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Home My WebLink AboutXC2023-0348 - Permits�EWPoR, City of Newport Beach 111111p1111111111111111 ll111111111111o1111111111111 ill COMB Permit : XC2023-0348 C4 Community Development Department- Building Division X C 2 0 2 3 0 3 4 8 r 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2023-2159 Permit Counter Phone. (949) 718-1888 + n Issued Date : 09/05/2023 newportbeachua.gov/civic Final Date: 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 : 2135 WESTCLIFF DR Legal Desc : N TR 4225 BILK LOT 3 TR 4225 LOT 3 NWLY 140 FT Description: COMM ILLUMINATED WALL SIGN "NEWPORT PEDIATRIC DENTISTRY' Owner; HANKEY INVESTMENT COMPANY Address : 4751 WILSHIRE BLVD. 110 LOS ANGELES, CA 90010 Phone: Applicant: ISIS A JIMENEZ Address : 494 S MACY ST SPC 56 Spc56, Spc56 San Bernardino, CA 92410 Phone: owner/Builder: Address : Phone contractor: CORGUZ SIGNS INC Address : 494 S MACY ST, SPACE 56 SAN BERNARDINO, CA 92410 Phone: (909)276-6037 Con State Lie : 1054362 Lie Expire : 06/30/2025 Bus Lie: BT30082536 Bus Lie Expire : 09/30/2024 Workers' Compensation Insurance Carrier : Policy No: EXEMPT W. C. Expire : Code Edition : 2022 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 : CG - Commercial General PROCESSED BY: ...,- SPECIAL CONDITIONS: Architect Address Phone: State Lie Engineer: Address Phone r' Designer: ISIS A JIMENEZ Address : 494 S MACY ST SPC 56 Spc56, Spc56 San Bernardino, CA 92410 Phone: Construction Valuation : $5,200.00 Added/New/TI sq. ft. Bldg : 0 Alteration sq. ft. Bldg : Added/New sq. ft. Garage: 0 TOTAL sq. ft. : 0 I hereby affirm under penalty of perjury that I am exempt from the Contractors' State. License taw for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable items) (Section 7031.5, Business and Professions Code: Any city or county that requires e permit to construct, after, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for the permt 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 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). I, as owner of the property, or my employees with wages as their sole compensation, will do t) 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. 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 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). 11 I am exempt front licensure under the Contractors' State License Law far the following reason: y my signature below I acknowledge that, except for my personal residence in which I must have resided for at toast one year prior to completion of the Improvements covered by this permit, I cannot legalf, soil 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 taw, Section 7044 of the Business and Professions Code, is available upon request when this application is submitted or at the following Web site: hitpJjwew. leginfo.ca.govIcalaw.litmi. ature Signof Property Owner or Authorized Agent _ -v Date LICENSED CONTRACTOR'S DECLARATION ------ I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section �) of Division 3 of the Business and Prwio Code, and oy license is in full force and effect. License Class (= (S License No 3 Date (5 Contractor Signature WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AMC SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (5100,000j, IN ADDmON TO THE ]OST OF COMPENSATION, DAMAGES AS PROVIDED FOR 1N SECTION OTOS OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: -1 1 have and will maintain a cedificate 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 thr performance of the work for which this permit is issued. Policy No, and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this perml; is issued. My workers' carrier and policy number are: Policy Number Agent Date Vy�l c My 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 a I should become sutil'airtilo the wo4tdh is' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. / lgnalure of Applicant ,_Da rECLARAI'ION REGAR CGNSTRTION LENDING AGENCY �"`" /j%y�t/`-)-•-— ---------- herabyaffirm under pe ,a D erfury lhere is aconstruction lending agency for the performance of the work for which this permit Is issued (Section 309I Civil Code). order's Name Lender's Address y 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 arid the information I have provided is correct. I agree to comply with all applicable citV and coup ordinances and state laws relating to building. construction. I authorize representatives of this city or c�untAay, r the aPavc �Idrnllhed property for inspection purposes, 1 / q / ignature of Property Owner or Authcnzed .Agent Print ProoertV Owner's or AuthoHvran Arrwnl'z Iv�,,,�Y (,, - At ACTION GATE j By ECLARATFON OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY [ REGULATIONS PART 61 OF TITLE AO AND AQMO RULE 140S PFRMiTEXPIRED_.._- ! I I SuRMIT7ED '$BFSTO5 NOTIFICATION TO -__._.. _......____ _..._, .._.. ...__i_._r� ..... ._...__.__.___-._..___.._. PERMIT CANCELl.£D E >_ICRA 1TE%TENDED D - R+L PEVT OVAL �' j%� Zcf ASBESTOS NOI IFICAtION IS NOT APPLICABLE CERTIFICATE OF TO I PROPOSED DEMOLITION OCCUPANCY ISSUED 4 SIGNATURE: