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Home My WebLink AboutXC2023-0357 - Permits�EWPO�r City of Newport Beach II IIIIII I I IIIII IIIIIIIII IIII IIIII II I II II II COMB Permit: XC2023-0357 I +' 1 Community Development Department - Building Division X C 2 0 2 3 0 3 5 7 r n 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: PC2023-2208 D $ Permit Counter Phone: (949) 718-1888 Issued Date : 09/28/2023 <m. newportbeachca.gov/civic Final Date: 4cgC/FO PN�P 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, STE 280 Description: COMM TI -SPEC SUITE 1616 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 Lie : 946368 Lie Expire : 04/30/2024 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 Code Edition : 2022 Fire Sprinklers : Type of Construction : III -A Fire Hazard Zone Occupancy Groups : B No of Units : Bldg Height : No of Stories Building Setbacks Flood Zone : X Use Zone : PC - Corporate Plaza West Architect : ALGAZE NELSON Address : 6083 BRISTOL PKWY CULVER CITY, CA 90230 Phone : (213) 929-1400 State Lie : CO21090 Engineer Address Phone : Designer Address Phone: YES Construction Valuation : $64,218.00 NO Added/NeW/TI sq. ft. Bldg: 0 0 Alteration sq. ft. Bldg: 1,616 2 Added/New sq. ft. Garage: 0 TOTAL sq. ft. : 0 PROCESSED BY: !?_� SPECIAL CONDITIONS: rat OWNER -BUILDER DECLARATION I 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 Cade: 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 fie 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 fora permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). 0 I, 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, 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 buill or improved 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 Improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). Ell am exempt from licensure under the Contractors' Slate License Law for the foflowing reason: By my signalure below] 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 Iogall soil a structure that I have built as an owner -builder if it has not been constructed in its entiroty by licensed contractors. I undorstard 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.leginto.ca.gov/calaw.html. Signature of Property yawner Or Authorized Agent Date _ LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penally of perjury that 1 am licensed under provisions of Chapter 9 (commencing with S 7�000 f Division 3 of the Business and Prof scions d my license is In full force ,Z, and effect. License Class License No Z 3Contractor Signature WORKERS' COMPENSATION DECLARATION 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 ($100.000), IN ADDmON TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 370E OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm under penalty of perjury one of the following declarations: ❑ I have and Wi11 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 Ih error lance 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' compensatio Insurance carrier and policy number are: Carrier Policy Number Expiration Date Name of Agent _ Phone tE I certify that h1 the performance of the Work for which this permit is issued. I shall notemploy any person in any manner so as to become subject to the workers' compensation laws of California, and agre that, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply With those provisions. G c • / DECLARATION FYCGARDING CONSTRUCTION LENDING AGENCY I hereby affirm under penalty 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). I..Ruder 's Name _ Lender's Address _ By my signature below, cenify 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 In comply with all applicable city and county ordinances and state laws relating to building construction. I authar'¢e represenlet'ives of this city or county to enter the aooyeddentthed property for inspection purposes. I i Pro art Owner or Aulbolized A earl t -��. F. f 1'Prw311 PropertyOwner's or Authorized A ants Name I�� 1� Date ACTION _... DArr fir ': DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOP, CFFICE USE ONLY RFOdJLATIONS PART 5t DFTITLE 40 AND AQFAD RULE, 1403 PERMiTEXPiRED L1 I SUBMITTED ASBFSTOS NOTIFICATION TO ..... ----------------- .. .-.-. . PERMlTCANCELLE - -- --- CPA PERMIT EXTENDED I QMD PCR,YIlT FINAL Z-Z—ZK f� -..59E5T05 N07IHc.At10N IS N01 APPLICABLE T'U CERTIFICATE OF , PROPOSED DEMOLITION OCCUPANCY ISSUED