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HomeMy WebLinkAboutXC2023-0053 - PermitsCity of Newport Beach O��gWPORT Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 644-3288 na Inspection Requests Phone: (949) 644-3255 CqC/Fr)µN�P newportbeachca.gov/inspections Combination Type - ELEC Work Class - Other COMB Permit: XC2023-0053 X C 2 0������������������������������������� II Plan Check No : PC2023-0399 Issued Date : 0410612023 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 : 3110 NEWPORT BLVD Description: COMM ILLUMINATED SIGNS "PALMILLA" Owner: NBPL REAL ESTATE LLC Address : 703 PIER AVE STEB815 HERMOSA BEACH, CA 90254 Phone: Applicant: CENTERLINE SIGNS Address : 10822 1/2 REAGAN ST LOS ALAMITOS, CA 90720 Phone : (562) 618-3707 Owner/Builder: Address : Phone: Legal Desc : A TR LANCASTERS ADD BLK 431 LOT 3 LANCASTERS ADD LOT 3 BLK 4 31 AND LOTS 4, 5, 6, 7 Contractor: CENTERLINE SIGNS Address : 10822 1/2 REAGAN ST LOS ALAMITOS, CA 90720 Phone : (562) 618-3707 Con State Lic : 1013962 Lic Expire : 05/31/2024 Bus Lic: BT30078576 Bus Lic Expire : 04/30/2023 Workers' Compensation Insurance Carrier: EXEMPT -NO EMPLOYEES Policy No: EXEMPT W. C. Expire: Architect Address Phone: State Lic Engineer Address Designer: CENTERLINESIGNS Address : 10822 1/2 REAGAN ST,' LOS ALAMITOS, CA 90 r 2D Phone: (562)618-3707 Code Edition : 2022 Fire Sprinklers : NO Construction Valuation : Type of Construction : V-B Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg Occupancy Groups : U No of Units : 0 Alteration sq. ft. Bldg : Bldg Height: No of Stories : Added/New sq. ft. Garage TOTAL sq. ft. Building Setbacks Flood Zone : AD 1; X Use Zone : CV - Commercial Visitor -Serving PROCESSED BY: SPECIAL CONDITIONS: HIGH DENSITY ZONE r $3,000.00 0 0 0 I hereby affirm under penalty of perjury that I am exempt from the Contractors' Slate License Law for the reasons) indicated below by the checkrnark(s) I have placed next to the applicable item(s) (Section 7031.5, Business end 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 applicant for the permit to file a signed statement that he or she is licensed pursuant to theprovisions 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 licensum 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 i_) 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' 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 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). 0 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 apply to an owner of property who builds or Improvesthereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).. 0 I am exempt from licensure under the Contractors' State 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 lagalll sell a structure that I have built as an owner -builder if it has not been constructed in its entirely by licensed contractors. I understand that a copy of theapplicable 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:/fwww.leginfo.ca.gov/calaw.html. Signature of Property Owner or Authorized Agent.,_-- Date LICENSED CONTRACTOR'S DECLARATION i hereby affirm under penully of perjury that I am licensed under provisions of Chapter 9 commencing with Section 70 0 of DivisionR,,3 of the Business and Prof sio s Cod in n. y'Itc s WInfullforce and effect License Class /' — L-(� License No /Ii/ `.3 %� DatD a c'�3 Contractor Signature W3RKE2S' COMP_N.SATION DECLARATION NARYING FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUN THOUSAND 94LLARS t5100,000j, IN ADDITION TO THE COST JF C6MPFNSATIOd, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES, Irhhereby affirm undw pe,ially of perjury one of the following declarations: 0 1 n-,e 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 performanco of the ,Work for which this permit is issued. Policy No. Dil hi is 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' compensatia inpi.-Proe carrier Pro policy number are: Policy Number Expiration Date Pgent Phone # _ talii,y that, in the par,ormance of the work for which this per 't 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 t, if I should become s to the work Trip isions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ,+� nature of Applicant_ DateTyc/^ 06 607 Ci,ARATfON RBG 0 0 CONST 110T10N ENDING AGENCY 3reby affirm under alty of perjury that there is a construction lending agency for the performance of the work for which this permit Is issued (Section 3097, Civil Cade). idar'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 rovic! d is correct. `�Jj 7�/ I agree to comply with all sof thi ci y o and eou ordin nc9s and sr' e srela'8�� ui n construction. C//i authorize representatives of this city or aounfy t en - ' ded profor pe i purposes. nature of Prooerty Owner or Authorized Aaenl I n Proo®rtV Owner's or Au[horizatl Aaent's NameDate OLl,Cw 'C DATE PERMIT EXPMED REGULATIONS PART 61 OF TrfLE 40 AND AQMD RULE 1403 PERMIT FINAL r, 1 E1 705 NOT IFICA'10N II NO T�I '1'0 CERTIFiCArE Of PRQFOSEOD OL ION //" OCCUPANCY15SUED l alrroanlaF..99"" �Lll// CO �. FOR OFFICE USE ONLY