DOVE ST, 100 Legal Desc : P BK 120 PG 27 PAR 1 Description: COMM ILLUMINATED WALL SIGN FOR "SMBC MANUBANK" 61 SF Owner: OCEAN WEST, WEST CAPITOL PARTNERS Contractor; SUPERIOR ELEC ADVRTSNG INC Architect Address : 2101 ROSECRANS AVE STE3270 Address : 1700 W ANAHEIM ST Address EL SEGUNDO, CA 90245 LONG BEACH, CA 90813 Phone : (213) 326-4539 Phone : (562) 495-3808 Phone Con State Lic : 271598 State Lic Lic Expire : 02/28/2025 Applicant: CARTER PERMIT CONSULTING.COM Bus Lic : BT30083402 Engineer Address : 11041 SANTA MONICA BLVD, 711 Bus Lic Expire : 01/31/2025 Address LOS ANGELES, CA 90025 Phone: (818) 602-4696 Workers' Compensation Insurance Phone: Carrier: TRAVELERS PROPERTY CASUALTY COMPANY OF AMERICA Owner/Builder : Policy No: UB51<094655 Designer : SUPERIOR ELECTRICAL INC. Address : W. C. Expire: 4/1/2024 Address : 1700 W ANAHEIM ST LONG BEACH, CA 90813 Phone: Phone: (562) 495-3806 Code Edition : 2022 Fire Sprinklers : YES Construction Valuation : $2,700.00 Type of Construction : I-B Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg : 0 Occupancy Groups : B,U No of Units : 0 Alteration sq. ft. Bldg : 61 Bldg Height: No of Stories: 10 Added/New sq. ft. Garage: 0 TOTAL sq. ft. 0 Building Setbacks Flood Zone : X Use Zone : PC - Newport Place PROCESSED BY: SPECIAL CONDITIONS: )iaSQ`CTOR ADVERTISING OWNER -BUILDER DECLARATION I hereby affirm under penally of perjury that I am exempt from the Contractors' State License Law for the reason(:) i.idic lid oell 0y the checkmark(s) I have placed next to the applicable item(s) (Seollon 7031.5, Business and Professions Code: Any city Or county chat requires a permit to construct, alter, tmprove, lemol:;h, or repair any strurit•ra, 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 LlcenSO Law (Chapter 9 (commencing with Section 7000) 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 fora permit subjects the applicant to a Civil penalty Of not more than five hundred dollars ($500). ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U portion: of tfm work, and thn strc;clul a is , lot 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, thmi-gh employersor personal e`fort, bu.lds or improves the property, provided that the improvements are not intended or offered for sale. I f however, the building or Improvement Is sold within one year of comnte*Ion. the Ow.iur-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 7D44, 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 Lai ❑ 1 am exempt from licensure under the Contractors' Stale License Law for the following reason: By my signature below 1 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 that I have built as an owner-buildor if it has not been constructed 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 or at the following Web site:http:liwww.leginfo.ca.gov/colaw,fitml. Signature of Property Owner or Authorized Agent _ ____ _.�,�__ _ „__ Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that. I am licensed under provisions of Chapter 9 (commencing with Section 70. O) of Divis' n 3 of $Ba Business and Profs, ons s, and mVicense-is in full force and effect. License Class G License No 2 -7) 4� Date (211i 60ntractor Signatura,T WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUeBECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS I$100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. I hereby affirm under penalty of perjury one of the following dociaralions: !❑ 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 Iand rice of thework for which this permit Is issued. Policy No. 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' compensatorre carrier and policy number are: Carrierv<l,L.� /-� n�-'• r `/ 6-3(� Policy Number G Expiration Date !IName of Agent T� Phone # ❑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 -tjp the wor rs' corn ensatlon trovlsiens of Section 3700 of the Labor Code, I shall forthwith comply A4lh those provisions. t� Signature of Applicant. 1� Date x ,� O 2— DECLARATION REGAF'tpIN ONST 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 Lender's Address By any 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. r' l 1 authorize representatives of this city or county to enter eaoov = .property for inspection purposes. ,Signature of Property Owner or Authorized Agent Property Owner's or Authorized Agent's Name -e Dat� ACTION DATE. BY DECLARATIONS. OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND Ani RULE I SUBMITTED ASBESTOS PERFAITEXTENOEO L_1AOMD PERM7T FYNAL ASBESTOS NUTIFCA'fION I5 NOTAPPUCABLE TO CERTIFICATE OF �W -LY /f/ /� jj PROPOSED DEMOLITION OCCUPANCOSSUED .III M J /1 I SIGNATURE:.