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Home My WebLink AboutXC2023-0342 - PermitsCity of Newport Beach 1�11jjjj�p11111p111111►111111►p111111111111l 11COMB Permit : XC2023-0342 Community Development Department- Building Division X C 2 0 2 3 0 3 4 2 N n 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2023-2117 t n Permit Counter Phone: (949) 718-1888 Issued Date : 10/09/2023 �'�'�� newportbeachca.gov/civic Final Date: °9<:,r�„ 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 : 1400 NEWPORT CENTER DR, 170 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 : 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 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 PROCESSED BY SPECIAL CONDITIONS !!p I4" �T^ Architect Address : : MORFORD PAUL 4675 MACARTHUR CT #100 NEWPORT BEACH, CA 92660 , Phone: (949)863-9434 State Lic Engineer: Address Phone : Designer: Address Phone: YES Construction Valuation : NO Added/New/TI sq. ft. Bldg 0 Alteration sq. ft. Bldg : 2 Added/New sq. ft. Garage: TOTAL sq. ft. : $109,159.00 0 2,425 0 0 DECLARATION I hereby aflinn under penalty of perjury that I am exempt from the Contractors' State License Law for the mason(s) indicated below by the checkmark(s) I have placed next to the applicable items (Section 7031.5. Business and Professions Code: Anv 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 lie or she is licensad pursuant to the provisions of the Contractors' State License Low (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt from fioensure 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). 0 1, as owner of the property, or my employees with wages as their sole compensation, will do U all of or (_) portions of the work, and the structure is not intended oroffered for sale (Section 7044, Business and Professions Code: The ContractorsSlate License Law does not apply to an owner of property who, through employees' or personal effort, hinds 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 improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). 0 I am exempt from licensers under the Contractors' State License Law for the following reason By my signature below P 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, 1 cannot Iagail 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 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:liwww.leginto.ca.gov/calaw,html. Signature of Property Owner or Authorized Agent. ...... v Date LICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with S ion 70 ) of Division 3 of the Bu as d fessions Cod .. n my license is In full force and effect. License Class License No D Contracio I natu NORKERS' COMPENSATION DECLARATION YARNING: FAILURE ,L bECUkE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLDYER TO CRIMINA PENALTIES AND CIVIL FINES UP T ONE UNDRED THOUSAND DOLLARS 16100,D00f, IN ADDITION TO THE ]nST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. horeby elflrm under penalty of perjury one of the following declarations: ha.e 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 \forum nce of the work for which this permit is issued. Policy No. and will m iin+am 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 ,,I Agent _ T Date I cirtiTy, that, in Vti per'ormance of the work for which th permit is issued. I shell not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre 1, if I she ecome s•Ibject t he_ workers eompensa I n provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. / InawrR of Apf�A• anf ,..,�._.._ _ -- .....___,._ ._.� ______._._ 0,a(�(a\,� ' ii 3 'CLARATION FL�> rDING CONSTRUCTION LEND AG. r l sraby affirm un r penath, of perjury that there Is a con uction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). order's Name Lenders Address my signature balov, ii esr ify 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 compiv wdh all applicable city and county ordinances and state laws relating to building construction. I authorize representatives of this city or cc u (y to enter the abo denofied property for inspection purposes. ^\ nature of Property Owner or Authorize �P�g nl Print Prooertv Owner's cr AuthoriiRd An.t Na., Lgg1,i in • =� .7 Z ACTION PERMIT PERMIT EXTENDED PER,ViIT FINAL CERTIFICATE OF OCCUPANCY ISSUED DATE I /1 19Y DECLARATi F COMPLIANCE WITH CODE OF FEDEI REGULATION ARl"61OFTITLE40ANOAOP.IDRULE 1403 [JISURMITTFDA5BFSTO,SNC)TIFICATIONTO t2M D s E57 N011FiCAl'ION 15 NOt 0IJUCABLE TO FOR OFFICE USE ONLY