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HomeMy WebLinkAboutF2023-0070 - Permits�EWPoR City of Newport Beach Community Development Department - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 644-3288 Inspection Requests Phone: (949) 644-3255 C9</FOFN�P newportbeachca.gov/inspections Combination Type - Work Class - Tenant Improvement COMB Permit : F2023-0070 F 2 0����������������������������������������������� �I Plan Check No : PC2023-0293 Issued Date : 02127/2023 Inspection Area : FIRE 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 Description : Owner: Address Phone 888 SAN CLEMENTE DR, 150 Legal Desc : A TR IRVINE SUB BLK 55 IRVINE SUB., FOR OF BLOCK 55. COMM FIRE ALARMS 1 DEVICE (XC2023-0035) IRVINE CO Contractor 111 INNOVATION Address IRVINE, CA 92618 Phone: Applicant: MARK YAM Address : 392 N LEMAY CT ORANGE, CA 92867 Phone: (626)767-2320 Owner/Builder : Address : Phone: PACIFIC TUSK BUILDERS CORP 1100 QUAIL ST #213 NEWPORT BEACH, CA 92660 (213)999-5696 Con State Lie : 946368 Lie Expire : 04/30/2024 Bus Lie : BT30038640 Bus Lie Expire : 03/31/2023 Workers' Compensation Insurance Carrier: INS CO OF THE WEST Policy No : WSD5041971 W. C. Expire : 7/1/2023 Code Edition : 2022 Fire Sprinklers : YES Type of Construction : II-B Fire Hazard Zone : NO Occupancy Groups : No of Units: 0 Bldg Height : No of Stories : 4 Building Setbacks : Flood Zone : X Use Zone : PC - North Newport Center PROCESSED BY: -- SPECIAL CONDITIONS: Architect Address Phone: State Lie Engineer: Address Phone Designer: BUILDING ELECTRONIC CONTROLS Address: 2246 LINDSAY WAY GLENDORA, CA 91740 Phone : (909) 305-1600 Construction Valuation : $2,592.00 Added/Now/Ti sq. ft. Bldg: 0 Alteration sq. ft. Bldg : Added/New sq. ft. Garage: 0 TOTAL sq. ft. : 0 a 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). El 1, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or L) 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. It, 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 thepurpose 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 fallowing 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 legal sell a structuro that I have bull) as an owner -builder if it has not been constructed in its entirety by licensed contractors.) 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.html. Signature of Property Owner or Authorized Agent _ _ Date. LICENSED CONTRACTOR'S DECLARATION ��//if I hereby affirm under penalty of peg'ury that I am licensed under provisions of Chapter 9 (commencing with SecGorT\7000) of Division 3 of the Business and P ess' s Co and. m"cense is In full force and effect. License Class License No D e 7 '2%' L3 Contractor Signatu '[_,,, " 2KERS' COMPENSATION DECLARATION / tf � U Nat 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 ($100,090)., IN ADDRION TO THE OF COMPENSATION, 13AMAOFS AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYe 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. and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permitis issued. My workers' carrier and policy number are: Policy Number Expiration Date of Agent Phone #_ LJI certify that, in the pert rmance of the work for which this permit is issued, shall not. employ any person in any manner so as to become subject to the workers' compensation laws of California, and ogre that, if I should become s ct to the workers' corn nsalion provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Signature of Applican4 ��^I'�� to �" Z�" - Z-• 3 DECLARATION RE.OAR NG CORSTRUCTION L N l AGENCY I hereby 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 3 7, Civil Code). Lender's Name Lenders Address By 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 ally and countyirlirdiranGes and slate laws relating to building construction. I authorize representatives of this city or county, a ab ve-I entitled property for inspection purposes. II Si nature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Nam Y� �7 b4 e-,] Oa. 2-T�1 73 ACTION DATE. BY DE RAT€ON OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITI.F 40 AND AQMD RULE 1403 PER'MITEXPRED I SUBMITTED ASBFSTOS N_GPFIr1,110^1 TO PERMIT CANCELLED OfPA _._........ _.... PERMIT EXTENDEDD QMD 7FROP-��B� PERMiT FINALnE5T5 OTIPiCAt10N I5N TAPPLIAaLE70 CERTFICATE OF qh/ GJ PSED MO ITIO OCLUPANCYiSSUED GGCVI/r SNATUR : �r�W