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Home My WebLink AboutF2023-0262 - Permits4�e�'PogT City of Newport Beach IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: F2U23'U262 p - A Community Development Department- Building Division F 2 0 2 3 0 2 6 2 F 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2023-1365 Permit Counter Phone: (949) 71 B-1888 Issued Date : 07/12/2023 u r newportbeachca.gov/civic Final Date: °9<rFoaN�' Combination Type - Permit Status: Issued Work Class - Tenant Improvement 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 : 610 NEWPORT CENTER DR, 430 Legal Desc : P BK 295 PG 33 PAR 4''_ er— Description : COMM FIRE ALARM TI - R/R (2) DEVICES (XC2023-� ova Owner: IRVINE CO Contractor; PACIFIC TUSK BUILDERS CORP Architect : DICKSON OI Address: 550 NEWPORT CENTER DR Address : 1301 DOVE ST, 130 Address : 19900 MACARTHUR BLVD, 920 IRVINE, NEWPORT BEACH, CA 92660 NEWPORT BEACH, CA 92660 CA 92612 Phone: (949)453-2330 Phone: (213)999-5696 Phone: (949)656-2882 ., Con State Lic : 946368 State Lic Lic Expire: 04/30/2024 Applicant : WENDY URIARTE Bus Lic: BT30038640 Engineer Address : 19900 MACARTHUR BLVD, 200 Bus Lic Expire : 03/31/2024 Address IRVINE, CA 92612 Phone: (949) 656-2882 x705 Workers' Compensation Insurance Phone: Carrier: INS CO OF THE WEST Owner/Builder: Policy No: WSD5041971 Designer: Address : W. C. Expire : 7/1/2024 Address Phone: Phone: Code Edition : 2022 Fire Sprinklers : YES Construction Valuation : $1,250.99'.'• 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 : 18 Added/New sq. ft. Garage: 0 TOTAL sq. ft. 0 Building Setbacks Flood Zone : X Use Zone: PC - North Newport Center PROCESSED BY: 1. SPECIAL CONDITIONS I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reasons) indicated below by the checkmark(s) I have placed next to the applicable Items) ,Saclion 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 he permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' Stale 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,E by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($50D). ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or L) portions of the work; and the structure is not Intended or offered for sale (Section 7044, Business and professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the 'improvements are not intended or offered for sale. If, however, the building or Improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not builtor improved for thepurpose of sale). ❑ I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not a�lply to an owner of property who builds or Improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). L! I am exempt from Rcensure under the Contractors' State License Law for the following reason: By my signature below I acknowledge that, except for my personal residence in which I most have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legally sell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law. Section 7044 of the Business and Professions Code, is available upon request when this application is submitted orat the following Web site:hltp:t/www.£eginfo.ca.gov/calaw:html. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that. I am licensed under provisions of Chapter 9 (commencing with Se'L't�i n JAOQlof Division 3 ofthe'Btf$[ness and Prof slo C e n. d my license is In full fame and effect. License Class License No D t'e\) 12 - �3 C r faafor Signature WORKERS' COMPENSATION DECLARATION NARNING: FAILURE TC r£:'JRE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLDYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSANO DOLLARS ($100„000). IN A )OMON TO THE COST OF COMPENSATION. DAiAGES AS PROVIDED FOR W SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: .J I have and vrl' 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 trR enormance of the work for which this permit Is issued. Policy No. and will .naintein 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' carder and po -cy number are: Policy Number of .Agent Dale 71cenifv 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, end agree wt. T I should pecannel,.object to the work .compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. � � 1 t^' 11RATION Ill R a4R 1NG CONSTR.0 I�DING AGENCY Q,)a _ �f " � Z.' 2� 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 3097, Civil Code). ender's Name Lender's Address y my signature below, I certify to each of the following: I I am the property owner or authorized to act on the property owrer's behalf. I 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 county to enter the abuNe-Identified property for inspection purposes. -� jonature of Prooertv Owner or Aumonzed)kcrar t J✓-c��. h-rt�"'� _. Print Property Owner's or Authorized Agent's N-ain, a Neb LI(e Ifj� -i2 2-3 COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE. ONLY R5GULATION5 PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMITEXPIRED I I I U I SUBMITTED ASBESTOS PERMIT EXTENDED UAQMD PERMIT FINAL r e�?j I� f�R" ASBESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATE OF PROPOSED DEMOLITION OCCUPANCYISSUED _.._. SIGNATURE: