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Home My WebLink AboutXC2023-0299 - Permits"""'Po R, City of Newport Beach II IIII IIIIII IIII III IIIIIIIIIIIIIIII IIII II COMB Permit: XC2023-0299 0� d Community Development Department- Building Division x C 2 0 2 3 0 2 9 s 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2023-1904 Permit Counter Phone: (949) 718-1888 Issued Date : 08/2812023 newportbeachca.gov/civic Final Date: Combination Type - ELEC MECH PLUM Permit Status: Issued Work Class - Tenant Improvement 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 : 250 NEWPORT CENTER DR, 104 Legal Desc : P BK 36 PG 35 PAR 6 rIt Description : COMM TI "DR. KOROUSH BASSIRI" 1205 SF ,-51 ° L—,.I JT a i I Owner: DMP 250 NEWPORT CENTER LLC Address : 250 NEWPORT CENTER DR STE300 NEWPORT BEACH, CA 92660 Phone: Applicant: THE TQS CONSTRUCTION,INC Address : 5120 HAMNER AVE, 140-116 EASTVALE, CA 91752 Phone: (949)689-6786 Owner/Builder Address : Phone Contractor: THE TQS CONSTRUCTION,INC Address : 5120 HAMNER AVE, 140-116 EASTVALE, CA 91752 Phone: (949)689-6786 Con State Lic : 1009447 Lic Expire : 01/31/2025 Bus Lic: BT30082460 Bus Lic Expire : 08/31/2024 Workers' Compensation Insurance Carrier: STATE FUND Policy No: 9281919 W. C. Expire : 8/11/2024 Code Edition : 2022 Fire Sprinklers : Type of Construction : V-B Fire Hazard Zone Occupancy Groups : B No of Units : Bldg Height : No of Stories Building Setbacks : Flood Zone : X Use Zone : OR - Office —Regional PROCESSED BY: l SPECIAL CONDITIONS: Architect Address Phone : State Lic Engineer: HUE LIU Address : 14120 BEACH BLVD 41081 ' WESTMINSI ER,'CA 926H Phone: (714)391-2338- , Designer: Address Phone YES Construction Valuation NO Added/New/TI sq. ft. Bldg. 0 0 Alteration sq. ft. Bldg: 3 Added/New sq. ft. Garage : 0 TOTAL sq. ft. : 0 OWNER -BUILDER DECLARATION I hereby affirm under penally 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 items) elion 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 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 fessions Code) or that he or she is exempt from licensure 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 more than five hundred dollars (Ill I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) portions of the work, and the structure is not intended or offered tar sale (Section 7044, iness and Professions Coda: 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 rovements 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 roved for the purpose of sale). 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 ly 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). J I am exempt 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 legalll :ell a structure that I have built as an owmor-builder if it has not been constructed in its Dril ty by liconsed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and ?rofessions Code, is available upon request when this application is submitted or at the following -Nab site: httpJiwww.leginto.ca.gov/calaw.html, signature, of Property Owner or Authorized Agent _ Date -ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty, of perjury that I am licensed under provisions of Chapter 9 (commencing with Se on 7 ) of i ision 3of the iness and Professions my Ito se is in full force and effect. License Class License No D It Z Conr a for Signature VORKERS' COMPENSATION 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 OUSANO DOLLARS (61 400), IN ADDITION TO THE ;DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 070E OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury une of the fallowing declarations: J I have and wil! r alntain a certificate of consent to self insure for workers' compensation, Issued by the Director of Industrial Relations as provided for by Section 370G of the Labor Code, for th erformance of the Work for which this permit Is issued. Policy No. eve 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' compensatiol tsar rlce carrier arc pril,cy numbar are,: :artier Policy Number Expiration Date dame of Agent _ _ _ Phone M 31 certify that, in the perfornlairCd o,- Cie wovyfor wha> 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 rat, if I should b c€�me Subject t he wor s' co nsatio provisions of Section 3700 of the Labor Code, I shall forthwith comply w.4lh those provisions. Ilgnalure ofA licanI _ IECLAFtATI Er-AiRDING ^NS TION L,ENOIN AGENCY - T hereby affirm under penalty of per}u that there is a can ruction lending agency for the performance of the work for which this permit is issued (Section 3097, Clv I Code). endar s Name Lender'a Address ly my signature _ below, Certify each Gf the fbllowny: I am ate 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 ordinan sand state ws relating to building construction. I authorize representatives of this city oc county to enter ab Identl d property for inspection purposes. ti nature of Property Owner or Aulhon ent Pnnt Pro erty Owner's or Authorize ent's Name f� '"- Dot -' NCTION DATE BY D..LARATION OF CO iPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE —ONLY F.GULATIONS PART 1 OF TITLE 40 AND AOMD RULE PEANffT PERN"IT EXTENDED PERMIT FINAL CERTIFICATE OF OCCUPANCY155il NOTIFICATION TO TO