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Home My WebLink AboutX2019-0159 - Permits�,xwro City of Newport Beach Building Division 100 Civic Center Drive, Newport Beach CA 92660 [, } Permit Counter Phone (949)644-3288 ii Inspection Requests Phone (949)644-3255 Combination Type- BLDG iiiiii ii COMB Permit: X2019-0159 Project No : 2031-2018 Issued Date : 02/21/2019 Inspection Area : 8 Plumbing %: $0.00 TOTAL FEE: $1,687.21 Plan Check Fee: $0.00 Fee Due at Permit Issuance PROCESSED BY: SA ZONING APPROVAL: GRADING APPROVAL: PUBLIC WORKS APPROVAL: a PLAN CHECK BY: l APPROVAL TO ISSUE: I 1/G ®It $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 '... $0.00 $1,687.21 PERMITS EXPIRE 180 DAYSAF^TER ISSUANCE OR LAST VALID INSPECTION,. Construction Hours: Monday -Friday 7:00 a.m, to 6:30 p.m, and Saturday from 8:00 a.m. to 6:00 p.m. No work on Sundays or Holidays Job Address: 2 MILANO DR NB $0.00 - $0.00 Description:. MFR- CUSTOM STEEL & CMU TRELLIS IN POOL ENCLOSURE 938 SF - E�ui"lsgFermi!oas: 0 Legalbesc.: - TR 12309 LOT 2 POR OF LOT -. Excise Tax $0.00 - - Owner: IRVINE COMPANY - Contractor: - CUESTA CONSTRUCTION CO - Architect: ".. - Address: 660 NEWPORT CENTER DR - Address:.: 3195A AIRPORT LOOP. DR Address: NEWPORT BEACH, CA 92660 $0.00 ' COSTA MESA CA 92626 $0.00 Phone: - 949-720.2828 Phone: 714-657-6877 Phone: State Lie; Applicant: CAZARES JOSE ' Con State Lie: 568466 - Engineer: WELSH STEPHANIE' .Address: 2605 STATE ST, STE B Lie Expire: 0513112019 Address: - 12722 BARRETT LN- SAN DIEGO CA 92103 - Bus Lie: BT20012806 - SANTA ANA CA 92706 Phone: 619-325-1993 Lie Exp Date: - 12/3112019 - - Phone: 714-352-6297. State Lic:S-002998 Code Edit: 2016 - Worker's Compensation Insurance - - Designer:. Type of Construction: Carrier:- INSURANCE CO OF THE WEST .Address: Occupancy Group: - U - Policy No: WSD503883000 Disabled Acv s%; ° Added /New sq ft. Bldg: 0 Expire: 12131/2019 Phone: Added /New sq. ft. Garage: 0 Hazardous Mat $0.00 No otfg ftes: °""o "° 0 Building Setbacks Rear: / - Special Conditions: NS"oPt9siCs °" ° 0 -Building Green Fee Front: / Mechanical %: - B,Sd%HeimYht ° ° a . " 0 Biag>Slugpklers: "'o - Left: ( " Right: / Plumbing %: $0.00 TOTAL FEE: $1,687.21 Plan Check Fee: $0.00 Fee Due at Permit Issuance PROCESSED BY: SA ZONING APPROVAL: GRADING APPROVAL: PUBLIC WORKS APPROVAL: a PLAN CHECK BY: l APPROVAL TO ISSUE: I 1/G ®It $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 '... $0.00 $1,687.21 00 $0.00 Fire Inspection $0.00 Fire Plan Rev $0.00 Demolition Fee E�ui"lsgFermi!oas: 0 $833.00 - Excise Tax $0.00 - Planning Department - Refund Deposit Plan Check Pee:,, $$24.71 Additional Fee: $0.00 Plan check Fee e 0$Elime Plan Ck:° ° $0.00 Grading Bonds Fee: $0.00 Fair Share: Investigation FE+e`. $0.00 Grading PC Consultant: ..,$0.00 SJH Trans :. &cord MarlpGOmemt : $126.00 '.. Grading Permit Fee: $0.00 In -lieu Housing Fee: ° En°ea°gy ComplianocA $0.00. Grading PC Fee: $0.00 Public Works Department - CA Seismic suety : - $0.50 WQ Insp. Fee: $0.00 Park Dedication :. $0.00 Disabled Acv s%; ° $0.00 - PIN Plan Check: $0.00 Hazardous Mat $0.00 Electrical %: $0.00 San Dist: $0.00 -Building Green Fee $3.00 Mechanical %: - $0.00 NMUSD Fee: -. $0.00 Plumbing %: $0.00 TOTAL FEE: $1,687.21 Plan Check Fee: $0.00 Fee Due at Permit Issuance PROCESSED BY: SA ZONING APPROVAL: GRADING APPROVAL: PUBLIC WORKS APPROVAL: a PLAN CHECK BY: l APPROVAL TO ISSUE: I 1/G ®It $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 '... $0.00 $1,687.21 Fire Department $0.00 Fire Inspection $0.00 Fire Plan Rev $0.00 Demolition Fee $0.00 Building Dept Adm General Service Refund Deposit Grading Bond: Plumbing %: $0.00 TOTAL FEE: $1,687.21 Plan Check Fee: $0.00 Fee Due at Permit Issuance PROCESSED BY: SA ZONING APPROVAL: GRADING APPROVAL: PUBLIC WORKS APPROVAL: a PLAN CHECK BY: l APPROVAL TO ISSUE: I 1/G ®It $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 '... $0.00 $1,687.21 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, prior to its issuance, also requires the applicant for le 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 'rofessions 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 of more than five hundred dollars ($500). 7 I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or (_) portions of the work, and the structure is not Intended or offered for sale (Section 7044, Wsiness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or Improves the property, provided that the nprovements are not intended or offered for sale. If, however, the building or improvement is sold within oneyear of completion, the Owner -Builder will have the burden of proving that it was not built or n roved for the purpose of sale). I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not pply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the. Contractors' State License Law). 7 I am exempt from licensure under the Contractors' State License Law for the following reason: ly my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legalh ell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and Irofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. lignature of Property Owner or Authorized Agent Dale .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Profes$io ode, and my 'cense7la n full force ind effect. License Class License. No ..Dat Ze_ / 2/� lei Contractor Signature A16 11 CC VORKERS' COMPENSATION DECLARATION IARNING: 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 :OST 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: 3 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 th e, r ance of the work for which this permit is issued.. Policy Na 111 ve 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. tVQfl ��' comQBiS2Ca nce carrier and policy number are:0 �• �•�••� rier .r/1�, en, D.r�jv,6-1- Policy Number %VAI) .0209310"6/ Expiration Date /2.~.9/-/% tir— ` ie of Agent LQC&:4n/1 /17S, %";rn/�as Z4 -e -... Phone # 2/3 a?-- 2k(- certify that, in the performance of the work for whichthis ermit is Issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of Californi if I should become subjecto)the workers' corr/�ensal provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. M, - -;••.• mature of App an - " CLARATION REG DI CONSTR C O ENDI G AGENCY - sreby 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). ider's Name Lender's Address Amy signature below, I certify to each of the following:.. - - I am the property owner or authorized to act an the property owner's behalf.. - I have read this application and the information I have provided is correct: -. Iagree to comply with all applicablecity and county ordinances and state laws relating to building construction. I authorize representatives of this city or county to a to the above-ide tifieIt p arty for inspection purposes. Inaelre of Prooertv Owner or Authorized AGent hfl _O�FL/i Z Print Property Owner's or Authorized Agent's Name � � Date Z ACTION DATE BY 'DECLARA{ION OF COMPLIANCE WITH. CODE OF FEDERAL FOR OFFICE USE ONLY I REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMITEXPIRED 0 I SUBMITTED ASBESTOS NOTIFICATION TO - PERMITCANCELLED EPA PERMIT EXTENDED QMD PERMITFINAL U ASBESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATEOF PROPOSED DEMOLITION OCCUPANCYISSUED SIGNATURE: