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Home My WebLink AboutXC2023-0465 - Permits��WPO,� City of Newport Beach IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit : XC2023-0465 C� J' 11, Community Development Department- Building Division X C 2 0 2 3 e 4 6 5 `�' 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: PC2023-2764 U N'� i Permit Counter Phone: (949) 718-1888 Issued Date : 12/13/2023 newportbeachce.gov/civic Final Date: '14, cO n"`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 AREAS Job Address : 620 NEWPORT CENTER DR, 150 Legal Desc : Description: COMM OFFICE TI GPT "IRVINE COMPANY: CUSTOMER RESOURCE CENTER" 1,460 SF 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 : Contractor: PACIFIC TUSK BUILDERS CORP Address : 1301 DOVE ST, 130 NEWPORT BEACH, CA 92660 Phone : (213) 999-5696 Con State Lic : 946368 Lic Expire : 04/30/2024 Bus Lic: BT30038640 Bus Lic Expire : 03/31/2024 Workers' Compensation Insurance Carrier: INS CO OF THE WEST Policy No : WSD5041971 W. C. Expire: 7/1/2024 Architect : MORFORD PAUL Address : 4675 MACARTHUR CT #100 NEWPORT BEACH, CA 92660 Phone: (949)863-9434 State Lic Engineer: Address Phone: Designer: Address Phone: Phone Code Edition : 2022 Fire Sprinklers : YES Construction Valuation : $66,000.00 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 : 1,460 Bldg Height: No of Stories : 16 Added/New sq. ft. Garage : 0 TOTAL sq. ft. 0 Building Setbacks Flood Zone : X Use Zone : PC - North NewportCenter PROCESSED BY: SPECIAL CONDITIONS: 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 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 rc permit to file a signed statement that he of she is licensed pursuant to thin provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Irofessions 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 (S500). 1, 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, lusiness 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 nprovod for the purpose of sale). I, as owner of the property, am exclusively contracting with licensed Contractors iG 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 improvesthereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law), 1 1 am exempt from licensure under the Contractors' State License Law for the fallowing 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 bythis permit, I cannot legally oil a structure that I have built as an owr or -builder if it has not been constructed in its entirety by licensed contractors. I understand that a copyof the applicable law, Section 7044 of the Business and 'rofessfons Code., is available upon request when this application is submitted orat the following Web site http:liwww'.leginto.ca.gov/calavcbtml, fignature of Property Owner or Authorized Agent ._.__ _Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9 (commencing With Section 7000) of Divisipp 3-of the Business and Profes 'one Code, and license is In full force nd effect. License Class License No Date 12-17.'T Contractor Signature VORKERS' COMPENSATION DECLARATION IARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SU84ECT AN EMPLOYER TO CRIMINAL PENALTIES AND GML FINES UP TO ONE HUNDRED THOUSAND DOLLARS 15f00,D00j, IN ADDITION TO THE OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3TOS OF THE LABOR CODE, INTEREST, AND ATTORNEY'S Fees - hereby affirm under penalty of perjury one of the following declarations: 1 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 eyforma..nce 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` rance 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 laws of Califorola, and , if I should become subject to a workers' comps anon provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Iature of Applicant ,7 Date_ t 1- 'y L 3 IECLARATION REGARDING CONSTRUCTION LEN IN0 AGENCY hereby affirm under penalty of perjury that there is a co truction lending agency for the performance ofthe work for whichthispermit is issued (Section 3097, Civil Code). 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 andthe information I have provided Is correct. I agree to comply with all aloc cable city and county ordinances and slate laws relating to building construction. I authorize representatives of this city or county to enter the abo e-i n?Ifled property for inspection purposes. :icnature of PrODOrtV Owner or Authorized Adam Print Procenv Owner's or Authorized Aoent's Name ACTION DATE BY DECLARATION OF CwMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AONIO RULE 1403 PERMIT tXrM'dU _ I SUBMITTED ASBESTOS NOTIFICATION TO _.RMIT.0-.4-._.......__.___—,__.._ _ PERMIT (4NCEC[ FD � EPA _P€RIbSYT E\TENC°D [ Ct_M_D _ PERfN17 FIMAL 650E5105 NOTIFICATION 15 O'APPLICABLE TO CERTIFICATE OF ! PROPOSED DE OLITION OCCUPANCY ISStJEO �____ _ SIGNATURE: ) I-L •13 -t-