HomeMy WebLinkAboutXC2022-2026 - Permitso``�e�'?oq;;. City of Newport Beach
d Community Development Department- Building Division
1 OD Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone: (949) 644-3288
s Inspection Requests Phone: (949) 644-3255
CAC/F00.��P newportbeachca.gov/inspections
Combination Type - ELEC MECH PLUM
Work Class - Tenant Improvement
s�
9 a'�
COMB Permit : XC2022-2026
Plan Check No : PC2022-2631
Issued Date : 11/17/2022
Inspection Area : 7
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION, UT..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: 450 NEWPORT CENTER DR, 500
Description: COMM TI 2110 SF SPEC SUITE
Owner: IRVINE CO
Address : 111 INNOVATION
IRVINE, CA 92618
Phone: (949)608-9659
Applicant: TALEEN METCALF BADAWI
Address: 18600 MACARTHUR BLVD,100
IRVINE, CA 92612
Phone: (949)608-3710
Owner/Builder:
Address :
Legal Desc : P BK 61 PG 10 PAR 1
Contractor: PACIFIC TUSK BUILDERS CORP
Address : 1100 QUAIL ST #213
NEWPORT BEACH, CA 92660
Phone:
(213)999-5696
Con State Lic
: 946368
Lic Expire :
04/30/2024
Bus Lic:
BT30038640
Bus Lic Expire : 03/31/2023
Workers' Compensation Insurance
Carrier: INS URANCE+COMPANY+OF+THE+WEST
Policy No : WSD5041971
W. C. Expire : 7/1/2023
Architect :
ALGAZE NELSON
Address :
6083 BRISTOL PKWY CULVER CITY, CA
90230
Phone :
(213) 929-1400
State Lic :
CO21090
Engineer:
Address:
Phone:
Designer:
Address
Phone:
Phone:
Code Edition : 2019
Fire Sprinklers :
YES
Construction Valuation :
$220,000.00
Type of Construction : II-B
Fire Hazard Zone :
NO
Added/New/TI sq. ft. Bldg :
0
Occupancy Groups : B
No of Units :
0
Alteration sq. ft. Bldg :
2,110
Bldg Height :
No of Stories :
6
Added/New sq. ft. Garage:
0
TOTAL sq. ft.:
0
Building Setbacks
Flood Zone : X
Use Zone: PC - North Newport Center . .
PROCESSED BY: E�
SPECIAL CONDITIONS: HUALER: CR&R
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)
3eclion 7031.5, Business and Professions Cade: 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 [he 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 licensure and the basis forthe 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).
3 I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044,
lusfness 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
reproved for the purpose of sale).
J 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
poly to an owner of property who builds or improves thereon, and who contracts for the projectswith a licensed Contractor pursuant to the Contractors' State License Law).
I I am exempt from licensure under the Contractors' State License Law for the following reason:
Iy 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 legall
ell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and
'rofessions Coda, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calawhtmi.
signature of Property Owner or Authorized Agent Date.
ACiENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that 1 am licensed under provisions of Chapter 9 (commencing with Section 7000) of , Division 3 of the Business and Pr salons d and my license is in full force
nd effect. License Class License No Date // /�. Z 3 Contractor Signature
PORKERS' COMPENSATION DECLARATION III
rARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED T 0USAND DOLLARS (6100,000), IN ADDITION TO THE
OST OF COMPENSATION, OAMAGESAS PROVIDED FOR IN SECTION 0706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the following declarations:
] 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 thi
erformance 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'
Fence carrier and policy number are:
Policy Number Expiratic
of Agent Phone If
Dale
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
, if I should become subject to the workers' cgmpens-adon provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
of
Date //-/--7. Z Z
hereby affirm under penalty of pekjary thaPth6re is a construction lending agency for the performance of the work for which this permit Is Issued (Section 3097
enders 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 state laws relating to building construction.
I aulhnnze rerresentatives of this city or county enter I e abocve-I lified property for inspection purposes, q %
ianalure of Prooertv Owner or Aulhonzad AOanl a .Yii�-- Print Prane tv Owner's or Authorized Aaent's Name / `�6T
W TION I DATE. I BY
PERMIT EX ENO,[,
CERTIFICATE OF
uCI:UPANCY1g5UF9
DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 51 OF TITLE 40 AND AQMO RULE
ISNOTAPPLICABLE TO
Civil Code).
LYa Al
22,