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Home My WebLink AboutXC2022-2107 - Permits�E`x'PORT City of Newport Beach II IIIIIIIIIIIIIIIIIIIIIIII IIIIIIIII IIII IIIIIII II II COMB Permit: XC2022-2107 p� d Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2022-3145 u >•G+ r Permit Counter Phone: (949) 644-3288 Issued Date : 01/04/2023 .s. Inspection Requests Phone: (949) 644-3255 Cq</Fp0.N�P newportbeachca.gov/inspections Inspection Area : 7 Combination Type - ELEC MECH PLUM Work Class - Tenant Improvement 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 : 1301 DOVE ST, 130 Legal Desc : P BK 120 PG 27 PAR 1 Description: COMM - TI "PACIFIC TUSK BUILDERS' 4,503 SF Owner: OCEAN WEST, WEST CAPITOL PARTNERS Address : 2101 ROSECRANS AVE STE3270 EL SEGUNDO, CA 90245 Phone : (213) 326-4539 Applicant : Taleen Badawi Metcalf Address : 4802 Briarhill dr. Yorba Linda, CA 92886 Phone: (323)547-5361 Owner/Builder : Address : Phone Contractor: PACIFIC TUSK BUILDERS CORP Address : 1100 QUAIL ST #213 NEWPORT BEACH, CA 92660 Phone : (213) 999-5696 Con State Lie : 946368 Lie Expire: 04/30/2024 Bus Lie: ST30038640 Bus Lie Expire : 03/31/2023 Workers' Compensation Insurance Carrier: INSURANCE+COMPANY+OF+THE+WEST Policy No: WSD5041971 W. C. Expire : 7/1/2023 Code Edition : 2019 Fire Sprinklers : YES Type of Construction : I -A Fire Hazard Zone : NO Occupancy Groups : B No of Units : 0 Bldg Height: No of Stories : 10 Building Setbacks Flood Zone : X Use Zone : PC - Newport Place PROCESSED BY: �4, SPECIAL CONDITIONS: Architect Address Phone : State Lie Engineer: Address Phone Designer : Taleen Badawi Metcalf Address : 4802 Briarhill dr. Yorba Linda, CA 92886 Phone : (323) 547-5361 Construction Valuation : $100,000.00 Added/New/Ti sq. ft. Bldg: 0 Alteration sq. ft. Bldg : 4,503 Added/New sq. ft. Garage: 0 TOTAL sq. ft. : 0 INSPECTOR 0 OWNER -BUILDER UB(.LAKA l tun I hereby affirm under penalty of perjury that I am exempt from the Contractors' State. License Law for the reasons) indicated below by the checkmark(s) I have placed next to the applicable ftem(s) ,Section 7031.5. Business and Professions Coda: 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 ing with :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 (commencpermit 7000) of Division 3 of the Business and it professions Code) or that he or she is exempt from Iicensure and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a prmit subjects the applicant to a civil penalty of not more than five hundred dollars ($50D). 1, as owner of the property, or my employees with wages as their sole compensation, will do (—) all 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 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).. El 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 Erto 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), — ❑ I am exempt from Iicensure under the Contractors' State License Law for the following reason! By my signature below I acknowledge that, except for my personal rasidence in which I most have resided for at least one year prior to completion of the improvements covered by this permit, 1 cannot legally sell a structure that I have built as an own•••ar-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 Coda. Is a, ilabia upon request when this application is submitted or at the fallowing Wab sits:httpa/www.laginfo.ca.gov/calaw.html. pate _ Signature of Property Owner or Authorized Agent LICENSED CONTRACTOR'S DECLARATION 1 iereby affirm uaCEr , �:latly of perju that I am licensed under provisions of Chapter 9 (commencing with Section 700 ) o Division 3 of the Business and Pro esskms 3 dda, and my license is in full force and effect License Class License No \�ab'tib4: Date 1 Ct '1. Contractor Signature N'Or2KERS' COMPENSATION ECLARATION iWAPNINCFAILURE'0 SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100p00), IN ADDITION TO THE CIST OF C ]MPENSA-, IL N,'JAMAGES AS PROVIDED FOR IN SECTION 370E OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. I hereby affirm ur.'-. penalty of perjury one of the following declarations: G I have and will maintain a, certificate of consent to self -insure for workers' compensalion, Issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for th performance of the work for which this permit is issued. Policy No. [Khave and will ma'nt, in 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' compensatioi insurance Carrier and policy number are: Carrier Policy Number Expiration Date ae of Agent T Certify that, In the . if I should bacon of ice 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 agree to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply With those provisions. P �, baby affirm under penalty of penury that there Is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). ides s Name Lenders Address — my signature bale,, I certify to each of the following: I am the property owner or authortzed 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 orkinances and state laws relating to building construction. I authorize representatives of this city or county to entel the ab fled property for inspection purposes. mac Pe of Prnnerty Owner or Authorized Agent\-4— Print Property Owner's or Authorized Agent's Named ACTION DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFIC€USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AOMD RULE 1403 PERMIT EXPIRED1 SUBMITTED ASBESTOS NOTIFICATION TO *IDATEBYI EPA PER,YRT EXTENDED_M6PCRIvP17 FINAL -13 SBESTOS NOTIF CATIC>NISNOTAPPLICABLE TO CEPTIFrCA7E OF OP05ED EMOLIT N OCCUPANCY ISSUED P Date