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Home My WebLink AboutXC2022-2042 - Permits�tiwPoRr City of Newport Beach IIIIIIIII I IIII IIII IIIIIIIIIIII II IIIIIIII I II XC2022-2042 Community Development Depanment- Building Division X C 2 0 2 2 2 0 4 2 COMB Permit : > - - 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: PC2022-2748 ? Permit Counter Phone: (949) 644-3288 Issued Date : 01/11/2023 c P Inspection Requests Phone: (949) 644-3255 Inspection Area : 7 4C/F00.N� 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 9r —� Job Address: 450 NEWPORT CENTER DR, 4TH FLOOR Legal Desc : P BK 61 PG 10 PAR 1 Description: COMM TI 4TH FLOOR CORRIDOR AND LOBBY 905 SF Owner: IRVINE CO Contractor: PACIFIC TUSK BUILDERS CORP Architect : MORFORD PAUL Address: 111 INNOVATION Address : 1100 QUAIL ST #213 Address : 4675 MACARTHUR CT #100 NEWPORT IRVINE, CA 92618 NEWPORT BEACH, CA 92660 BEACH, CA 92660 Phone : (949) 608-9659 Phone : (213) 999-5696 Phone : (949) 863-9434 Con State Lic : 946368 State Lic : Lic Expire : 04/30/2024 Applicant : MARK YAM Bus Lic: BT30038640 Engineer : Address : 392 N LEMAY CT Bus Lic Expire : 03/31/2023 Address ORANGE, CA 92867 Phone: (626) 757-2320 Workers' Compensation Insurance Phone Carrier: INS CO OF THE WEST Owner/Builder: Policy No: WSD5041971 Designer Address : W. C. Expire : 7/1/2023 Address Phone: Phone: Code Edition: 2019 Fire Sprinklers : YES Construction Valuation : $120,000.00 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 : Bldg Height: No of Stories: 6 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 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 applicableitem(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 ie permit to rile 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 'rofessions 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 at more than five hundred dollars ($500). 3 I, as owner of the property, or my employees with wages as their sole compensation, will do (_) ail of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, lusiness 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 mprovemenls 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 nproved for the purpose of sale). 1 1, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' Slate License Law does not 5p€y 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 bcensure under the Contractors' State License Law for the following reason: Iy 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 legally ell a structure that I have built as an owner-buildor if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law. Saction 7044 of the Business and 'rofessions Code, is available upon request when this application is submitted or at the following Web site:http:liwww.leginfo.ca.gov/calaw.html. Iignature of Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under previsions of Chapter 9 (commencing with Section ) of Division 3 of the Business and Pr f $i Tie Code. an Imy license is In full force rid effect. License Class License No Date Contractor Signature VORKERS' COMPENSATION DECLARATION 'ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE 19 UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS t$100,000), IN ADDITION TO THE OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 0706 OF THE LABOR CODE, INTEREST, ANO ATTORNEY'S FEES. hereby affirm under penally of perjuryone of the following declarations: I 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 th1 erformance 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 permit is issued. My workers' carrier and policy number are: Policy Number ne of Agent _ Date I 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 workerscompensation laws of California, and agree t, if I should become soject t a workers' compens on provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applicant Date,_/.��(� ,• �/' Z� CLARATION REGA N OIN CONSTRUCTION OIN� t/ areby 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). Wer'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 properly 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 slate laws relating to building construction. I authorize representatives of this city o€ cou0)y en eyjhe atyove-10entiffed property for inspection purposes. , , _ 1, -- ACTION DATE I BY/ D-ECLARATION OF COMPLIANCE wing CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 ANO AQMD RULE EXPfRED PERMIT EXTENDED PERMITFINAL ASBESTISPOTIFICAI ION IS NOT PPUCABLE TO CERTIFICATE OE ''Y� PROPOSED TOLIT.IQ /I OCCUPANCYISSUED SIGNATDRV. %'F��;( X�`