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Home My WebLink AboutX2019-0703 - PermitsCity of Newport Beach - Building Division I IIIIIIIIIIIIIIIIIII IIII�IIII IIIIIIIIIIIIIIIII IICOMB Permit: X2019-0703 100 Civic Center Drive, Newport Beach, CA 92660 x 2 0 1 9 0 7 0 34 p Project No: 0455-2019 N "• �. Permit Counter Phone (949)644-3288 er. Inspection Requests Phone (949)644-3255 Combination Type - MFP - Issued Date: 03/14/2019 Inspection Area : 6 PERMITS EXPIRE 180 DAYS 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: 1164 CORELLA NB Description: MFR RE -COAT PRIVATE DECKS/STAIR LANDINGS "LIKE FOR LIKE', REPLACE DAMAGED WOOD FRAME MEMBERS AS NEEDED Legal Desc.: N TR 12309 LOT 4 Owner:fpr. IRVINE COMPANY Contractor: CUESTA CONSTRUCTION CO Architect: a TO" 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 Lie: Applicant: MATSUSHITA TAK Con State Lica. 568466 Engineer: CHRISTIAN DALE - Address: 1744 WEST KATELLA AVE #107 Lie Expire: 05/31/2019 Address: 1744 W KATELLA AVE #107 ORANGE CA 92867 Bus Lie: BT20012806 ORANGE CA 92667 ...... Phone: 714-997-1145. - Lie Exp Date: 1 213112 01 9 Phone: 714-997-1145 State Lic:S-002705 .... Code Edit: 2016 Worker's Compensation Insurance Designer. Type of Construction:.. VB Carrier: INSURANCE CO OF THE WEST Address: •glop Occupancy Group: R2 Policy No: WSD603863000 Added /New sq.ft. Bldg: 0 Expire: 12/31/2019 Phone: a ° ° ° o • e Added /New sq. ft. Garage: 0 ° '. • ° o No of Stories: 2 Building Setbacks Rear: I Special Conditions: BLDG 43:1164-1174 No of Units: 8 Front: I °° • °w000� Bldg Height: 0 Left: I .Bldg Sprinklers: N Right: / •c000a Flood Zane:. - Use Zone: Parking Spaces: 0 Fire Hazard Zone : N <o 000 o' Construction Valuation: $25.000.00 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 $8.00 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 : $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 %: $0.00 NMUSD Fee: $0.00 - $0.00 Plumbing %: $0.00 $0.00 TOTAL FEE : $575 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: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that 1 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 U 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 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). I am exempt from licensure under the Contractors' State License Law for the following reason: By. 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 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.html. 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 ec on 70,0,001)of glws!on 3 of the Busin and Profs 'pn Cod hd m I' ense is in full force and effect. 4itgr1bb. lass License No `i iii /I�/�9� Contract r gnature / NORKERS' MOPENSATION DECLARATION / NARNWG: FAILi1Rr.T0 SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMIEN&WRON, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I%epby affirm under penalty of perjury one of the following declarations: :14 have ap$ W41L 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, ' ance of the work for which this permit is issued. Policy No. 411 -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' compensaliol n urance carrier°atfid policy number are: gounler Policy Number Expiration Date > of Agiiii .: 'ertify thaj„in the performanc( if I should becomeyy4t to 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 4e w/rArs' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. hereby affirm under denalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued ender's Name Lender's Address lylmy 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 o Inances n state laws relating to building construction. '.. I authorize representatives of this city or ounty t�� -identified property for inspection purposes. Iinnatnm of PmnRrtv nwnar nr".4ii nri ADent Print Property Owner's or Authorized Agent (am BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 1 LJ I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT EXTENDED 1 4 1 1 1 Q 6kQMD PERMITFINAL q Q /7 ASBESTOS NOTIF C� NN�OTAP LICABLE TO CERTIFICATEOF PRO OSEE 0 //"� OCCUPANCYISSUED �bff GN RE: compensation laws of California, and Civil Code).