HomeMy WebLinkAboutF2023-0535 - PermitsEwvoFzi City of Newport Beach IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: F2023-0535
o e Community Development Department- Building Division F 2 0 2 3 0 5 3 5
100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2023-2646
� Permit Counter Phone: (949) 718-1888 Issued Date : 02/23/2024
`u newportbeachce.gov/civic Final Date:
cg4coNwP 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 : 660 NEWPORT CENTER DR, 3RD FL Legal Desc : P BK 295 PG 33 PAR 6 P.M. 295-33 PAR 6 POR OF PAR
Description : COMM FIRE ALARM TI WITH 2 DEVICES AT 3RD FL LOBBY (XC2023-0442)
Owner: THE IRVINE CO
Contractor: PACIFIC TUSK BUILDERS CORP
Architect
Address: 500 NEWPORT CENTER DR
Address : 1301 DOVE T,130
Address
NEWPORT BEACH, CA 92658
NEWPORT BEACH, CA 92660
Phone: (949)720-2400
Phone: (213)999-5696
Phone:
State Lie:
Con State Lie : 946368
Lie Expire : 04/30/2024
Applicant: MARK YAM
Bus Lie: BT30038640
Engineer
Address : 392 N N LEMAY CT
Bus Lie Expire : 03/31/2024
Address
ORANGE, CA 92867
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 : $1,838.00
0
I
Fire Hazard Zone : NO
Added/New/TI sq. ft. Bldg:
Type of Construction : -A
No of Units : 0
Alteration sq. ft. Bldg :
Occupancy Groups : B
No of Stories : 16
Added/New sq. ft. Garage : 0
Bldg Height :
TOTAL sq. ft. 0
Building Setbacks
Flood Zone : X
Use Zone : PC - North Newport Cennntttee�r
PROCESSED BY:-
i
SPECIAL CONDITIONS:
_. .
TIO N
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reasons) indicated below by the checkriark(s) I have placed next to the applicable items)
(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
tho 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 TODD) of Division 3 of the Business and
Professions Code) or that he or she is exempt from )!censure 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).
1, 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,
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 or Improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not bulit or
Improved for the purpose of sale).
1, 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),
3 1 am exempt from licensure under the Contractors' State License Law for the following reason:
3y my signature below I acknowledge that, except for my personal residence in which I must have resided forat least one year prior to completion of the improvements covered by this permit, I cannot legal)
sell a structure that I have built as an owmer•buildor if it has not been constructed in its entirely by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and
?rofessions Code„ is available upon request when this application is submitted or at the following Web site.httpdiwww.leginfo.ca.gov/calaw,lilml. of Property Owner or Authorized Agent _ Date
LICENSED CONTRACTOR'S DECLARATION —'
hereby affirm under penalty of perjury that i am licensed under provisions of Chapter 9 (commencing with S lion 7 00) of Dfvis on 3 of the Business and Professions Code, and my license is In full farce
and effect. License Class License No 2 Z Contractor Signature �_�„m
NORKERS' COMPENSATION DECLARATION I—
YARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (1000,000), IN ADDITION TO THE
;DST OF COMPENSATION,. DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'$ FEES.
hereby affirm under penalty of perjury one of the following declarations:
1 have 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, forth
serf finance of the work for which this permit is issued. Policy No.
and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Cade, for the performance of the work for which this permit is issued. My workers'
carrier and policy number are:
Policy Number
Date
me of Agent Phone d
I 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
t, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
mature or TION Applicant- � , AGENCY /fir Date
CLARATIpN REGARDING CONSTRUCTION LENDING AGENCY —"
=.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, Civil Code).
)der's Name Lender's Address
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 ccty and county ordinances and state laws relating to building. construction,
I authorize representatives of this city or county to enter the above -identified property for Inspection purposes. /
nature of Property Owner or Authorzed Agent Ml Property Owner's OrAuthorized Aaent's Name
GATE. E WITH CODE 05
I. 6V DECLARATION OF f REGULATIONS PART 6..1 OF TIT E 40 AND AOIVID RULERAL FOR OFFICE USE ONLY
PERMITEXPiRED �-M ;UBMITTED ASBESTOS NOTIFICATION
P€R,YT7T EXTENDED 0M D_PERMiT FINAL 3�U`,��.�f�_�A
BESTpSNOTiFICAflON IS NOTAPPLICABLE 7p
CERT0CArEOE O905F.O DEMOLITION
OCCUPANCYISSUED ____j_3IGNATURE: