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Home My WebLink AboutF2022-0567 - Permits�2E`wPORT City of Newport Beach p - @ Community Development Department - Building Division S4 �" 100 Civic Center Drive, Newport Beach, CA 92660 U Permit Counter Phone: (949) 644-3288 Inspection Requests Phone: (949) 644-3255 cqt/FepN�P newportbeachca.gov/inspections Combination Type - Work Class - Other F 2 0 2 2 0 5 6 7II COMB Permit : F2022-0567 Plan Check No : PC2022-2748 Issued Date : 0111112023 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 : 450 NEWPORT CENTER DR, 4TH FLOOR Legal Desc : P BK 61 PG 10 PAR 1 Description: COMM FIRE ALARM SYSTEM 16 DEVICES (XC2022-2042) Owner: IRVINE CO Contractor: PACIFIC TUSK BUILDERS CORP Address: 111 INNOVATION Address : 1100 QUAIL ST #213 IRVINE, CA 92618 NEWPORT BEACH, CA 92660 Phone: (949)608-9659 Phone: (213)999-5696 Applicant: MARK YAM Address: 392 N LEMAY CT ORANGE, CA 92867 Phone: (626)757-2320 Owner/Builder : Address: Phone Con State Lic : 946368 Lic Expire : 04/30/2024 Bus Lic: BT30038640 Bus Lic Expire : 03/31/2023 Workers' Compensation Insurance Carrier: INS CO 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: SPECIAL CONDITIONS: Architect : MORFORD PAUL Address : 4675 MACARTHUR CT #100 NEWPORT BEACH, CA 92660 Phone: (949)863-9434 State Lic Engineer: Address: Phone: Designer: Address: Phone: YES Construction Valuation: NO Added/New/TI sq. ft. Bldg 0 Alteration sq. ft. Bldg : 6 AddedlNew sq. ft. Garage TOTAL sq. ft. : $5,455.00 0 0 0 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjurythat I am exempt from the Contractors' State License Law far the reason(s) indicated below by the checkmark(s) I have placed next io the applicable items) (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 Gr 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 ponalty 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 U all of or U portions of She 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. IL 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)- 0 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), ❑ I 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 In completion of the improvements covered by this. permit, I cannot legally 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 theapplicable law, Section 7044 of the Business and Professions Code, is available upon request when this application is submitted or at the following Web site:httpliwww.leginfo.ca.gov/celaw.html. 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 ) of Division 3 of the Business and Pr s ns Co , a d m yticense is in fall force and effect. License Class License No Date f • Contractor Signature WORKERS' COMPENSATION DECLARATION WARNING: 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 r1aQ0,000i, IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3705 OF THE LABOR COOS, INTEREST, AND ATTORNEY'S FEES, I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 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 tht performance of the work for which this permit is issued. Policy No. have and will maintain 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' fence carrier and policy number are: Policy Number of Agent Date certify that, in the performance 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 L if I should beco s tact to a workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applicant, Data l� CLARATION REG. TRUC60CUOING AGENCY Ireby affirm under penalty of perjury that there is a construction lending agency for the performance ofthe work for which this permit is issued (Section 3097, Civil Code). Ider's Name Lender's Address any 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 city and county ordinances and state laws relating to building construction. I authorize representatives of this city or counlf'��(,' a the a ve-identifie property for inspection purposes,!r`/ ,� nature of PrODertv Owner or Authorized AGent / \ ( Print Prooenv Owner's or Authorized ADent's Name 7. AJO) LX-O V ACTION DATE. BY j DECLARATION OF COMPLIANCE TITLE4 WITH CODE OF FEDERAL AL FOR OFFICE USE ONLY I PERMIT EXPIRED I f I LJ I SUBMITTED ASBESTOS NOTIFICATION TO PERMITCANCELLED 11 it @PA PERMIT FINAL � Ii fQl Jkp VZVA, jtiI ASBESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATE OF j!i PROPOSED DEMOLITION OCCUPANCY153UED SIGNATURE: -