HomeMy WebLinkAboutXC2024-0033 - Permits�,EWPORr City of Newport Beach II IIII II I IIII IIIIIIII IIIIIIIII II II COMB Permit : XC2024-0033
D� @ Community Development Department- Building Division x C 2 0 2 4 0 9 3 3
100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: PC2024-0184
? Permit Counter Phone: (949) 718-1888 Issued Date : 0112512024
n. newportbeachca.gov/civic o _,.., .-- Final Date:
C,</FORH`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: 2801 COAST HWY W
Legal Desc : N TR 919 BLK LOT H TR 919 LOT H SELY 118.10
FT NWL
Description: COMM ILLUM CHNL LTR WALL SIGN "WATER'S EDGE"
Owner: 2751 & 2801 PCH LLC
Contractor: FUSION SIGN & DESIGN INC
Architect
Address : PO BOX 4976, 200
Address : 680 COLUMBIA AVE
Address
JACKSON, WY 83001
RIVERSIDE,CA 92507
Phone : (844) 448-2899
Phone : (951) 682-9660
Phone
Con State Lie : 894662
State Lie
Lie Expire : 04/30/2025
Applicant: GABRIEL ACOSTA
Bus Lie: BT30083472
Engineer:
Address : 680 COLUMBIA AVE
Bus Lie Expire : 01/31/2025
Address
RIVERSIDE, CA 92507
Phone: (949) 333-9711
Workers' Compensation Insurance
Phone:
Carrier: STARSTONE NATIONAL INSURANCE
COMPANY
Owner/Builder :
Policy No: TB0230157895
Designer: GABRIEL ACOSTA
Address :
W. C. Expire: 1/1/2025
Address: 680 COLUMBIA AVE
RIVERSIDE, CA 92507
Phone:
Phone: (949)333-9711
Code Edition : 2022
Fire Sprinklers : YES
Construction Valuation : $13,000.00
Type of Construction : V-B
Fire Hazard Zone : NO
Added/New/TI sq. ft. Bldg : 0
Occupancy Groups : B,U
No of Units: 0
Alteration sq. ft. Bldg :
Bldg Height:
No of Stories: 3.
Added/New sq. ft. Garage: 0
TOTAL sq. ft. 0 .
Building Setbacks :
• • "
Flood Zone : AE, 8 FT; X; X
Use Zone: MU-W1 - Mixed -Use Water
BY:
PROCESSED
SPECIAL CONDITIONS:
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) indicated below by the checkmark(sI I have placed next to the applicable item(s)
(Section 7031.5. Business and Professions Code: Any city or county chat Tequire9 a permit to construct, alter, improve, demolish, or repair any structure,prior to its issuance, also requires the applicant for
the permit to fife a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencingwith Section 7000) of Division 3 of the Business and
Professions Code) or that he or she is exempt from Iicensure 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).
rl I, as owner of the property, or my employees with wages as their sole compensation, will do U 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' Stale 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
�airpYy to an owner of property who builds or Improves thereon, and who contracts for the projects witha licensed Contractor pursuant to the Contractors' State License Law).
Lt 1 am exempt from licensure under the Contractors' State License Law for the following reason, _ _ I
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 legally,
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:liwww,leginfo.ca.gov/calaw.html.
Signature of Property Owner or Authorized AgentDate _
LICENSED CONTRACTOR'S DECLARATION '..
i hereby affirm under penalty of pet' y. that I am licensed under provisions of Chapter 9 (commencing with Section 70DD of ion 3 of the Business and Prof�esei s C ntl jr t0 se is in full force
and effect. License Class License No Date Contractor Signatur
WORKERS' COMPENSATION DE i1ARATION
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($i D0,000), IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FORIN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATIORNEY'S 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 tht
performance of the work for which this permit is issued. Policy No.
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'
ranee carrier and policy number are:
Policy Number
of Agent
Date
]I certify that, in the performance of tho 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 agree
tat, if I should become subject to th ers' c passatl Is ens of Ion 3700 of the Labor Code., I shall forthwith comply With those provisions.
Ignature of Applicant - Date,
ECLARATION REGARDING CO NDING AGEN
hereby affirm under penalty of perjury that the 6 is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
Ender'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 Y.mis application and the information I have provided is correct.
I aerLo to comply with all applicable city and county ordinanc and state tat g to building construction. ]� I
I authorize mpnui,pmatives of this city or county to an IF Ve-I r led prop y for inspection purposes. _ / (r iC c/' I �9/AAA
Pd}iE91T EXPIRED
,,I. 7 CANCELLED
LE dIN, 7 EXTENDED
_._.____.._.
PC RMl1 FINAL
LER o rtCATE OF
JLCLPANCYISSUED
DATE. BY j DECLARATION OFffl LIANCE WITH CODE OF FEDE:
i REGULATIONS PART 61 OF TITiF 40 AND AQMD RULE
A5BE5105 NOTIFICATION 15 NO74VPUC49UE TO
PROPOSED DEMOLITION
iner's or Authorized Aeent's Name
FOR OFFICE USE ONLY
Date