HomeMy WebLinkAboutF2023-0053 - Permits�aEwPoRT City of Newport Beach IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: F2023-0053
O @ Community Development Department - Building Division
ry 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: PC2023-0226
6 } T Permit Counter Phone: (949) 644-3288 Issued Date : 02/24/2023
m.Inspection Requests Phone: (949) 644-3255 Inspection Area : FIRE
CqC/co0.N�P newportbeachca.gov/inspections
Combination Type -
Work Class - Tenant Improvement
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION, BUT NO LATER THAN 3 YEARS FROM ORIGINAL ISSUANCE DATE
RELATED NOISE ON SATURDAYOR SUNDAY IN HIGH DENSITY AREAS AND NO
WORK ON SUNDAY AND HOLIDAYS IN ALL AREAS
NO CONSTRUCTION
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Job Address: 620 NEWPORT CENTER DR, 14TH FLOOR
Legal Desc : P BK.295 PG 33PAR .1 PARCEL MAP 295-33 PAR 1 POR OF PAR
Description: COMM FIRE ALARM 8 DEVICES (XC2023-0026)
Owner: IRVINE CO
Contractor: PACIFIC TUSK BUILDERS CORP
Architect:
Address : 111 INNOVATION
Address: 1100 QUAIL'ST #213
Address
IRVINE, CA 92618
NEWPORT BEACH, CA 92660
Phone: (949)608-9659
Phone: (213)999-5696
Phone:
Con State Lie : 946368
State Lie
Lie Expire : 04/30/2024
Applicant : MARK YAM
Bus Lie: BT30038640
Engineer
Address : 392 N LEMAY CT
Bus Lie Expire : 03/31/2023
Address
ORANGE, CA 92867
Phone: (626) 757-2320
Workers' Compensation Insurance
Phone:
Carrier: INS CO OF THE WEST
Owner/Builder:
Policy No: WSD5041971
Designer: BUILDING ELECTRONIC CONTROLS
Address :
W. C. Expire : 7/1/2023
Address: 2246 LINDSAY WAY
GLENDORA, CA 91740
Phone: (909) 305-1600
Phone:
Code Edition : 2022
Fire Sprinklers : YES
Construction Valuation : $2,475.00
Type of Construction : I -A
Fire Hazard Zone : NO
Added/New/TI sq. ft. Bldg : 0
Occupancy Groups : B
No of Units.: 0
Alteration sq. ft. Bldg:
0
Bldg Height:
No of Stories : 16
Added/New sq. ft. Garage:
TOTAL sq. ft.: 0
Building Setbacks
Flood Zone : X
Use Zone : PC - North Newport Center
PROCESSED BY:
SPECIAL CONDITIONS:
I hereby affirm under penalty of perjury that t am exempt from the Contractors' Stale License Law for the reascn(s) indicated below by the eheckmark(s) I have placed next to the applicable items)
Section 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 applicant for
is permit to file a. signed statement that lie 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 licensors and the basis for the alleged exemption. Any violatkon of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of
of more than five hundred dollars ($500p,
1 I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or (_) portions of the work; and the structure is not intended or offered for sale (Section 7044,
realness 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
nprovenienis 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 at
nproved for the purpose of sale).
.I 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
pfir 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).
I am exempt from heensure under the Contractors' State License Law for (he following reason
fy my signature below I acknowledge that, except for my personal residence in which I trust have resided for at least one year prior to completion of the improvements covered by this permit, I. Cannot iegall,
oil 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 a copy of the applicable taw, Section 7044 of the Business and
'rofessions Code, is available upon request when this application is submitted or at the following Web site:http:ltwww.leginfo.ca,govicalaw html.
signature of Property Owner or Authorized Agent pate
ACENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9. (commencing with Section 7000) of Division 3 of the Business and Prole s C a, and m license is in full force
Vnd ORKEt. License Class License No cat l`.2Z Contractor Signalu� C U
VORKERS' COMPENSATION OECLAsRATION
'ARNINO: 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 14100,000), IN ADDITION TO THE
Oe1' OF COMPENSATION, DAMAGES AS PROVIDED FOR dry SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'$ FEES.
hereby affirm under penalty of perjury one of the following declarations:
aiI 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 tile. Labor Cade, forth,
nce of Tire work for which this permit is issued. Policy No.
ova and will maintain workers' Compensation insurance as required by Section 3700 of the Labor Code, for the performance of the work for which Ibis permitis issued, My workers' compensatior
isu)'ance carrier and policy number are:
Policy Number
of Agent
Date
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 taws of California, and
, if I should become subjecUL0,01e workot ' cOmpeyya£ion provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
of
°e- 1- 7,14. 7- 3
neby affirm under penalty of perjury IAA there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
WersName Lenders Address
my signature below, I certify to each of the following:
I aria 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 comply with all applicable city and county ordinances and state laws relating to building construction.
I authorize representatives of this city or count to ente, )*e ouveZOentified property for inspection purposes.
ACTION DATE BYE I DECLARATI&KOF LbMPUANCE. WITH CODE OF FEDERAL FOR OFFICE USE ONLY
i j REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
EXPftED I I i ❑ I suRMITIED ASBESTOS
VLKMr)r tINAL ((J/, f 710' 3J I`� L4C-IL4 LU ASEESTQS NOTIFICATION Is NOT APPLICAKIE TO
CERITOCATE Of I PROPOSED DEMOLITION
ED OCCUPANCYI55Ut i SIGNATURE: