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Home My WebLink AboutXC2023-0358 - Permits�EWP0,4T City of Newport Beach III�IIII��II�II�III��I�I�III�I��II�II II Community Development Department- Building Division X C 2 9 2 3 0 3 5 8 COMB Permit:XC2023-0358 p { 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2023-2210 u = Permit Counter Phone: (949) 718-1888 Issued Date : 09/28/2023 newportbeachca.gov/civic p r Final Date: s<�coaP� 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 : 1200 NEWPORT CENTER DR, 260 Description : COMM TI - SPEC SUITE 2501 SF Owner: IRVINE COMPANY Address : 110 INNOVATION DRIVE IRVINE, CA 92617 Phone: (949)720-2000 Applicant : HOLLY GRAVES Address: 18600 MACARTHUR BLVD,100 IRVINE, CA 92612 Phone : (949) 697-9401 Owner/Builder : Address : Phone: Legal Desc : P BK 316 PG 3 PAR 3 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 : ALGAZE NELSON Address : 6083 BRISTOL PKWY CULVER CITY, CA 90230 Phone: (213)929-1400 State Lic : CO21090 Engineer: Address Phone : Designer: Address Phone: Code Edition : 2022 Fire Sprinklers : YES Construction Valuation : $120,447.00 Type of Construction : III -A Fire Hazard Zone : NO Added/NewlTI sq. ft. Bldg : 0 Occupancy Groups : B No of Units : 0 Alteration sq. ft. Bldg : 2,501 Bldg Height : No of Stories : 2 Added/New sq. ft. Garage : 0 TOTAL sq. ft. : 0 Building Setbacks Flood Zone: X Use Zone : PC - Corporate Plaza West PROCESSED BY: ' I" y SPECIAL CONDITIONS: O y e placed next to the applicable ftem(s) I hereby aYfmn under penalty of perjury that I am exempt from the Contractors' Slate License Law for the reasons Indicated below by the checkmarkls) I have 'Section 7031.5, Business and Professions Code. Any city or county that requires a permit to construct, alter, improve, demolish, or repair an structure, prior to Its issuance, also requires the applicant for he 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 703L5 by any applicant for a permit subjects the applicant to a civil penalty of Tot more than five hundred dollars ($500). I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or U 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 mprovements 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 reproved for the purpose of sale). 1, 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). 1 am exempt frorn licensure under the Contractors' State License Law for the following reason 3y 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 permitI Cannot legally sell a structure that I have built asan ownor-buildor it has not been constructed in its entirety by llcensad 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:liwwvaleginfo.ca,govlcalaw.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 piYO n 3 of the Business and Proles irs ors Code, my license is in full force and effect. License Class License No L ,Contractor Signature �1 NORKERS' COMPENSATION DECLARATION NARNING: FAILURE TO SECURE WORNSRS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY's FEES. El affirm under penalty of perjury one of the following declarations: El I have and will maintain a certificate of consent to self-i)sure for Workers' Compensation, issued by the Director of industrial Relations as provided for by Section 3700 of the Labor Code, for In pe ormanco of the work for which this permit is issued. Policy No. ve 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 Insurance carrier and policy number are: Policy Number Date no of Agent rnvn� N 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 L if I should become subject to the workers' co G provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of. Applicant .. _ i & 3 CLARATION REGARDING CONSTRUCTION LENDING AGENCY T �rehy affirm under penalty of perjury that there is a construction tending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). War's Name _ Lender's Address my signature below, I certify to each of the following: I am the properly 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 above antifie property for Inspection purposes q nature Of PfODertV Owneror Authorized Adf& Print Property Owners or Authorized Agent s Name N F '7 L'� E� DateL— ACTION 1 DATE BY DECLARATION OF COMPLIANCE WITH LODE OF FEDERAL FOR OFFICE USE ONLY I i REGLILA TONS PART 61 OF TITLE 40 AND ACrAD RUI.F PF P1Rff E1 PIRED I LJ I SUBMITTED ASBESTOS NOTIFICATION TO F 'VIT CAP' LE2 1 :.. EPA f ErI,Y41T EXTENDED IIAOMD fLAPd1T RNAL �. ��bj ❑ASBESTOSNOIIFICArIONISNDI'APKICABLf 10 CCRT19CAIE OF i PBOPOSf,TU DEMOLITION OCCUPANCYI5SUED _.