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Home My WebLink AboutF2023-0451 - Permits�EwaoRT City of Newport Beach II��IIIII�IIIIIIIII�IIII�IIII��IIIIIII II 0� @ Community Development Department - Building Division F 2 9 2 3 m 4 5 , COMB Permit: F2023-0451 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2023-2292 S Permit Counter Phone: (949) 718-1888 Issued Date : 10/09/2023 newportbeachca.gov/civic Final Date: q�uos�� 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 : 888 SAN CLEMENTE DR, 130 Legal Desc : A TR IRVINE SUB BLK 55 IRVINE SUB., FOR OF BLOCK 5 Description : COMM FIRE ALARM TI (2 DEVICES) SPEC SUITE 1884 SF'XC2023-0375' Owner: THE IRVINE COMPANY Address : 550 NEWPORT CENTER DR NEWPORT BEACH, CA 92660 Phone: (949)720-2372 Applicant: HOLLY M GRAVES Address : 18 MULHOLLAND CT MISSION VIEJO, CA 92692 Phone: (949)697-9401 Owner/Builder Address : Phone Contractor: PACIFIC TUSK BUILDERS CORP Address : 1301 DOVE ST, 130 NEWPORT BEACH, CA 92660 Phone: (213)999-5696 Con State Lie : 946368 Lie Expire : 04/30/2024 Bus Lie : BT30038640 Bus Lie Expire : 03/31/2024 Workers' Compensation Insurance Carrier: INS CO OF THE WEST Policy No: WSD5041971 W. C. Expire : 7/1/2024 Code Edition : 2022 Fire Sprinklers : YES Type of Construction : II -A Fire Hazard Zone : NO Occupancy Groups : B No of Units : 0 Bldg Height : No of Stories : 4 Building Setbacks Flood Zone : X Use Zone : PC - North Newport Center PROCESSED BY: SPECIAL CONDITIONS: Architect Address Phone: State Lie Engineer: Address : Phone : �aP4 ®a.0 Designer: H C I SYSTEMS INC Address : 1354 S PARKSIDE PL ONTARIO. CA 91761 Phone: (909)628-7773 ' Construction Valuation : $3,122.60 Added/New/Ti sq. ft. Bldg : 0 Alteration sq. ft. Bldg : Added/New sq. ft. Garage: 0 TOTAL sq. ft. : 0 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reasons) indicated below by the checkrnark(s) I have placed next to the applicable Item(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 the permit to file 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 licensors 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). ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) portions of the work; and the structure is not intended or offered for sale (Section 7044, Business and Professions Code: The. CommeorsSiRle License Law does not apply In an owner of property who, through employees' or personal effort, builds or improves the properly, provided that the Improvements are not intended or offered for sale. Jr. 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). ❑ 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 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). ❑ 1 am exempt from lcensure under the Contractors' Stale License Law for the following reason By my signalum 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 legail} sell a structure that I have built as an owner-buildor it it has not boon constructed in its entirety by lieensed 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 site;htip:li•.aww.leginfo.ca.gov/calaw:html. Signature of Property Owner or Authorized Agent LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with $ecti 70 f ivision 3 of the sl ass and Professions Code, a d my license is In full force and effect. License Class License No Dat !/ "i' 2$ Cc for Signature WORKERS' COMPENSATION DECLARATION WARNING: FAILURE 13 S8. LFE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES IT ONE HUNDRED THOUSAND DOLLARS (St00,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY's FEES. I he,eoy afirm under penaty of perjury one of the following declarations: ❑ ! hay_- 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 In WFgrmance of the work for which this permit is issued. Policy No. vs and will main io 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` -A carrier and policy number are: cr_ ___ E Lf Agent _ T Policy Number Date D, cPnlry 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 afire hat, if I should became siibiect to the workers compensation o Isms of Section 3700 of the Labor Code, I shall forthwith comply With those provisions. 3lyneture of APPN nl _ A097,'a ��')ECLARATlON R£ DP INGCONSTRUCTON LENDING A Nhereby affirm u penalty of perjury that there is a constrctllndingagenyfothprformnce of the work for which this permit is issued (Sectioivil Code). ,ender's Name _ Lender's Address 3y my 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 late I relating to building construction. I authorize representatives of t Is or cou to enter the above ntified property for inspection purposes. >ignature of Proper t r Owner or Aul ed Agent Print Property Owner's or Authorized A ent's N ACTION DAT BY I DECLARATION OF ONIPLIANf_E. WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 51 OF TITLE 40 AND AQMD RULE TO PERMiTEYTENDED I LJAQMD _ ....._.._.___.. t. .. ........._ ..____.._ PERMIT HNA! V VPr.Yt�1> L.I ASSES I OS NDII FICA I[ON 15 NOTAPPUCABLi, TO CER77FlCA E OF f PROPOSED DEMOLITION OCCUPANCY ISSUED I SIGNATURE