HomeMy WebLinkAboutXC2023-0157 - Permits�6WaORT City of Newport Beach IIIIIII��IIIIIIIIIIIIIIIII III II
Community Development Department- Building Division X C 2 6 2 3 9 1 5 7 COMB Permit:XC2023-0157
y �y 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : 1060-2022
Permit Counter Phone: 949 718-1888
u ? t ) Issued Date : e5/15/2023
newportbeachca.gov/civic Inspection Area : 7
C9�/PORN 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 : 396 SUPERIOR AVE Legal Desc : P BK 9 PG 19 PAR A
Description: COMM -ILLUMINATED SIGN'US BANK' (RENEW EXPIRED PERMIT X2022-1154)
Owner: BANK CALIFORNIA FIRST
Address : P.O. BOX 778E
NEWPORT BEACH, CA 92658
Phone
Applicant: SIGNTECH ELECTRICAL ADV INC
Address : 4444 FEDERAL BLVD
SAN DIEGO, CA 92102
Phone: (619)527-6100
Owner/Builder :
Address :
Phone
Contractor: SIGNTECH ELECTRICAL ADV INC
Address : 4444 FEDERAL BLVD
SAN DIEGO, CA 92102
Phone :
(619) 527-6100
Con State Lic
: 457406
Lic Expire:
06/30/2024
Bus Lic :
BT30059897
Bus Lic Expire : 07/31/2023
Workers' Compensation Insurance
Carrier: ZURICH AMERICAN INS CO
Policy No : WC5513790
W. C. Expire : 10/1/2023
Code Edition : 2019 Fire Sprinklers : NO
Type of Construction : Fire Hazard Zone : NO
Occupancy Groups : U No of Units : 0
Bldg Height : No of Stories :
Building Setbacks :
Flood Zone : X
Use Zone : OM - Office --Medical
PROCESSED BY:
SPECIAL CONDITIONS:
Architect
Address
Phone:
State Lic
Engineer
Address:
Phone:
Designer: SIGNTECH ELECTRICAL ADV INC
Address: 4444 FEDERAL BLVD
SAN DIEGO, CA 92102
Phone: (619)527-6100
Construction Valuation :
Added/New/TI sq. ft. Bldg: 0
Alteration sq. ft. Bldg :
Added/New sq. ft. Garage : 0
TOTAL sq. ft. : 0
ft 4�0 C
t hereby affirm under penalty of perjury 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 its 'a'
(Section 7031_5, Business and Professions Cade: 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
Professions Code) or that he or she is exempt from icensure 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 penally of
not more than five hundred dollars ($500).
❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or U 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. IL 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 buill or
Improved for the purpose of sale).
1, 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 net
apply to an owner of properly who builds or Improvesthereon, and who contracts for the projects with a licensed Contractor pursuant to the ContractorsState License Law).
1 am exempt from licensors under the Contractors' State License Law for the following reason
By my signature oniow 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
a.!' n. ,1ri,cture that I have built as an owner -builder if It has not boon constructed in its entirety by licensed contractors. I understand that a copy of the applicable law. Section 7044 of the Business and
.Professions Coda, is available upon request when this application is submitted or at the following Web site: hltp:llw iv.leginfo.ca.govlcalaw.html.
Sty natl.re of Property Owner or Authorized Agent _ �,� _ Dale
LICENSED CONTRACTOR'S DECLARATION
�I Fereby affirm under penalty of perjury Thai I am licensed under provisions of C a ter 9 {commencing with Section 7000) of Division 3 of the Business and Professio`nsI Ri icens rs In full force
I,hnd Pffect. License U=rss 45 License No '` %y �Ca Date 5-i5 "ZO Contractor Signature
(`A'ORKERS' COMPENSATION DECLARATION
Y44 II FAILUR: TO 3'CURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS iS100.0001, IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 0706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES.
h!reb,, affirm under penalty of perjuryone of the following declarations:
1F.1 I have and v'll 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 th1
1perforr lance N the work for which this permit is issued. Policy No.
have and v.ill .raintain workers' compensation insurance, as required by Section 37CO of the Labor Code. for the performance of the work for which this permitis issued. My workers'
,once carrier and policy number area: _ C
ter Zx1/L-1 c11 AM L') a elliA Policy Number WGS � � _3 - ry Expiration Date
is of Agent Phone #
certify that, in the performance of the
, if I should become subject to �th�e wiq�
iafure of Applicant ____�
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 equal
coplpert Ion prow€sions of Section 3700 of the Labor Code, I shall forthwith comply wth those provisions. _ 1
6' a Date____ [� Z
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)
tiler'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 behalf,
I have read this application andthe 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�t }akave•ldeojf ,property for inspection purposes. nn
,a 4,„ of Drrvrvenv rtumr�r nr A, dhriri,. A Ananl < , L r-,, w_ew / Print Prooertv Owner's or Authorized ADent's Name �51Z V � 7i, '-f
ACTION DATE. 9Y DCARA IONOFCO1 LI TITtEW1 HCODE
OF FEDEFEDERAL FOR OFFICE USE ONLY
E
PERMITEXPIRED �� LJISUBMITTED ASBESTOS NOTIFICATION TO
PERMIT CANCELLED ( a- A --
TO
OCCUPANCY OF I PATUREDEMOLIT � [f0
OCCUPANCY ISSUED P�