HomeMy WebLinkAboutX2022-1456 - Permits�I��WPO,PT City of Newport Beach
e Community Development Department- Building Division
1y" s 100 Civic Center Drive, Newport Beach, CA 92660
y. Permit Counter Phone: (949) 718-1888
> newportbeachca.gov/civic
C9G/P00.N�P Combination Type - ELEC MECH PLUM
Work Class - Tenant Improvement
X 2 0 2 2 1 4 5 6COMB Permit : X2O22-1456
Plan Check No : 1334-2022
Issued Date : 03/27/2023
Final Date: 10/2312024
Permit Status: Final
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:
660 NEWPORT CENTER DR, 320
Legal Desc : P BK 295 PG 33 PAR 6 P.M. 295-33 PAR 6 FOR OF PAR
Description
: COMM TI - *SPEC SUITE* 2004 SF
Owner:
IRVINE CO
Contractor: PACIFIC TUSK BUILDERS CORP
Architect:
Address :
111 INNOVATION
Address : 1301 DOVE ST, 130
Address
IRVINE, CA 92618
NEWPORT BEACH, CA 92660
Phone :
(949) 720-2156
Phone : (213) 999-5696
Phone
Con State Lic : 946368
State Lic
Lic Expire: 04/30/2026
Applicant:
PACIFIC TUSK BUILDERS CORP
Bus Lic : BT30038640
Engineer
Address :
1301 DOVE ST, 130
Bus Lic Expire : 03/31/2025
Address
NEWPORT BEACH, CA 92660
Phone:
(213) 999-5696
Workers' Compensation Insurance
Phone:
Carrier: INSURANCE COMPANY OF THE WEST
Owner/Builder
:
Policy No: WSD5041971
Designer:
Address:
W. C. Expire : 7/1/2025
Address:
Phone: Phone
Code Edition :
2019
Fire Sprinklers :
YES
Type of Construction :
I -A
Fire Hazard Zone :
NO
Occupancy Groups :
B
No of Units :
0
Bldg Height :
No of Stories :
16
Building Setbacks
Flood Zone:
X
Use Zone:
PC - North Newport Center
PROCESSED BY:
SPECIAL CONDITIONS: HAULER: CR&R
MORFORD PAUL
4675 MACARTHUR CT #100 NEWPORT
BEACH, CA 92660
(949)863-9434
Construction Valuation :
$193,516.00
Added/New/TI sq. ft. Bldg :
0
Alteration sq. ft. Bldg :
2,004
Add/New sq. ft. Garage :
0
TOTAL sq. ft. :
0
OWNER -BUILDER DECLARATION
I hereby affirm under penally of perjury that I am exempt from the Contractors' Stale License Law for the reason(s) indicated below by the checkmark(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
she permit to flle 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
3rofessions Code) or that he or she is exempt from licensure 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
tot more than five hundred dollars ($500).
I, as owner of the property, or my employees with wages as their sole compensation, Will do U all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044,
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, provided that the
mprovements 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 built or
mproved 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
ap ly 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 am exempt from licensure under the Contractors' Stale License Law for the following reason:
3y 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 legally
;ell a structure that I have built as an owner -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
'rofessions Code, Is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi.
Signature of Property Owner or Authorized Agent Date
LICENSED CONTRACTOR'S DECLARATION
hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9 (commencing With Section 7000) of Division 3 of the Business and Professions Code, and my license is In full force
and effect. License Class License No Date Contractor Signature
NORKERS' COMPENSATION DECLARATION
VARNING: 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 ($100,000), IN ADDITION TO THE
;DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S 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, for IN
)erformance of the work for which this permit is issued. Policy No.
have 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'
rance carrier and policy number are:
Policy Number
Date
ne of Agent /Phone #
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
, if I should become subject to the workers compensation provisions of Section 3700 of the Labor Code, I shell forthwith comply with those provisions.
ignature of Applicant
IECLARATION REGARDING CONSTRUCTION LENDING AGENCY
hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for
enders Name Lenders Address
y my signature below, I certify to each Of the following:
I am the property owner or authorized to act on the property owners 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 city or county to enter the above -identified property for inspection purposes.
permit is issued (Section 3097. Civil Code).
Signature of Property Owner or Authorized Agent Print Property Owner's or Authorized Ag
ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
PERMITEXPIRED I j U I SUBMITTED ASBESTOS NOTIFICATION TO
PERMITCANCELLED illi UEPA
AL
CERTIFICATE OF I D L } C SIGOPO
NPOSED
ATURE: EMOLIT pESTOS R ION IS NOT APPLICABLE TO
OCCUPANCVISSUED
Name