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Home My WebLink AboutXC2023-0184 - PermitsaEvvaoRr City of Newport Beach 1111111111111111111111111111111111111111111111111111111111111 jjjCOMB Permit: XC2023-0184 0 4 I Community Development Department- Building Division X C 2 0 2 3 0 1 8 4 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2023-1287 Permit Counter Phone: (949) 718-1888 Issued Date : 0711212023 newportbeachca.gov/civic Final Date: C9�ICORN�P Combination Type - ELEC MECH PLUM Permit Status: Issued Work Class - Tenant Improvement Inspection 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, 247 Description: COMM TI - "KOMAR" 4032 SF Owner: CO IRVINE Address : PO BOX 2450 NEWPORT BEACH, CA 92658 Phone: (949)720-2400 Applicant: CLAUDIA LAI Address : 18600 MACARTHUR BLVD, 100 IRVINE, CA 92612 Phone Owner/Builder Address: Legal Desc : P BK 93 PG 45 PAR 20 PARCEL MAP 93-45 PAR 20 FOR OF PAR AND FOR PAR B Contractor: PACIFIC TUSK BUILDERS CORP Address : 1301 DOVE ST, 130 NEWPORT BEACH, CA 92660 Phone : (213) 999-5696 Can State Lic : 946368 Lic Expire : 04/30/2024 Bus Lic: BT30038640 Bus Lic Expire : 03/31/2024 Workers' Compensation Insurance Carrier: INS CO OF THE WEST Policy No: WSD5041971 W. C. Expire : 7/1/2024 Architect : ALGAZE NELSON Address : 6083 BRISTOL PKWY CULVER CITY, CA 90230 Phone: (213) 929-1400 State Lic: CO21090 Engineer: CORNELIA DIRPRES Address: 16501 SCIENTIFIC WAY, 2DO IRVINE, CA 92618 Phone: (949)594-0076 Designer: Address : Phone: Phone: Code Edition : 2022 Fire Sprinklers : YES Construction Valuation Type of Construction : III -A Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg Occupancy Groups : B No of Units : 1 Alteration sq. ft. Bldg: Bldg Height: No of Stories : 2 Added/New sq. ft. Garage TOTAL sq. ft. : Building Setbacks : Flood Zone : X Use Zone : PC - Corporate Plaza PROCESSED BY: SPECIAL CONDITIONS: $166,$24:09: 0 4,032 0 0 fm zM, � �Fi I a . -< a E. � LC i :t OWNER -BUILDER DECLARATION 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 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, poor 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 licensure and the basis for the alleged exemption. Any violation of Section 7031.6 by any applicant fora permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). 0 1, 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. If, however, the building er 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). ❑ I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' Stale License Law does not El 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), Ll I am exempt from licensure 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 must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legall) sell a structure that I have, built as an owner -builder if It has not been constructed in its ontiroty 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://www.leginfo.ca,govlcalaw.htmi, Signature of Property Owner or Authorized Agent _ Date LICENSED CONTRACTOR'S DECLARATION I hereby affirmunder penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Se on 7000) of Division 3 of the Buslne s and Prof ssio� dty. a my license is In full force and effect. License Class License No D e 2 - 4 3 Contra r Signature /.r NORKERS' COMPENSATION DECLARATION LI NARNING: FAILURE TP STCORE WOR%ERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FINES UP TO ONE HUNDRED THOUSAND DOLLARS (5100,000), IN ADOmON TO THE COST OF COMPENSi TION, DAMAGES AS PROVIDED FOR 3N SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. Lereby Lffirm under penalty of perjury one of the following declarations: -11 have and w,P 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 th, Lenormance, of the work for which this parmit is issued. Policy No. have and will :nainte'n 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' compensate ranee carrier and pol'cy number are: Ter Policy Number Expiration Date le of Agent Phone # certify that, in thn 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 works compensation laws of CBlifomia, and agrE 'f I sl ouid becamPy ibjact to work Is' co pe abon provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ref r of App(ic t t �' / Z - 23 f AO..TFl1\I AJrllllf!. FM1\I6T011 -'-�'" zireby affirm under f5anatty 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). fder's Name Lender's Address my signature below, I certify to each of the following: 1 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 state laws relating to building construction. I authorize representatives of this Yt o�,Gctnty tp entej,41re apDvpldenfified property for inspection purposes. or ACTION PERMIT EXPIRED PERMIT CANCELLED ....__ ..._._..—__ _ PfPoMT EXTFNDED PERMIT F/NAL CERTIFICATE OF OCCUPANCY ISSUED DECOARAT€ON OF COMPLIANCE WITH CODE OF FEDERAL REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 ISNOTAPPLICABLE 10 FOR OFFICE USE ONLY Name