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HomeMy WebLinkAboutXC2023-0152 - Permits�E�'PORT City of Newport Beach IIIII IIII IIII IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit : XC2023-0152 Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2023-1085 z Permit Counter Phone: (949) 71B-1888 newportbeachca.gov/civic Issued Date : 10/24/2023 Combination Type - ELEC MECH PLUM Final Date: Work Class -Tenant Improvement Permit Status: IssuedInspection Area : 7 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 : 23 CORPORATE PLZ, 100 Legal Desc : P BK 93 PG 45 PAR 20 PARCEL MAP 93-45 PAR 20 POR OF PAR AND POR PAR B Description : COMM SPEC SUITE TI 6314 SF Owner: IRVINE COMPANY Contractor: PACIFIC TUSK BUILDERS CORP Architect : MORFORD PAUL Address : 111 INNOVATION DRIVE Address: 1301 DOVE ST, 130 Address : 4675 MACARTHUR CT IRVINE, CA 92617 NEWPORT BEACH, CA 92660 ,#100,NEWPORT BEACH, CA 92660 Phone: (949)720-2400 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 N LEMAY CT Bus Lic Expire : 03/31/2024 Address ORANGE, CA92867 Phone: (626) 757-2320 Workers' Compensation Insurance Phone: Carrier: INS CO OF THE WEST Owner/Builder : Policy No : WSD5041971 Designer Address : W. C. Expire : 7/1/2024 Address Phone: Phone: Code Edition : 2022 Fire Sprinklers : YES Construction Valuation : $289,991.00 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 : 6,314 Bldg Height : No of Stories : 16 Added/New sq. ft. Garage: 0 TOTAL sq. ft. 0 Building Setbacks Flood Zone : X Use Zone : PC - Corporate Plaza PROCESSED BY: \ SPECIAL CONDITIONS OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I ant exempt from the Contractors' State License Law for the reason(s) indicated below by the checkmark(s) I have placed nett to the applicable ite.1i, Section 7031-5, Business and Professions Code: Any city or county that Tequires a permit 10 construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the appNcanl and for cl pursuant to the the Contractors' State cense Law er 9 (commencing he permit to file a Code) signed statement that lie or she is she s exempt from f Beense. lra and the basis forpthelallagadsions fexemption. Any violation lof Section 7031 5i by any applicant orJa permit subjith Section ects h Division applicant tote che ivil penalty of )rofeslot more than rive hundred dollars ($500). 1, 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 (SeCiVdRn�7044t the 3usiness 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, p o tha mprovements are not intended or offered for sale. 14 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 mproved for the purpose of Sale)- 1 I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The ContractorsStale License Law does not 3ppky 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 or, exempt from I ackno under the Contractors' Stale License Law for iha following reason:___..._._of the i_ 3y my signature below I acknowledge that, except for my personal residence in Which I must have resided or at least one year prior to completion of the improvements covered by this permit i cannot legally soli a structure that I have built as an owmor-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 or at the following Web site:http:llwww.leginto.ca.govlcalaw.lttml. Date 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 Sect 7000 tw ion 3 of the Business nit rofessions Code, and �[rY�license s In full force and effect. License Class License No Cat ' 2`f 'Z� Contractor Sig lure WORKERS' CCIA:dZNSATION DECLARATION WARNING: I AILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS 1,E100.000j, IN ADDITION TO THE COST OF b IMPENSATto H, bAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. II�hereby affirm undo, penal€y of perjury one of the following declarations: I haze and will maintain a certificate of consent to self insure tot workers' compensation, issued by the Director of Industrial Relations He provided for by Section 3700 of the Labor Coda, far th olrnnnce of ipe wnrK Or which this permit is issued. Policy No. avd 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` compensatio iln ,raILe carrier and policy number are: Expiration Date Policy Number 31 Cori tbaL in ,he performance of the work for which this pamiit Is issued, I shall not. employ any person in any manner so as to become subject to the workers' ompensalion laws of California, and ogre ,al, if I snould become subiect to the workers' compensatia provisions of Section 3700 of the Labor Code. I shall forthwith comply with those provisions. ,gnalure of App:L n� IECLARATION ARDING CONSTRUCTION LENDING A EN6 ^� hereby affirm under penalty of penury that there Is a construction lending agency for the performance of the work for which this permit Is issued (Section 3097, Civil Code). Lenders Address Radar's Name Ty 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 state laws relating to building construction. I authorize representaliv of thl y or county !o enter the above -id ntihed property for inspection purposes. �� L,�(� i�J Data , z 3i nature of Pro eri Owner or ihonzed Agent Pant Pro art Owner's or Autltorized A en' erne ACTION DATE I BY 7` DECLARATION OF 00PLIANCE WITH CODE OF FE©ERAL FOR OFFICE USE ONLY I I REGULATIONS PART i OF TITLE 40 AND AQMD RULE TO PERIVIT EXTENDED 1_urulwu PEAYb1iT FINAL ES1?%S NOI I ICATtON IS NOTA ICABLE TO CERTIFICATE Of 1 PR PjSEgOEMO ITION OCCUPANCY 65UEO ' SIG NA E: