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Home My WebLink AboutXC2024-0053 - Permits�aEW�aR� City of Newport Beach IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit : XC2024-0053 A Community Development Department - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: PC2024-0281 Permit Counter Phone: (949) 718-1888 Issued Date : 04/03/2024 newportbeachca.gov/civic Final Date: CqG/FORN�P Combination Type - ELEC MECH 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 /.REAS Job Address : 1200 NEWPORT CENTER DR, 185 Legal Desc : P BK 316 PG 3 PAR 3 Description: COMM TI "CHARTWELL ESCROW" 1117 SF Owner: IRVINE COMPANY Address : 110INNOVATION DRIVE IRVINE, CA 92617 Phone: (949)720-2000 Applicant: WENDY URIARTE Address : 19900 MACARTHUR BLVD, 200 IRVINE, CA 92612 Phone : (949) 656-2882 x705 Owner/Builder : Address : Contractor: PACIFIC TUSK BUILDERS CORP Address : 1301 DOVE ST, 130 NEWPORT BEACH, CA 92660 Phone: (213)999-5696 Con State Lic : 946368 Lic Expire : 04/30/2026 Bus Lic: BT30038640 Bus Lic Expire : 03/31/2025 Workers' Compensation Insurance Carrier: INSURANCE COMPANY OF THE WEST Policy No: WSD5041971 W. C. Expire : 7/1/2024 Architect : DICKSON 01 ... Address : 19900 MACARTHUR BLVD, 920 IRVINE,, , . - CA 92612 Phone: (949)656-2882 State Lic : C032277 Engineer: Address : Phone: Designer: Address : Phone: Phone: Code Edition : 2022 Fire Sprinklers : NO 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 : Added/New sq. ft. Garage TOTAL sq. ft. Building Setbacks Flood Zone: X Use Zone: PC - Corporate Plaza West PROCESSED BY: SPECIAL CONDITIONS d_ $15,500.00 0 0 0 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I. am exempt from the Contractors' State License Law for the reason(sj indicated below by the checkmark(s) I have placed next to the applicable imm(s) 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 to 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 Yofessions 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 of more than five hundred dollars ($500), 7 I, as owner of the property, or my employees with wages as their sole compensation, will do i all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, iLIS ness 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 the purpose of sale). I, as owner of ine property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not ^ply 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 ixemptfrom licensure under the Contractors' State License Law for the following reason: iy my signature belts; I acknowledge that, except for my personal residence in which I most have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legally Lill . Structure that' 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 taw, Section 7044 of the Business and 'rofessions Code it available upon request when this application is submitted or at the following Web site:http:/iUww.leginfo.ca.gov/calaw.html. I gneturn of Proi Owner or Authorized Agent Date ACE'IVSED CONTRACTOR'S DECLARATION naieoy affirm u.idcr penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section ) of Dii of the Business and Pro s eons Code, an y license is In full force nJ - f.ct. License Class License No Qate Contractor Signature 43RKERS' COMPENSATION DECLARATION vii DARNING: FAILURE TO S=_CPRE WORXERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SMALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS t3400,000t,114 ADDITION TO THE DST OF COMPE11 i',�N,CA.MAGES AS PROVIDED FOR IN SECTION 3705 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. herehv affirm LnJ.x penally of perjury one of the following declarations: 7 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, forth erformance of the work for which this permit is issued. Policy No. lave 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' compensation Tsurance carrier and policy number are: :artier Policy Number Expiration Date Jame of Agent Phone if 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 agre hat, if I should bscom s iect to the workers compensation(p wlsions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. 3ignalure of Applicant _ Date 1 3 Z )ECLARATION REGA 1 _ CONSTRUCTION LENDING A6. 'ICY 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 Lenders Address 3y 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 will) all applicable city and c Linty ordinances and state laws relating to building. construction. I authorize representatives of this city or cD to enter the above-i fified property, for inspection purposes. 37 nature of Property Owner or Authorized Agen Print Property Owner's or Authorized Agent's Name �-�� ^+ Date 3 'Z- 47 ACTION DATE BY DECLARATIONOF MPLIANCE WITHCODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMiTEXPiRED { { LJ t SUBMITTED ASBESTOS NOTIFICATION TO PERMITEXFENDED WAQMD P€RM77 FINAL L, �� ASBE$ 5 OTi F1CATtUN IS NOI"A`'P4ICABI.t "t0 CERTIFICATE OF J / pROPO5E0 Tto OCCUPANCY15SUEO SIGNATURE: