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Home My WebLink AboutXC2023-0342 - Permits (2)O��gWPORT City of Newport Beach @� Community Development Department- Building Division F n 100 Civic Center Drive, Newport Beach, CA 92660 � Permit Counter Phone: (949) 718-1888 u tea,. newporibeachca.gov/civic C44FpRN�A Combination Type - ELEC MECH PLUM Work Class - Tenant Improvement COMB Permit: XC2023-0342 X C 2 9 2 3 0 3 4 2�� II Plan Check No : PC2023-2117 Issued Date : 1010912023 R Per Date: REAM ��i�/l� Permit Status: Issued t. I t a I. n 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 : 400 NEWPORT C NTER DR, 150 Legal Desc : P BK 316 PG 3 PAR 3 Description: COMM INTERIOR SPEC SUITE TI 2,425 SF Owner: IRVINE COMPANY Address : 110 INNOVATION DRIVE IRVINE, CA 92617 Phone: (949)720-2000 Applicant: PACIFIC TUSK BUILDERS CORP Address : 1301 DOVE ST, 130 NEWPORT BEACH, CA 92660 Phone: (213)999-5696 Owner/Builder : Address : 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 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 : 2022 Fire Sprinklers : YES Construction Valuation : $109,159.00 Type of Construction : III -A Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg : 0 Occupancy Groups : B No of Units : 0 Alteration sq. ft. Bldg : 2,425 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 SPECIAL CONDITIONS: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that! 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 Perlis) ;Section 7Q31,5. Business arad Professions Code: Any city or county that TegUlres a permit to construct, alter, improve, demofish, or repair any structure, prior to Ifs Issuance, also requires the applicant for the permit to file a signed statement that lie 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 aildnI from iicensure 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), ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do U 11'of or'[) 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 ro art wh .14Lawo 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 'unproved for the purpose of sale). L.1 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 whobuilds or improvesthereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). ❑ 1 am exempt from licensure under the Contractors' State License Law for the following reason .,_..... By my signature belova I acknowledge that, except for my personal read an c a in which I must have reslded for at least one year prior to completion of the Improvements covered by this permit, I cannot legal sell a structure that I have butt as an owner-buildor if 4 has not been constructed in its entirety by licensed contractors. t 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:fiwww.leginfo.ca.gov/calavchtml. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that. I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is In full force and effect. License Class License No Date Contractor Signature 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 1SI OD,000i, IN ADDITION TOT COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, ANn ATTORNEYS FEES. ��h''IIereby affirm under penalty of perjury one of the following declarations: ,,.,t 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 Jerformance of the work for which this permit is issued. Policy No. have 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' Pence carrier and policy number are: Policy Number Expiration Date of Agent Phone d _ 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 , if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply Will those provisions. nature of Applicant Date_ _ CLARATION REGARDING CONSTRUCTION LENDING AGENCY Ireby affirm underpenalty of perjury that there is a construction lending agency for the performance ofthe work forvrhich this permit Is issued (Section 3097, Civil Code). lder's Name Lender's 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 above -identified property for inspection purposes. nature of Property Owner or Authorized Agent Print Prooertv Owner's or Authorized Aaent's Name ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART HI. OF TITLE 40 AND AQMD RULE '.. 1403 PERMIT EXPIRED j I LI I sunivuTTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED —f T�y--- _r LILPA _....... ........... P€RMYT EXTENDED _.__. ...._.. ..__.r-7 I MQ' M_ D PERMIT FINAL �'(� t IE f L.-,I ASBESTOS NOl"1F1CA71UN IS NUl APPCICAtlLf i0 CERTrffCATE OF lI PROPOSED DEPOCUTION OCCUPANCY ISSUED I SIGNATURE: