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Home My WebLink AboutXC2023-0336 - Permits�gWPo", City of Newport Beach II ��IIII �II�IIII�III�III �IIII �IIIII��III�I II Community Development Department- Building Division X C 2 0 2 3 0 3 3 6 0 4 COMB Permit:XC2023-0336 @ 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2023-2094 u = Permit Counter Phone: (949) 718-1888 newportbeachca.gov/civic Issued Dale : 09/27/2923 C4<�Fo0.N�P 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 : 800 NEWPORT CENTER DR, 600 Legal Desc : P BK 136 PG 22 PAR 1 Description: COMM INTERIOR OFFICE TI FOR "KBS" 7,850 SF. DIVIDE OFFICE SPACE INTO TWO UNITS 600 & 650 Owner: IRVINE COMPANY LLC Address : 111 INNOVATION DR IRVINE, CA 92617 Phone: (949)720-3100 Applicant: MARK YAM Address : 392 N N LEMAY CT ORANGE, CA 92867 Phone: (626)757-2320 Owner/Builder : Address : Phone Contractor: PACIFIC TUSK BUILDERS CORP Address : 1301 DOVE ST, 130 NEWPORT BEACH, CA 92660 Phone: (213)999-5696 Con State Lie : 946368 Lie Expire : 04/3012024 Bus Lie : BT30038640 Bus Lie 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 Lie Engineer Address Phone: Designer: Address Phone: Code Edition : 2022 Fire Sprinklers : YES Construction Valuation : $142,563.00 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 : 7,850 Bldg Height : No of Stories : 7 Added/New sq. ft. Garage: 0 TOTAL sq. ft. 0 Building Setbacks Flood Zone : X Use Zone : PC-NNorth Newport Center PROCESSED BY, v' SPECIAL CONDITIONS: I hereby affirm under penalty of,per}ury 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 end 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, as Owner of the property, or my employees With wages as their sole compensation, will do (_) all of or L) portions of the work, and the structure is not intended or offered 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). ❑ 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 and who contracts for the applyto an ownerexemptprojects of propertywho builds or Improves thereon, o ects with a licensed Contractor 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 by this permit, I cannot lagalll ,sell a structure that I have built as Be owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and Professions Code., is available upon request when this application is submitted or at the following Web site:http:/Iwww.leginfo.ca.gov/calav+.html. Signature of Property Owner or Authorized Agent _ __ _ _�,,,,,,_ Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penally of perjury that. I am licensed under provisions of Chapter 9 (commencing with Section 7000 of Division 3 of the Business and Professions Code, d my tic rise is In full force and effect License Class License No Dat Z L3 Contractor Signaltrd/ WORKERS' COMPENSATION DECLARATION R WARNING: 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 (E90,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR W SECTION 070E OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. I hereby affirm under penalty of perjury one of the following declarations: ❑ 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, for th rlance of the work for which this permit is issued. Policy No. ave 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 ranee carrier and policy number are: Policy Number f Ii 1101 re of Agent 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 t, if I should become subject to the workers' compensate provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applican _ _ _ _ I -- �. 1;�- 3 CLARATION REOMOtING CONSTRUCTION LENDING GENCY areby affirm under penaIEy 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). ider's Name Lenders Address 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 with all applicable city and county ordinances and state laws relating to building construction. I authorize representatives of this city or county to enter the atic0.yve-dentified property for inspection purposes. mature of PrODertv Owner or Authorized Agei*-'- `--A— - Print Property Owner's or Authorized Agent's Nar ACTION DATE a?'r DECLARATION-bF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE AO ANO AQ1 RUtE PERMIT EXPIRED IJ I sus b ITTE7 ASBES tip NOTIFICATION TO PERMIT CAIYCEi[ED j__ rSCNA PEWiT EXTENDED L'____ ��Ar'!M0 PtRIUHT HNAI (t�l�7iS BE$T06 NOiIFICA t10N IS NOT. APPLICABLE Tb CERTIFICATE Of Pft OSEO DEMOLITION ti 1 OCCUPANCY iSSUEO EIUNATUREy._`�/�--J _ 5' Date 2� L3