HomeMy WebLinkAboutXC2022-1967 - Permits"EWpo ,?r City of Newport Beach
o� �11111111111111111111111IliIIIIIIIIIIIIIII11111111111 II COMB Permit: XC20221967
11, Community Development Department- Building Division X C 2 0 2 2 1 9 6 7
100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2022-2371
Permit Counter Phone: (949) 644-3288 Issued Date : 11/0712022
�aInspection Requests Phone: (949) 644-3255 Inspection Area : 7
newportbeachca.gov/inspections
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: 660 NEWPORT CENTER DR, 1450 Legal Desc : P BK 295 PG 33 PAR 6 P.M. 295-33 PAR 6 FOR OF PAR
Description: COMM TI "WESTPORT PROPERTIES" 7328 SF
Owner: IRVINE COMPANY LLC
Address : 111 INNOVATION DR
IRVINE, CA 92617
Phone: (949)720-3100
Applicant:
NICOBABIC
Address:
5301 CALIFORNIA AV, 100
IRVINE, CA 92617
Phone:
(949)701-4050
Owner/Builder
:
Address :
Phone
Contractor: PACIFIC TUSK BUILDERS CORP
Address : 1100 QUAIL ST #213
NEWPORT BEACH, CA 92660
Phone: (213)999-5696
Con State Lic : 946368
Lic Expire : 04/30/2024
Bus Lic: BT30038640
Bus Lic Expire : 03/3112023
Workers' Compensation Insurance
Carrier: INSURANCE+COMPANY+OF+THE+WEST
Policy No: WSD5041971
W. C. Expire: 7/1/2023
Code Edition : 2019
Fire Sprinklers :
Type of Construction : I -A
Fire Hazard Zone
Occupancy Groups : B
No of Units :
Bldg Height:
No of Stories
Building Setbacks :
Flood Zone : X
Use Zone: PC - North Newport Center
PROCESSED BY:
Architect :
KELLY JAMES
Address:
5161 CALIFORNIA AVE #100 IRVINE. CA
92617
Phone:
(949)701-4139 _
State Lic
Engineer:
Address
Phone:
Designer:
Address
Phone :
NO Construction Valuation :
NO Added/New/TI sq. ft. Bldg
0 Alteration sq. ft. Bldg :
Added/New sq. ft. Garage
TOTAL sq. ft. :
SPECIAL CONDITIONS: DO NOT FINAL UNTIL XC2022-1889 EXTERIOR ACCESSIBLE IMPROVE[MEN`r S IS FINALED
e`
4 ;l
s, l
s
$800,000.00
0
DECLARATION
I hereby SMITH under penally of perjury that I am exempt from the Contractors' State License Law for the resson(s) indicated below by the checkmark(s) I have placed next to the applicable Item(s)
Section 7031.5, Business and Professions Code: 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
he permit to file a signed statement that he or she is licensed 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 licensure and the basis forthe alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of
lot more than five hundred dollars ($500).
D I, 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 Contmctors' 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
mproved 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).
.1 1 am exempt from licensure under the Contractors' State License Law for the following reason: _ _ _
By 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 Bred by t is permit, 1 cannot legall,
sell a structure that I have bualt as an owner -builder if It has not been constructed in its entirety by licensed contractors. I understand that a copy of tho applicable law, ch n 7044 f the sines and
Professions Code, is available upon requestwhen this application is submitted oral the following Web site:http://www.leginfo.ca.gov/colavi.htmi.
Signature or Property Owner or Authorized Agent a
LICENSED CONTRACTOR'S DECLARATION q�
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 00 j f ' i r(f3 Gthe Business and Prof sions . a my lic 's In full force
and effect, license Class License No Date t� Contractor Signature
WORKERS' 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 TH AND DOL S IEID0.000i, IN ADDITION TO THE
COST OF COMPENSATION. DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST. AND ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the following declarations:
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
'mance of the work for which this permit Is issued. Policy No.
and will maintain workers'
carrier and policy number
of Agent
insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers'
Number Expiration Date
Phone &
certify that, in t rformance of a rk o which per ' Issued, I shall not employ any person in any manner so as to become subject to the worker ' compensation laws of California, and agre
t, if I should becd subject to the r ors' mp ovisions of Section 3700 of the labor Code, I shall forthwith comply with (hose provisions.
nature of Applicant Date 7 Z
CLARATION REG RDING CO T UCTI N LENDING AGEN
Ireby affirm under penalty of pe rythat the a is a construction lending agency for the performance of the work for which this permit Is issued (Section 3097, Ivil ode).
Idar 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 prVe
If.
I have read this application and the information I haveme
I agree to comply with all applicable city and u y oI g to building construction.//1 authorize representatives of this city or count ad for inspection purposes.��V nature of Prooertv Owner or Authorized Aaenl '\Print Property Owner's or Authorized Aaent's Nam I Day I ! C
ACTION DATE BY J DFLLARATION OFCOMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
1403
PERMIT EXPIRED I sur-MITTED P SBESTJa AOTI FICATIO TO
PERMIT CANCELLED CPI.
PERMITEXTENDED A II �a1.✓.D
PERmrrFINA1 /6'75-Zff ASBEST SS�y'NtiOTIF rION 5NOT P .1 B TO
OCCUPANCy�SUED - 51GNfOTL'RE. OLU .\ . Q