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Home My WebLink AboutXC2022-1911 - Permits�EWPO�T City of Newport Beach II IIII I I II I I II II II III D� @ Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 u ) S Permit Counter Phone: (949) 644-3288 ems. Inspection Requests Phone: (949) 644-3255 cgCiFppN�P newportbeachca.gov/inspections Combination Type - ELEC Work Class - Other COMB Permit:XC2022-1911 Plan Check No : PC2022-2087 Issued Date : 08/19/2022 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 : 2836 COAST HWY E Legal Desc : N TR 323 BILK N LOT 3 TR 323 LOT 3 BLK N SELY1/2 -EX HWY-(AND ALL Description: COMM ILLUMINATED SIGN "REFORM RX" Owner: M & D PARTNERS LLC Contractor: AMERICA'S INSTANT SIGNS Architect Address : 2311 N ROSEWOOD AVE SANTA ANA, CA Address : 1260 HANDCOCK ST STE 105 ANAHEIM, Address 92706 CA 92807 Phone : Phone : (714) 693-2989 Phone Con State Lie : 1023555 State Lie Applicant: AMERICA'S INSTANT SIGNS Lie Expire : 02/28/2023 Address : 1260 HANDCOCK ST STE 105 ANAHEIM, CA Bus Lie : BT30079522 Engineer 92807 Phone: (714) 693-2989 Bus Lie Expire : 08/30/2023 Address Workers' Compensation Insurance Phone: Owner/Builder : Carrier: FALLS LAKE Address : Policy No : FLA1712300 Designer: AMERICA'S INSTANT SIGNS Phone: W. C. Expire: 5/15/2022 Address : 1260 HANDCOCK ST STE 105 ANAHEIM, CA 92807 Phone; (714) 693-2989 Code Edition : 2019 Fire Sprinklers : NO Construction Valuation : $2,100.00 Type of Construction : Fire Hazard Zone : No Added/New/TI sq. ft. Bldg : 0 Occupancy Groups : U No of Units : 0 Alteration sq. ft. Bldg : - - ' Bldg Height: No of Stories : 1 Added/New sq. ft. Garage : 0 Building Setbacks : Flood Zone : X Use Zone : CC - Commercial Corridor PROCESSED BY: SPECIAL CONDITIONS: 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 item(s) (Section 70315. Business and Professions Code: Any city or county that requires a permit to construct, alter. improve, demolish, or repair any structure, prier to its issuance, also requires the applicant for the 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 T000) of Division 3 of the Business and Professions Code) or that he or she is exempt from licensors 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)- 0 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 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 (hat the improvements arenot 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). 41 1, 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 improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). ❑ 1 am Exempt from licensors under the Contractors' Slate License Law for the following reason: 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 legalll sell a structure that I have built as an owner -builder it it has not been constructed In its entirety by licensed contractors. I understand that 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:llwww.iegmfo.ca.govlcalaw.btml. Signature of Property Owner or Authorized Agent _ Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7 00) of ivlsi 3 of the Business and professions Cc tic s ar full force and effect. License Class License No Do 4'3 ( ZContraclor Signature WORKERS' COMPENSATION DECLARATION 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 ($100,000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3700. OF THE LABOR CODE., INTEREST. AND A11TORNEY'S FEES.. hereby affirm under penalty of perjury one of the following declarations: -*eve 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 It arm nee of the work for which this permit Is issued. Policy No. liao/111 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' compensatio rance carrier and policy number are: ter Policy Number Expiration Date 1e of Agent 2� Phone if /\ certify than. in ttie 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 If I shou,o become subject to the workers' ers' compensati viakms of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. aiure D' ALphc,rit,_,_ _ _ _______ Data �� h/ zv ZZ AOhT1,iAI OCFAO f+r`r1 Tbli IJ IVcRIr11Ee, Arlcmpv Itsby affirm under penalty 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). Idler's Nani Lenders Address _ my signature baluw. I certify to each of the following: I am the prr pertowner or authorized to act on the properly owner's behalf, I have read tl.i application and the information f have provided is correct, agree to comply with all applicable city and county ordinances and stale laws ting to building construction. authorize. repr^,cenlatives of this city or county to e�tr er'-thdv�i9¢ri,pp4erty for inspection purposes. of Prn,erty Owner or At ACr'ION DATE By DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY d i REGULATIONS PART Fl OFTITLE 40 AND AQ.MD RULE 1408 PERMIT CANCEL! ED PER.MlT EXTENDED PERMIT FINAL. CERTffIC4TE Of OCCUPANCYISSUED � 1 �IASBE5TOS NOTIFICATION IS NOT APPLICABLE TO K/ j PROPOSED DEMOLITION l SIGNATURE: All required alarms, latches gates and fences which serve as part of a pool/spa barrier, shall be In place prior to approval to fill pool/spa & shall remain In place & be maintained for the life of the pool.