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Home My WebLink AboutXC2023-0282 - Permitscwrorel City of Newport Beach II IIII III I IIII III IIIIIIIIII IIIIII IIIIII II COMB Permit: XC2023-0282 C� Community Development Department - Building Division X C 2 0 2 3 0 2 8 2 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2023-1816 ' = Permit Counter Phone: (949) 718-1888 Issued Date : 09/0712023 newportbeachca.gov/civic Final Date: Combination Type - ELEC 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: 888 SAN CLEMENTE DR, 250 Legal Desc : A TR IRVINE SUB BLK 55 IRVINE SUB., POR OF BLOCK 5 Description : COMM TI TO COMBINE SUITE 290 INTO SUITE 250 OFFICE SPACE FOR "NEW YORK LIFE". 3041 SF Owner: THE IRVINE COMPANY Address : 550 NEWPORT CENTER DR NEWPORT BEACH, CA 92660 Phone Applicant: JESSICA SMARKER Address: 4770 CAMPUS DR, STE 100 NEWPORT BEACH, CA 92660 Phone: (949)851-3081 Owner/Builder Address : Contractor: PACIFIC TUSK BUILDERS CORP Address : 1301 DOVE ST, 130 NEWPORT BEACH, CA 92660 Phone: (213)999-5696 Con 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 : DWYER SUSAN M Address : 4770 CAMPUS DR NEWPORT BEACH, CA 92660 Phone: (949)851-3080 State Lic Engineer: Address Phone: Designer: Address Phone: Phone: Code Edition : 2022 Fire Sprinklers : YES Construction Valuation Type of Construction : II -A Fire Hazard Zone : NO Added/New/Ti sq. ft. Bldg Occupancy Groups : B No of Units : 0 Alteration sq. ft. Bldg : Bldg Height: No of Stories : 4 Added/New sq. ft. Garage TOTAL sq. ft. : Building Setbacks Flood Zone : X Use Zone: PC - North Newport Center PROCESSED BY: SPECIAL CONDITIONS: 9 fib $133,804A0 D 3,041 0 0 OWNER -BUILDER DECLARATION I hereby Billion under penalty of perjury that I am exempt from the Contractors' Slate License Law for the reason(s) 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 to 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 7ofessions Code) or that he or she is exempt from lieensure 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 of more than five hundred dollars ($500). "1 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, rosiness 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 nprovemams 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 €t was not built or nproved 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 poly 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 licensure under the Contractors' State License Law for the following reason {y 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 €mprovements covered by this permit, I cannot legall, ell a structure that I have built as an owner-buildor if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 Cribs Business and Irofesslons Code, is available upon request when this application issubmitted or at the following Web site:http://"v.leginfo.ca.gov/calaw.html, signature of Property Owner or Authorized Agent........._,__.._._..._._....__.....__.___..._.._�.— Date _ .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9 (commencing with SectiorrN0901 Division 3 of the Business and Pro Sierra Coda, an rGiiattase is to full force ad effect. License Class License No Date 23 Contractor Signature VORKERS' COMPENSATION DECLARATION RN ING: FAILION URE TO SECURE WORN ERS' COMPENSATCOVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FWES UP TO ONE HUNDRED HOU As SAND DOLLARS f$100,000). IN ADDITION TO THE OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3705 OF THE LAaOR CODE, INTEREST, AND ATTORNEYS FEEe hereby affirm under penalty of perjury one of the following declarations: I I have and will maintain a certificate or 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 Ih erformance of trio work for which this permit is issued. Policy No. eve 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' compensatiol Isurance, carrier and policy number are: Policy Number Expiration Date of Agent certify 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 agre I, if I should becom so tact to the workers' comp salon provisions of Section 3700 of the Labor Coda I shall forthwith comply with those provisions. nature of Applicant„ _ _`�_ _^_^! _ Da-�'' Z CLARATION REGAR 1N STRUCTION LbGENCY =reby 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, CI it Code). liners Name Lender's Address _ my signature below, I certify to each of the fbllowing: 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 co Ity rdinancos and state laws relating to building construction. I authorize representatives of thiscity or =,nt,, t mer the ,hove-Idenfiried(P�ppe for inspection purposes. r/rip/ q nature of Property Owner or Ai lhorized Agent _ '_ V Print Property Owner's or Authorized ADent's Name I% o V / 1. I 2� ACTION DATE BY I%i DECtARATiON OF COMPLIANCE WITH CODEOF FEDERAL FOR OFFICE USE ONLY Ij} REGULATIONS PART 61 OF T{TLE 40 AND AOMD RULE a.b3 PERMIT EXPIREDLJ I SUnMITTED ASBESTOS NOTIFICATION TO PER A]T EXTENDED lit ID I ...._..._. _ .�._ .. ...___ __....�—m_...._._.... _VE .SL KK G ASBESiPtCA'fION IS N CERTlFlCdTE OF ft OSFDTION OCCUPANCYISSUED awNA7uat