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Home My WebLink AboutXC2023-0283 - Permitsc7,P WS aEWpoRT City of Newport Beach II IIII III I IIII III III II I III III II COMB Permit: XC2023-0283 C� e Community Development Department - Building Division x C 2 0 2 3 0 2 8 3 uy 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2023-1828 S Permit Counter Phone: (949) 718-1888 Issued Date : 0713112023 o- newportbeachca.gov/civic Final Date: c'G FoaN`" 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: 1901 WESTCLIFF DR Legal Desc : N TR 4225 BILK LOT 4 TR 4225 LOT 4(AND SELY 110 FT Description: COMM ILLUMINATED MONUMENT SIGN "MARINERS MEDICAL ARTS' Owner: BUMHAM WARD PROPERTIES LLC Address : 1100 NEWPORT CENTER DR STE200 NEWPORT BEACH, CA 92660 Phone: (949)760-9150 Applicant : TRUEMARK INC/JB3D Address: 731 N MAIN STREET ORANGE, CA 92868 Phone: (714)204-0077 Owner/Builder : Address : Phone Contractor: TRUEMARKINC/JB3D Address : 731 N MAIN STREET ORANGE, CA 92868 Phone: (714)204-0077 Con State Lic : 926653 Lic Expire : 12/31/2024 Bus Lic : BT30055601 Bus Lic Expire : 06/30/2024 Workers' Compensation Insurance Carrier: EVEREST NATIONAL Policy No: 7600008388211 W. C, Expire: 9/1/2023 Code Edition : 2022 Fire Sprinklers: NO Type of Construction : V-B Fire Hazard Zone : NO Occupancy Groups : U No of Units : 0 Bldg Height : No of Stories : 0 Building Setbacks Flood Zone : X Use Zone : CG - Commercial General T`m'1 PROCESSED BY: SPECIAL CONDITIONS Architect Address Phone : State Lic: Engineer: Address Phone Designer: TRUEMARK INC/JB3D Address : 731 N MAIN STREET ORANGE, CA 92868 Phone: (714)204-0077 Construction Valuation : $14,500.00 Added/New/TI sq. ft. Bldg : 0 Alteration sq. ft. Bldg : Added/New sq. ft. Garage: 0 TOTAL sq. ft. : 0 OWNER -BUILDER DECLARATION 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(s) I have placed next to the applicable iHari Section 7031.5, Business and Professions Code: Arty city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, pnor to its issuance, also requires the applicant for :he 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 lieensure 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 lot more than five hundred dollars ($500) 1, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, 3USmeSS 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 -Sunder will have the burden of proving that it was not built or m roved for the purpose of sale). ZI 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 apply to an Owner of properly Who builds or improvesthereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). B m signature below I acknowledge that, except form personal residence in which I must have resided forat least —T -pe __,___._._.__ El I am exern pt from lieensure under the Contractors' State License Law for the following reason y y g g y p least one year prior t0 completion of the improvements covered by this permit, I cannot legallt soil a structure that I have built as an ownor-builder if ithas not been constructed in its entiroty 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:lfw .leginfo.ca.gov/calaw.html. Signature of Property Owner or Authorized Agent �___ Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penaltyof p�Jlu h t. I am licensed under provisions of ep�e�r 9 mencln with Section 7000 f wi, "an 3 of the Business and Professio C an m n�ses In full force and effect License Class /S�'Y License No 4PCP�J g Did 3Z Z3 Contractor Signatu icy/� WORKERS' COMPENSATION DECLARATION NARNING: 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 ($100,000),IN Aeon ort TO THE COST OF COMPENSATION, DAMAGES AS 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: '�tt :.I 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 th aeNg)kmance 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' of Agent Policy Number 74&`50 0 L3.36 Expiration Date d�/�/�Z✓ Phone # certify 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 Jaws of California, and agre If I should become subject to VI workers comp Its don provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applicant _. _ Dates-,2 ��Ti3 PP (( CLARATION REG , Jam( DING CONSTRUCTitlN LENDING AGENCY !reby affirm under penaity 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). 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. I agree to with all applicable city and county te building construction. I of Property Owner or Authors of this rztedoAget county °/n ordinancesOve�d to iffedvs relating g�°inspection rint Property Owner's or Authorized Agent's Name. /� �� Date ACTION DATE BY RF CLSiLARATIONIkN5 OF COMT 6.1 0 AN CE CF 40TAND DE OF FEAQMD RED ERAL � FOR OFFICE USE ONLY PERMITEXPIRED LJISUBr7ITTErA RFSTOS PERMIFCANCELLED i PA P€R,MiT EXTENDED OM6 PERMIT FINAL CERTIFICATE OF OCCUPANCYYSSUEO NOTIFICATION IS NOl APPLICABLE TO PROPOSED DEMOLITION !!41"ATURE: _