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Home My WebLink AboutX2019-0702 - Permitsw1 City of Newport Beach - Building Division II IIIIIIIIIIIIII �IIIIIIIIIIIIIIIIIIIII�II�IICOMB Permit: X2019-0702 100 Civic Center Drive, Newport Beach, CA 92660 X 2 9 1 9 9 7 9 2 Pro ect No : 0455-2019 4v Permit Counter Phone (949)644-3288 ) ' Inspection Requests Phone (949)644-3255 Combination Type - MFP Issued Date : 0 311 412 01 9 Inspection Area : 8 PERMITS EXPIRE 180 DA VS AFTER 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: 1176 CORELLA NB Description: MFR RE -COAT PRIVATE DECKSISTAIR LANDINGS "LIKE FOR LIKE", REPLACE DAMAGED WOOD FRAME MEMBERS AS NEEDED. Legal Desc.i N TR 12309 LOT 4 'I. 0 0 p o e Jo 0 aoo0o o'. °O VGC OdO VOc o ° -Vol �a✓' Owner: IRVINE COMPANY Contractor:. CUESTA CONSTRUCTION CO Architect: Address: 550 NEWPORT CENTER. DR - Address: 3195A AIRPORT LOOP DR Address: NEWPORT BEACH, CA 92660 COSTA MESA CA 92626 Phone: Phone: 714-557-5877 Phone: State Lic: Applicant: MATSUSHITA TAK Con State Lic: 568466 Engineer: CHRISTIAN DALE Address: 1744 WEST KATELLA AVE 0107. Lic Expire: 05/31/2019 Address: 1744 IN KATELLA AVE #107 - ORANGE CA 92867 Bus Lic: BT20012806 ORANGE CA 92667:. e Phone: 714-997-1145 Lic Exp Date: 1213112019 Phone: 714-997-1145 State Lic:S-002705 Code Edit: 2016 - Worker's Compensation Insurance Designer. o° a0 Type of Construction:: VB - Carrier. INSURANCE CO OF THE WEST Address: Occupancy Group: R2 Policy No: WSD503883000 ° Added /New sq.ft. Bldg: 0 Expire: 12/3112019 Phone: Added /New sq. ft. Garage: 0 ° No of Stories: 2 Building Setbacks Rear: / Special Conditions: BLDG 42:1176-1186 No of Units : 8 Front: I Bldg Height: 0 Left: I ° Bldg Sprinklers: N Right: I Flood Zone: Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $25.000.00 0 ° ° Building Permit Fee:. $472.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $0.00 Additional Fee : $102.66 Plan check Fee : $0.00 Fire Inspection: $0.00 Overtime Plan Ck: $0.00 Grading Bonds Fee: $0.00 Fair Share : $0.00 Fire Plan Rev $0.00 Investigation Fee: $0.00 Grading PC Consultant: $0.00 SJH Trans: $0.00 Demolition Fee Record Management: $0.00. Grading Permit Fee: $0.00 - In -lieu Housing Fee: $0.00 Building Dept Adm $0.00 Energy Compliance: $0.00 Grading PC Fee: $0.00 Public Works Department - General Service $0.00 CA Seismic Safety: $0.00 WQ Insp. Fee: $0.00 Park Dedication r $0.00 Refund Deposit $0.00 Disabled Access.: $0.00 PAN Plan Check : $0.00 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical %: $0.00 San Dist: $0.00 Building Green. Fee : $1.00 Mechanical W $0.00 NMUSD Fee: $0.00 $0.00 - Plumbing %: ..$0.00 $0.00 TOTAL FEE : $575.66 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $575.66 PROCESSED BY: PUBLIC WORKS APPROVAL: ZONING APPROVAL: PLAN CHECK BY: GRADING APPROVAL: APPROVAL TO ISSUE: 0 0 p o e Jo 0 aoo0o o'. °O VGC OdO VOc o ° 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 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 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). ❑ 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, 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 1t was not built or improved 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 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). 1 1 am exempt from licensure under the Contractors' State License Law for the following reason: Bymy 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 entirety 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.gov/calaw.htmi. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section of Division 3 of the ;sin nd Profes s/21i , Sn y license is in full force and effect. �?Dense�Class License No ! Y Contract Sig ture %/�1 NORKERS' COX PENSATION DECLARATION NQ G: FAI1�I1R TO S$ECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINA PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($700,000), IN ADDITION TO THE COST OF COMHEJI 4T, , DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. ..hhleiaby affirm under penally of perjury one of the following declarations: J J have ap¢ mill 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 serf-ormance of the work for which this permit is issued. Policy No. arojill Irlaintain 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' edmiler•and policy number are: Policy Number Date 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 work rs' compensation laws of California, and clime subject to th�wDrkerscompensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. / !CLARATION REGARDING CONIVRUCTION LENDING AGENCY V ' -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). ider'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 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. /�� 1 (nature of Prooertv Owner ocAuthorized AGent Print Property Owner's or Authorized Agent's Ipfame d�7a21UrUUr/a ACTIONDAT BY DECLARATION OF I REGULATIONS PART61 OF ITTLE 40 AND AQMD RULECE WITH CODE OF FOR OFFICE USE ONLY PERMIT EXPIRED LII SUBMITTED ASBESTOS NOTIFICATION TO PERMITCANCELLED EPA PERMIT FINAL 1`7I0/77 h/(41 ASBESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATE OF ��'' PRO SE DENNfIOJV//�� OCCUPANCYISSUED CM S RE: