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Home My WebLink AboutXC2023-0186 - Permits04., City of Newport Beach Community Development Department - Building Division too Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 718-1888 newportbeachca.gov/civic Combination Type - ELEC Work Class - Other COMB Permit: XC2023-0186 X C 2 0 2 3 0 1 8 6�� Plan Check No: PC2023-1314 Issued Date : 05/31/2023 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 : 6710 COAST HWY W Legal Desc : P BK 100 PG 4 PAR 1 Description: COMM ILLUM SIGN -"FINE WINE LIQUOR CRAFT BEER" Contractor : SEM IMAGE SYSTEMS SIGNS & Architect Owner: TPN LP GRAPHICS INC 22 PELICAN POINT DR Address : 870 CRENSHAW BOULEVARD #101 Address Address : NEWPORT COAST, CA 92657 LOS ANGELES, CA 90005 Phone: Phone: (323)931-6630 Phone : Con State Lic : 547511 State Lic: Lic Expire : 04/30/2025 Applicant: SEM IMAGE SYSTEMS SIGNS & GRAPHICS Bus Lic: BT30081734 Engineer INC 870 CRENSHAW BOULEVARD #101 Bus Lic Expire : 05/31/2024 Address Address : LOS ANGELES, CA 90005 Workers' Compensation Insurance Phone: Phone: (323) 931-6630 Carrier: OHIO+SECURITY+INSURANCE+COMPANY SYSTEMS SICK£ & Owner/Builder : Policy NO: XWS60016299 Designer: SEM IMAGE GRAPHICS INC Address : 870 CRENSHAW BOULEVARD #101 Address : W. C. Expire : 7/1/2023 LOS ANGELES, CA 90005 Phone: (323)931-6630 Phone: Fire Sprinklers : NO Construction Valuation : $2,200.00 Code Edition : 2022 Fire Hazard Zone : NO AddedlNewlTl sq. ft. Bldg : 0 Type of Construction : No of Units : 1 Alteration sq. ft. Bldg : Occupancy Groups : U 1 Added/New sq. ft. Garage : 0 Bldg Height: No of Stories : TOTAL sq. ft.: 0 Building Setbacks : r y 'r�^+ 1 1/yr I NOISE �+t Flood Zone: X ';'�a.2 (.si,�N,r.J�RUC I ION NO�` E Use Zone : CV - Commercial Visitor -Serving l�dJ pp,, t��y PROCESSED BY: //( f I M� IHG�f\�IVV � I O� V ��'�SPa"'D C1i SPECIAL CONDITIONS: I hereby affirm under penally of perjury that I am exempt from the Contractors' State License Law for the reason(s) 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, poor to its issuance, also requires the applicant for the permit to rile 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 ?rcfessions 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 Tiolt more than five hundred dollars ($500), J 1, as owner of the property, or my employees with wages as theirsolecompensation, will do L) all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044, 3usiness 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 mprovements 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 bunt or mproved for the purpose of sale). I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 70", Business and Professions Coder The Contractors' State License Law does not 5 t ply 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), 1 am exempt from licensure under the Contractors' State License Law for the following reason: 3y 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,. ( cannot legall, ;ell 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 Gopy of the. applicable law, Section 7044 of the Business and 'rofessions Code, is available upon request when this application is submitted or at the following Web sHeihttp:/ www.leginfe.ca.gov/cataw.htmi. Signature of Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7 0 of Division 3 of the Business and P frq eg6lone , and my license.' 1 IuJllwe and effect Licens Contractor Signature C!css License. No Date �/' r .n VORKERS` C061PcYSATiON DECLARATION � Wi lrl^: FVLURE T3 E_CLRE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (11100,3001, IN ADDITION TO THE 03T OF CCMPENSA/ION; DAMAGES AS PROVIDED FOR IN SECTION 37VS OF THE LABOR CODE; INTEREST, AND ATTORNEYS FEES. ha,aby affirm underpenaltyof perjuryone of the following declarations: (lave and will maintain a certificate of consent to self -insure for workers' compensation, Issued by the Director of Industrial Relations he 31L.As provided for by Section 3700 of the Labor Code, for t erfurmariee of thr+ work for which this permit Is issued. Policy No. a and will n,aintai.[ 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` ^arrier and pollPy number are: r of Agent Policy Number Expiration Date I PON IV,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 Agra If I should become :,ubj�ect to tth workers' compensa5FIT-p-ro-P-Maoria Of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. / (nature of Applicant Dal CLARATION REGARDI G ONSTRUCTION LENDING AGENCY 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 (Section3097,. Civil Code), Ider'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 and the information I have provided is Correct.EZ.. T��✓�� I agree to comply with all applicable city and county ordinances and state laws relating to building construction, ( 1 authorize representatives of this city or Count to �ytter tb�gbove-ideOBfled p rr inspection purposes. /7 nature of Prooenv Owner or A,dnnri>en Ananl �.ir ,�i-//Lin _ A / _ J _ t ,Y'_� . r o, a ui nuu,unteu N eD[ 6 IVame �yK — Da BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART Si OF TITLE 40 AND AQMD RULE PERMIT EXTENDED tiMO PERMIT FINAL CERTIFlCATE /.') / �p LlJ / ASBESTOS NOTIFICATION IS NOT APPLICABLE TO OF I (� PROPOSED DEMOLITION OCCUPANCY ISSUED I .,,..,..,.�..