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Home My WebLink AboutXC2022-2045 - PermitsF��WPoRr City of Newport Beach D @ Community Development Department - Building Division n100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 644-3288 U s Inspection Requests Phone: (949) 644-3255 °4icoa��P newportbeachca.gov/inspections Combination Type - Work Class - Other iiiiiiipiiiiiiCOMB Permit : XC2022-2045 Plan Check No: PC2022-2767 Issued Date : 1212312022 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 : 3900 COAST HWY W Legal Desc : A TR IRVINE.SUB BLK 1 LOT 172 IRVINE SUB BLK 1 LOT 172 FOR O F LOT Description: COMM NON ILLUMINATED MONUMENT SIGN "MARINERS MILE" Owner: CITY OF NEWPORT BEACH Address : 100 CIVIC CENTER DR NEWPORT BEACH, CA 92660 Phone: Applicant: OUTDOOR DIMENSIONS LLC Address: 5325 E HUNTER AVENUE ANAHEIM, CA 92807 Phone: (714)578-9555 Owner/Builder : Address : Phone: Contractor: OUTDOOR DIMENSIONS LLC Address : 5325 E HUNTER AVENUE ANAHEIM, CA 92807 Phone : (714) 578-9555 Con State Lic : 1042246 Lic Expire : 07/31/2024 Bus Lic: BT30065054 Bus Lic Expire : 11/30/2023 Workers' Compensation Insurance Carrier: TRAVELERS Policy No: UB2R0019012143G W. C. Expire: 9/15/2023 Code Edition : 2019 Fire Sprinklers : Type of Construction : Fire Hazard Zone Occupancy Groups : U No of Units : Bldg Height : No of Stories Building Setbacks Flood Zone : X Use Zone: PC - Hoag Hospital PROCESSED BY: (�(( SPECIAL CONDITIONS: CITY JOB Architect Address Phone: State Lic Engineer: JACOB TONY Address : P.O. BOX 802050 SANTA CLARITA, CA 91380 Phone: (661)259-0700 Designer Address Phone: NO Construction Valuation : NO Added/New/TI sq. ft. Bldg 0 Alteration sq. ft. Bldg : Added/New sq. ft. Garage TOTAL sq. ft. : $12,000.00 0 0 0 I 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 placednext to the applicable items) coon 7031-5, Business and Professions Code: Any city or county that requires a permit to construct, alter. improve, demolish, or repair any structure, prior to its issuance, also requires the applicantfor permit to No a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State Liconso Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and fessions 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 for a permit subjects the applicant to a civil penalty of more than five hundred dollars ($500). I, 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 cr offered for sale (Section 7044, iness 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 rovements 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 roved for the purpose of sale). I, as owner of the property, am exclusively contracting with licensed Contractors to constructthe project (Section 7044, Business and Professions Code: The Contractors' State License Law does not ly to an owner of property who builds or Improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' Slate License Law). J I am exempt from licensors under the Contractors' State License Law for the following reason: iy my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one year prior la completion off. ell a structure that I have built as an Owner builder if it has not been constmcted in Its entirety by licensed contractors. I understand that a copy of the 'rofessiohs Code, is available upon request when this application is submitted or at the following Web site;Mtp:/iwww.leginfo.ca,govlcalaw html. Ignahure of Property Owner or Authorized Agent ___ .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 060)Qf DivJ'sion 3 Of the Business and Pro s ion d an my 6 • sefs In full force nd effect. License Class License. No Oat _ 1ZJ'U L.-Z Contractor Signature w1.A COMPENSATION DECLARATION 'ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL DST OF COMPENSATION, DAMAGES" PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: few, Section 7044 of the Business and Date AND CIVIL FINES UP" oN£ HUNORE THOUSAND DOLLARS [St00,0001, IN ADDITION TO THE 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 'ormance 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 permit is Issued. My workers` carrier and policy number are: of Agent Policy Number Expiration Date Phone # �I certify that, in the perfo"ncoof 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 ofCalifornia, and agre tat, IfI should becom sukers' aompensation provisions of Section 37170 of the Labor CDde, I shall forthwith comply with !hose provisions.ignature of ApplicantWhis SY1SLv._ Date��rECLARATION REGARENDING AGENCY hereby affirm under pe : Ity of perjurytha construction lending agency for the performance of the work forwhich this permit Is issued (Section 3097, Civil C de). 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 this application andthe information I hay provided is correct. I agree to comply with all applicable city and W) ordinances and state laws relating to building construction. I authorize representatives of this city or count t gnf,er ijherabovgs Identified property for inspection purposes. 1 / I _ :. _ •I I /..... ACTION DATE i BY / DL'BLARpTIONJ COMPLIANCE w17H CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 51 OF TITLE 40 AND AQMD RULE i 1403 PERMiTEXPIRED _—€c- 113U-BM'fihD,15B55TOSVOTIF!-ATIONT0 PERMIT CANCELLED L JEaA___ _ PERMIT EXTENDED I AQMD PERMIT FfNA1-MASRESTQ5 NOTIFICATION 15 NOT APPLICABLE TO CERTIFICATE OF (/ PROPOSED DEMOLITION OCCUPANCYISSUEO GNATUPE:.