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Home My WebLink AboutF2023-0555 - Permits��wvo�T City of Newport Beach IIII IIII III IIIIIIIIIIIIIIIIIIIII II COMB Permit: F2023-0555 0� d Community Development Department - Building Division F 2 0 2 3 0 5 5 5 > 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2023-2764 Permit Counter Phone: 949 718-1888 2 ( ) Issued Date :12/13/2023 newportbeachca.gov/civic Final Date: �P Combination Type- Permit Status: Issued Work Class - Tenant Improvement Inspection Area : FIRE 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: 620 NEWPORT CENTER DR, 150 Legal Desc : Description: COMM FIRE ALARM TI WITH 5 DEVICES FOR "IRVINE COMPANY: CUSTOMER RESOURCE CENTER" (XC2023-0465) Owner: IRVINE CO Address : 111 INNOVATION IRVINE, CA 92618 Phone: (714)366-7205 Applicant: JUDY YAM Address : 392 N LEMAY CT ORANGE, CA 92867 Phone: (626)675-9882 Owner/Builder: Address : Phone Contractor: PACIFIC TUSK BUILDERS CORP Address : 1301 DOVE ST, 130 NEWPORT BEACH, CA 92660 Phone: (213)999-5696 Con State Lie : 946368 Lie Expire : 04/30/2024 Bus Lie: BT30038640 Bus Lie Expire : 03/31/2024 Workers' Compensation Insurance Carrier: INS CO OF THE WEST Policy No : WSD6041971 W. C. Expire: 7/1/2024 Architect Address Phone: State Lie Engineer: Address : Phone Designer: H C I SYSTEMS INC Address : 1354 S PARKSIDE PL ONTARIO, CA 91761 Phone: (909)628-7773 Code Edition : 2022 Fire Sprinklers : YES Construction Valuation : Type of Construction : I -A Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg Occupancy Groups : B No of Units : 0 Alteration sq. ft. Bldg : Bldg Height: No of Stories : 16 Added/New sq. ft. Garage TOTAL sq. ft. : Building Setbacks Flood Zone : X Use Zone PC - North Newport Centterr PROCESSED BY: SPECIAL CONDITIONS: ' a ! "} $5,909.00 0 0 0 OWNER -BUILDER DECLARATION 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 placed next to the applicable Item(s) 3ec ion 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 to 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 rofessions Code) or that he or she is exempt from liceesure 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 of more than five hundred dollars ($500). 1 I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or L) portions of the work, and the structure is notintended or offered for sale (Section 7044, iUSIneSS 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 nprovements 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 nproved for thepurpose of sale). I, as owner of the property, an exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not poly 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)- 3 1 am exerniol from licensure under the Contractors' State License Law for the following reason ly 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 legally all Is structure that I have built as an ownar-buildor if it has notbeen constructed in its entirety by licensed Contractors. I understand that a copy of the applicable law, Section 7044 of the Business and 7ofessions Code., is available upon request when this application is submitted or at the following Web site;http:lM�ww.leginio.ca.govlcalaw.html. Ngnature of Property Owner or Authorized Agent Date ACENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Divisis�f the Business as Code, and and Prof nlicense is In full force nd effect. License Class License No Date �') 1 Contractor Signature VORKERS' COM.PE'NSATION DECLARATION IARNING: 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 ACCn1ON TO THE DST OF COMPENSATION; DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR COnE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations; I 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 thl erfgrmance of the work for which this permit is issued. Policy No. have 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` ranee carrier and policy number are: Policy Number of Agent Date 31 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 laws of California, and I tat, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. signature of Applicanti1-- DateT HECLARATION REGARDING CONSTRUGTI4N LENSING AGE hereby 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). ender's Name Lender's Address ly 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 comply with all applicable city and county ordinances and Risrta\te laws relating to building construction. I authorize representatives of this city or county lbenter the above-it;a ified property for inspection purposes. iionati of Prooertv Owner or Authorized Anent ---- Yv'''---I Print Property Owner's or Authorized Agent's Name J . _ �� _ Date By DECLARATION OF CCRPIPLIANCE WIT14 CODE OF FEDERAL FOR OFFICE USE ONLY RFGLILATIONS PART 61 OF TITLE 40 AND AQMD RUSE 1403 LJ I SUBMITTED ASBESTOS NOTIFICATION TO PERMITFINAL !Y �L+ rtA.Vr7X I i__I ASBES105 NOTIFICATION 15 NOT APPLICABLE to CEROFICATE OF ( ' PROPOSED DEMOLITION OCCUPANCyi.SJ:O F I SIGNATURE:.