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Home My WebLink AboutXC2023-0055 -City of Newport Beach ��gWPp�T C @ Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 z Permit Counter Phone: (949) 544-3288 w.. Inspection Requests Phone: (949) 644-3255 °+yFoaN�� newportbeachca.gov/inspections Combination Type - ELEC MECH PLUM Work Class - Tenant Improvement iiiiiiiiiiiiiiii II COMB Permit : XC2023-0055 Plan Check No : PC2023-0405 Issued Date : 0312312023 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 : 610 NEWPORT CENTER DR Legal Desc : P BK 295 PG 33 PAR 4 Description: COMM TI TO 2ND FLOOR RESTROOM ACCESSIBILITY UPGRADES 430 SF Owner: 610 NEWPORT CENTER DR LLC Address : 610 NEWPORT CENTER DR STE890 NEWPORT BEACH, CA 92660 Phone: (949) 720-2400 Applicant; PACIFIC TUSK BUILDERS CORP Address: 1100 QUAIL ST #213 NEWPORT BEACH, CA 92660 Phone: (213)999-5696 Owner/Builder : Address : 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 : 03/31/2024 Workers' Compensation Insurance Carrier: INS CO OF THE WEST Policy No: WSD5041971 W. C. Expire : 7/1/2023 Architect : MORFORD PAUL Address : 4675 MACARTHUR CT #100 NEWPORT BEACH, CA 92660 Phone : (949) 863-9434 State Lic Engineer : ; - • • , Address Phone: Designer Address: Phone: Phone Code Edition : 2022 Fire Sprinklers : YES Construction Valuation : $180,090.00; Type of Construction : I -A Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg : 0 Occupancy Groups : B No of Units : 0 Alteration sq. ft. Bldg : 430 Bldg Height : No of Stories : 16 Added/New sq. ft. Garage: 0 TOTAL sq. ft. : 0 Building Setbacks Flood Zone : X Use Zone : PC - North Newport Center PROCESSED BY: ' --% SPECIAL CONDITIONS: HAULER: CR&R OWNER -BUILDER DECLARATION r 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) (Sertion 7031.5, Business and Professions Code: Any city or count' 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 fife a signed statement that he or she is licensed pursuant to the previsions 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), C1 1, as owner of the property, or my employees with wages as their sole compensation, will do L) 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 Improved 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 improvesthereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law), 0 I am exempt from licensors 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 far at least one year prior to completion of the Improvements Covered by this permit, I cannot iegall' 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 siteihttp:tiwww.leginfo.ca.gov/calaw.html. Signature of Property Owner or Authorized Agent _W Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Pro Selo Cade, d my license is In full force and effect. license Class License No Date z-22� Lei Contractor Signature WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WOR%ERT COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (E100,0001,114 ADDITION TO THE COST OF COMPENSATInN, DAMAGES AS PROVIDED FOR IN SECTION 1706 OF THE LASOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm unapr canalty of perjury one of the following declarations: ❑ 1 „Lva and wiz tr iain 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 pert rmance of inn wo,k for which this permit is issued. Policy No. IZ'have and will mointain 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` Compensation insurance carrier ar.d pc1:.y number are: Cartier _ Policy Number Expiration Date Name of Agent _ _ _ Phone # I ;^.Ci`y that, in the performance of the work for which this permit is issued. I shall notemploy any person in any manner so as to become subject to the workers' compensation laws of California, and agre that If I *ould became subject to he worker ' omp nsa n provisions of Section 3700 of the Labor Code, Ishall forthwith comply with those provisions. Signature'of Applicant Data oLcur,r,TioN REGARDING CONSTRUC ON LWDINO AGENCY I he• ty 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, Civil Code). Lender's Name Lender's Address By my signature below, I certify to each of the following: I am the property owner or authorized to act on theproperty 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 county ordinances and state laws relating to building construction. I authorize representatives of this city or only ant th identified property for inspection purposes. 5i nature di Property Owner or Authorized A en Print Property Owner's or Authorized Agent's Name �� 0 Date ACTION DATE BY DECLARAT€clv OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQrAD RULE 1403 PERMIT EXPIRED ILJ I SUBMITTED ASBESTOS NOTI FICATI0N TO PERMIT CANCELLED OEPA PFRNIT FXTFNOED Kw QM D PER'MITFINAL ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO CERTIFICATE OF G/ PROPOSED MOLI N OCCUPANCYISSUED SIGNATURE: