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Home My WebLink AboutXC2022-2083 - Permits4 ��WPoRr City of Newport Beach 0 Community Development Department- Building Division Fy 100 Civic Center Drive, Newport Beach, CA 02660 = Permit Counter Phone: (949) 644-3288 .M Inspection Requests Phone: (949) 644-3255 Cgi1FO�N\� newportbeachca.gov/inspections Combination Type - ELEC MECH PLUM Work Class - Tenant Improvement COMB Permit: XC2022-2083 X C 2 0�� II Plan Check No : PC2022-2974 Issued Date : 12/23/2022 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, 3RD FLOOR Legal Desc : P BK 295 PG 33 PAR 1 PARCEL MAP 295-33 PAR 1 FOR OF PAR Description : COMM TI (3RD FLOOR RESTROOMS) 357 SF Owner: 620 NCD LLC Address : PO BOX 2450 NEWPORT BEACH, CA 92658 Phone: (949)720-2156 Applicant: MARK YAM Address: 392 N LEMAY CT ORANGE, CA 92867 Phone: (626)757-2320 Owner/Builder : Address : 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: INSURANCE+COMPANY+OF+THE+WEST Policy No : WSD5041971 W. C. Expire: 7/1/2023 Architect : MORFORD PAUL Address : 4675 MACARTHUR CT #100 NEWPORT BEACH, CA 92660 Phone : (949) 863-9434 State Lie Engineer: Address : Phone: Designer: Address : Phone: Phone: Code Edition : 2019 Fire Sprinklers : YES 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 : 16 Added/New sq. ft. Garage: TOTAL sq. ft. : Building Setbacks Flood Zone : X Use Zone : PC - North Newport Center f PROCESSED BY: SPECIAL CONDITIONS: $1 so,GA.00 0 0 0 " OWNER -BUILDER DECLARATION 1 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 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 the 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 professions 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 not more than five hundred dollars ($500),. :1 I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or L) portions of the work, and the structure is notintended oroffered for sale (Section 7044, Business 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 Improvements 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 Improved for the purpose of sale). 0 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 apply 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 am exempt from licensure under the Contractors' State License Law for the following reason By 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-Iegall; sell 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 copyof the applicable law, Section 7044 of the Business and Professions Code., is available upon request when this application is submitted orat the following Web site;httpJiwww.leginfo.ca.gov/calaw.html. Signature of Property Owner or Authorized Agent _ Date LICENSED CONTRACTOR'S DECLARATION f I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 0 0) o{{ Division 3of the Business and Pr s1 ns e, and ry license is in full force and effect. License Class License No Date G . 23, " Contractor Signature '1VORFCERS' COMPENSATION DECLARATION NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (E100,000), 3N ADDITION TO THE COST OF COMPENSATION, DAMAGES AS 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: 13 1 have and will maintain a certificate of consent to self -insure for workers' compensation, Issued by the Director of Industrial Relationsas provided for by Section 3700 of the Labor Code, for th �eArmance of the work for which this permit is issued. Policy No. 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' carrier and policy number are: Policy Number Expiration Date of Agent :1I certify that, in the In Since 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 worker ' co pensation laws of Califomia, and agre iat, if I should become�su jsot the w kers' co ensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. l gnalure of Applicant A Date l% - Z& • 2 Z YSIntARATION REGA. 1N ONST CTI N L LADING AGENCY hereby affirm u„der ae..alty of perjury that the a construction lending agency for the performance of the work for which this permit Is issued (Section 3097, ivil ode). .audei„Name _ Lender's Address 'y my ^Ignature below, I certify to each of the following: I am the properly owner or authorized to act on the property owner's behalf. I h,ve read th,s app.ication and the information I have provided is correct. I n*Iree to cor ,ply x;th all applicable city and county ordinances ant ate laws reiating to building. construction. I a nnorize reps esertatives of this city or co nt t nter t abe' itl piffled property for inspection purposes. aa II 7hnature of Proaa.ty Owner or Authorized Aoent Print Procertv Owner's or Authorized Aaent's Nam /VV t_-�t\ L-Yt)A / Data Y/2. Z3 -t PATE I BY 1/ f REGIJLATIO'NX PART 61 OFANCE W17H TITLE 40 AND DDE OF ACMD RULE FOR OFFICE USE ONLY ASBESTOS NOTIFICATION TO PERMITFINAL Of I�f'w —75 �PROP�OSEDBE" DEN TITIOA71 /IS�Ny\OAT APPLICABLE TO OCCUPANCY ISSUED SIGNATllRE: 1w I1