HomeMy WebLinkAboutF2023-0251 - Permits�aEW RT City of Newport Beach II IIIIIIII II II�III II I II III IIII IIII II I II COMB Permit: F2023-0251
o �n Community Development Department -Building Division F 2 0 2 3 0 2 5 1
F } Y 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2023-1320
6 rr► T Permit Counter Phone: (949) 718-1888 Issued Date : 06/28/2023
newportbeachca.gov/civic
Inspection Area: FIRE
Combination Type-
'� 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
Job Address : 800 NEWPORT CENTER DR, 100 Legal Desc : P BK 136 PG 22 PAR 1
Description : COMM FIRE ALARMS 1 DEVICE (XC2023-0187)
Owner: IRVINE COMPANY LLC
Contractor: PACIFIC TUSK BUILDERS CORP
Architect
Address : 111 INNOVATION DR
Address : 1100 QUAIL ST #213
Address
IRVINE, CA 92617
NEWPORT BEACH, CA 92660
Phone : (949) 720-3100
Phone : (213) 999-5696
Phone
Con State Lic : 946368
State Lic
Lic Expire : 04/30/2024
Applicant : JAMIE PHAM
Bus Lic: BT30038640
Engineer
Address : 18600 MACARTHUR BLVD, 100
Bus Lic Expire : 03/31/2024
Address
IRVINE, CA 92612
Phone: (949) 608-3771
Workers' Compensation Insurance
Phone:
Carrier: INS CO OF THE WEST
Owner/Builder :
Policy No: WSD5041971
Designer: H C I SYSTEMS INC
Address :
W. C. Expire : 7/1/2023
Address : 1354 S PARKSIDE PL
ONTARIO, CA 91761
Phone:
Phone: (909) 628-7773
Code Edition : 2022
Fire Sprinklers : YES
Construction Valuation : $6,238.00
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 : 7
Added/New sq. ft. Garage : 0
TOTAL sq. ft. : 0
Building Setbacks
Flood Zone : X
Use Zone : PC - North Newport Center
PROCESSED BY:.C�
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 applicable items)
(Section 70315, 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 Tile 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 Ifeensure 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 (S500).
I, as owner of the property, or my employees with Wages as their sole compensation, will do {_,.,) 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. 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
im roved for the purpose 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
EDa ly 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 l acknowledge that, except for my personal residence in which I must have resded 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 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:fittp:lhvww.teginfo.ca.govlcataw.html.
Signature of Property Owner or Authorized Agent Date
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under Density of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 700 Divisl 3 of the Business and Professions C_ a my case is in full force
` L 5 Contractor Signature _ o and effect. License Class License No Date Y' ' 2�' g
COMPENSATION DECLARATION
INGFAiLURL TC SECJRE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRMNAL PENALTIES AND CIVIL. FINES UP TO ONE HUNDRED THOUSAND DOLLARS 0100,000), IN ADDITION TO T
OF COMPENSATIOA, DAMAOES AS PROVIDED FOR IN SECTION 7TOS OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES.
iby affirm under penalty of perjury one of the following declarations:
hive and ,•rill riatnaim 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
imance of the work for which this permit is issued. Policy No,
and wi;l 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'
carder and policy number are:
of 'kgent
Policy Number Expiration Date
Phone #
Le,t,fy 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
, 't f hould b,co nB uhiect,fo that w Ikons' pensatlon provisions ofSection3700 of the LaborCode, I shall forthwith comply with those provisions. /
iature of Applicant. . _. \\`'�e�' �` Date, (9 Z �' 2 3
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).
ider`s Name Lender's Address
my signature below, Icertify 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 Incorrect.
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 anteA the pbo)M4dentiffed property for inspection purposes. p _,
ACTION DATE. RV I DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR O NCE USE ONLY
I REGULATIONS PART 61 OF TITLE 40 AND AOMD RULE
1403
NOTIFICATION 15 NOT APPLICABLE TO
CERTIFICATE OF