HomeMy WebLinkAboutXC2023-0026 - Permits�PoRr
City of Newport Beach
o�a�
p
Community Development Department- Building Division
F,.
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone: (949) 644-3288
m.
Inspection Requests Phone: (949) 644-3255
cq(iFo0.N�P
newportbeachca.gov/inspections
Combination Type - ELEC MECH PLUM
Work Class - Tenant Imarovement
COMB Permit : XC2023-0026
Plan Check No: PC2023-0226
Issued Date : 02/24/2023
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, 14TH FLOOR Legal Desc : P BK 295 PG 33 PAR 1 PARCEL MAP 295-33 PAR 1 POR OF PAR
Description: COMM TI 14TH FLOOR ACCESSIBILITY UPGRADES 357 SF
Owner: IRVINE CO
Address : 111 INNOVATION
IRVINE, CA 92618
Phone: (949)608-9659
Applicant:
MARK YAM
Address :
392 N LEMAY CT
ORANGE, CA 92867
Phone :
(626) 757-2320
Owner/Builder
:
Address :
Phone:
Code Edition :
Type of Construction
Occupancy Groups:
Bldg Height:
Building Setbacks
Flood Zone
Use Zone :
2022
I -A
X
PC - North Newport Center
Cold —
PROCESSED BY
SPECIAL CONDITIONS: CR & R TO HAUL DEBRIS
Contractor : PACIFIC TUSK BUILDERS CORP
Address : 1100 QUAIL ST#213
NEWPORT BEACH, CA 92660
Phone:
(213)999-5696
Con State Lie
: 946368
Lie Expire :
04/30/2024
Bus Lie:
BT30038640
Bus Lie Expire : 03/31/2023
Workers' Compensation Insurance
Carrier: INS CO OF THE WEST
Policy No: WSD5041971
W. C. Expire : 7/1/2023
Fire Sprinklers :
YES
Fire Hazard Zone :
NO
No of Units :
0
No of Stories :
16
Architect :
MORFORD PAUL
Address :
4675 MACARTHUR CT #100 NEWPORT
BEACH, CA 92660
Phone :
(949) 863-9434
State Lie
Engineer:
Address
Phone:
Designer:
Address
Phone:
Construction Valuation :
$150,000.00
Added/New/Ti sq. ft. Bldg :
0
Alteration sq. ft. Bldg:
357
Added/New sq. ft. Garage :
0
TOTAL sq. ft. :
0
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reasons) indicated below by the checkmark(s) I have placed next to the applicable item(s)
Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, altar. improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for
io permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' Stale License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and
rrofassions 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).
1 I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or U portions of the work, and the structure is not Intended or offered for sale (Section 7044,
musiness 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
nprovemenls 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).
3 1, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' Stale License Law does not
pply 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).
I 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 legallp
ell a structure that I have built as an owner-buildor it it has not been constructed in its entirely by licensed contractors. I understand that a copy of the applicable. law, Section 7044 of the Business and
Tofessions Code„ is available upon request when this application is submitted or at the following Web site:http:lfwww.ieginfo.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 Section 7000) of, Division 33 of the Business and Prof 'ons de, a d my license is In full force
nd effect. License Class License No Date , %% Zti 23 contractor signature
VORKERS' COMPENSATION DECLARATION U
'ARNING: FAILURE TO SECURE WORHERS' COMPENSATION COVERAGE IS UNLAWFUL,. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND D OARS (5100,000), IN AODRION TO THE
OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 0704 OF THE LABOR COOS, INTEREST, ANO 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 sel6lnsure for workers' compensation, issued by the Director of Industrial Relations asprovided for by Section 3700 of the Labor Code, for the
eribrmance of the work for which this permit is issued. Policy No.
and will maintain wom'ners' 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'
carrier and policy number are:
Policy Number
of Agent
Date
certify tire(, in the performance of the work for which this permit is issued. I shall notemploy any parson in any manner so as to become subject to the workers' compensation laws of Califorriia, and agree
If I should become subje o the workers' rompers 'on provisions of Section 3700 of the Labor Code, I shall forthwith comply With those provisions.
mature of Applicant �� �% De . Z l • 2
hereby affirm under penalty of perjury theninere is a construction lending agency for the performance of the work for which this permit is issued QSection 3097
ender's Name Lender's Address
y 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.
1 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 authorize representatives of this city or countgo enter-Ae abovp1ji[entified property for inspection purposes. r% t
OATS I 9y REGULATIONS PART 061 OFTtITLE 4CE WITH CODE OF 0 AND AOMD RL EFEDERAL
FOR OFFICE USE ONLY
PERMITEXPIREO
LJ I SUBMITTED ASBFSTOS NOTIR�ATION TO
PERMITC4NCFLLED3
PERMITEXTENDED
t-IE.,,
I InQMU
PERMIT FINAL
CERTIFICATEOF
OCCUPANCYISSUED
r
/�' •I y- t'7
_
', :54ESTC5 NOTIFICATION 15 NOT APPUCAe4E TO
PRO OSEODEIT10N
SICNATURE:X
Civil Code).
U-'E7tf� Date