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Home My WebLink AboutX2019-0341 - Permitsn� City of Newport Beach - Building Division IIIIIIIIIIIIIIIIUIIIIIIIIIIIIIIIII�ll II COMB Permit: X2019-0341 4a. 100 Civic Center Drive, Newport Beach, CA 92660 x 2 0 1 9 0 3 4 1 Project No : 0238-2019 '. Permit Counter Phone (949)644-3288 SAY Inspection Requests Phone (949)644-3255 Combination Type - CIP PLUM Issued Date: Inspection Arearea :2019 7 - PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. Construction Hours: Monday - Friday 7:00 a.m. to 6:30 p.m. and Saturday from 8:00 a.m, to 6:00 p.m. No work on Sundays or Holidays Job Address: 680 NEWPORT CENTER DR NB St: 1 FI: 1 Description: COMM TI 455 SF NIS RESTROOM ACCESSIBILITY UPGRADES Legal Desc.: P.M. 295-33 PAR 7 AND POR PAR fi a Owner: IRVINE CO Address: 550 NEWPORT CENTER DR NEWPORT BEACH, CA 92660 Phone: Applicant: YAM MARK Address: 392 N LEMAY CT ORANGE CA 92867 Phone: 626-757-2320 Code Edit: 2016 Type of Construction V-BSPR Occupancy Group: B Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories:. 16 No of Units : 0 Bldg Height: 0 Bldg Sprinklers: Y Contractor: PACIFIC TUSK BUILDERS CORP Address: 1100 QUAIL ST #213 $1,113.00 NEWPORT BEACH CA 92660 Phone: 213-999.5695 Con State Lic: 946358 Lic Expire: 04130/2020 Bus Lic BT30038640 Lic Exp Date: 0313112020 Worker's Compensation Insurance Carrier: INS OF THE WEST Policy No: WSD504197100 Expire: 07/01/2019 Building Setbacks Rear: / $0.00 Front: / $0.00 Left: / Building Green Fee : Right: / Construction Valuation: $100.000.00 Phone: Building Permit fee: $1,113.00 Excise Tax: Plan Check Fee: $968.31 - - Additional Fee: Overtime Plan Ck: $0.00 Grading Bonds Fee: Investigation Fee: $0.00 Grading PC Consultant: Record Management: $8.00 Grading Permit Fee: Energy Compliance: $0.00 Grading PC Fee: CA Seismic Safety: $0.00 WQ Insp. Fee: Disabled Access : $0.00 $0.00 Hazardous Mat $0.00 Electrical %: Building Green Fee : $4.00 Mechanical %: Refund Deposit Plumbing %: TOTAL FEE: $2,233.48 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Architect: MORFORD PAUL Address: 4675 MACARTHUR CT#100 Phone: Special Conditions: Fire Hazard Zone : N $0.00 NEWPORT BEACH CA 92660 Phone: 949.863-9434 State Lic:C019058 Engineer: $0.00 Address: Phone: State Lic: Designer: Fair Share : Address: $0.00 Phone: Special Conditions: Fire Hazard Zone : N $0.00 Planning Department- Fire Department $0.00 Plan check Fee: $40.00 Fire Inspection: $0.00 Fair Share : $0.00 Fin: Plan Rev $0.00 SJH Trans : $0.00. Demolition Fee $0.00 In -lieu Housing Fee: $0.00 Building Dept Adm $0.00 Public Works Department - General Service $0.00 Park Dedication.: $0.00 Refund Deposit PAN Plan Check: $0.00 Grading Bond: $0.00 San Dist: $0.00 $0.00 NMUSD Fee: $0.00 $100.17 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Plan Check Fee : $1,008.31 Fee Due at Permit Issuance : $1,225.17 b OF -PUWC WORKS APPROVAL: F 5 b® 44 < f PLAN CHECK BY: °0•APPROVAL TO ISSUE: 4 6 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 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 the permit to file 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 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 (_) all of or U 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 im roved for the purpose of sale). 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). ❑ 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 covered by this permit, I cannot legall) 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://www.leginfo.ca.gov/calaw.htmi. 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 000) ( ' 'si 3 o he Business and Pr - sions din iceas p�'In full force and effect. License Class License No Date Contractor Signature /L NORKERS' 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 HUNDR D THOUSAND DOLLARS ($100,000), IN AUDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: I have and will maintain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for 'ormance of the work for which this permit is issued. Policy No. have andII r�rgintain worka&1compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' Number Expiration Date ie of Agent lrSCit_. T"y v 1 1124& certify that, in the performance of the work for which this permit is if I should become sul$lect to the workers' compensation provisic of I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree action 3700 of the Labor Code, I shall forthwith comply with those provisions. CLARATION REGARD' G CONSTRUCTION LENDING AGENCY :reby 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 Ider'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. 1 have read this application and the information I have provided is correct. I agree to comply with all applicable city and cou ty ordinances and state laws relating to building construction. I authorize representatives of this city or c _ t o anti ove-identif' property for inspection purposes. �/f nature of Prooertv Owner or Authorized AGent , /% //.1� �rf t%/1 Print Prooertv Owner's or Authorized ADent's Nams 6D ACTION DATE BY I RPECLARATION EGULATIONS OF COM0 TILE 40ANDD AQMWITH CODE F FEDERUDERAL FOR OFFICE USE ONLY PERMITEXP/RED U I SUBMITTED ASBESTOS NOTIFIC/(AON T4 PERMITCANCELLED OEPA • • �• s—�•• • • s PERMIT EXTENDED UAQMD PERMITF/NAL '�,/(p ASBESTOS NOTIFIC6,TION IS NOT APPLICABLE TO CERTIFICATEOF PR OSEDE E O •i- • • • • ••• OCCUPANCYISSUED SIGNATOR Civil Code).