HomeMy WebLinkAboutX2019-0704 - PermitsCity of Newport Beach- Building Division IIIIIIIIIIIIIIIIIIIII�IIIIIIIIIIIIIIIIIIIIII�IIIIIII COMB Permit: X2019-0704
i+ 100 Civic Center Drive, Newport Beach, CA 92660
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X 2 0 1 9 0 7 0 4
Project No: 0455-2019.
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N Permit Counter Phone (949)644-3288
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v , Inspection Requests Phone (949)644-3255
'rna�`a Combination Type -MFP
Issued Date: 03114/2019
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Inspection Area : 8
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: 1162.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
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OR
Owner IRVINE COMPANY
Contractor. CUESTA CONSTRUCTION CO - Architect::
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Address: :550 NEWPORT CENTER DR'
- .Address: 3195A AIRPORT LOOP DR Address:"
NEWPORT BEACH, CA 92660
- r COSTA MESA CA 92626
Phone:
Phone: 714-557.5877 Phone: State Lie:
-
Applicant MATSUSHITATAK
- Con State Lie: 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 Llo BT20012806 ORANGE CA 92667 ......
Phone: .714-997-1145
Lie Exp Date: 1213112019 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:
Occupancy Group; R7.
Policy No: WS0503883000 -
•° -
Added/New sq.ft. Bldg. 0
Expire: 1213112019 -Phone: a„o°e
a of
"Added /New sq. ft. Garage: 0
- •
° ° °
No of Stories: 2 `
Building Setbacks Rear: / Special Conditions: BLDG 44:1152-1162
No of Units: 8.
Front: I '°°° ;.`
••••.uc
' Bldg Height: 0
Left: l
ROOOC
Bldg Sprinklers: N.
Right: l
Flood Zone:
Use Zone: Parking Spaces: 0 Fire Hazard Zone : N ......
°
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 - $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 WorksDepartment- General Service $0.00
CA Seismic Safety: ..$0.00
WQ Insp. Feer $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 : $575.66
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:
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)
action 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
s permit to file asigned 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 3of the Business and
ofessions 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
t more than five hundred dollars ($500): - -
1 1, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044,
Isiness 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
provements are not intended or offered for sale. If, however, the building or improvement is sold within one yearof completion, the Owner -Builder will have the burden of proving that it was not built or.
proved for the purpose of sale).
1 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
ply 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:
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
II 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 oft a applicable law; Section 7044 of the Business and
ofessions Code, is available upon request when this application is submitted. or at the, following Web site:hftp://w .leginfo.ca.gov/calaw.html.
]nature of Property Owner or Authorized Agent Date
CENSED CONTRACTOR'S DECLARATION
ereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sectio 000 of D ision 3 of the Bus! as and ProfeF.S 71n Co d li nse is In full force
d effect. Literm Class License No % Contr c r ignature /t2 /r
ORKERS VOIVIPENSATION DECLARATION
*41NG: FAIL R;I TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($700,000), IN ADDITION TO THE
ST OF COM 4T&A, DAMAGES AS PROVIDED FOR IN SECTION 7706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
ergby affirm finder penalty of perjury one of the following declarations:
Ig have aVJill maintain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for th
garK arTnance of the Work for which this permit is issued. Policy No.
ave aro*4111 TVIntain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation
�gr%nce carrier -and policy number are: -
ivjer ' Policy Number Expiration Date
n$ of Aggat,.. Phone #
�tleObirm
'0411ie 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 wor persmpensation laws of California, and agree
d, if,clime su t to or s'compen Hon provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.. ���°� 1�q
]not
of
plicant
?CLN REGARDING CONST CTION LENDING AGENCY
erebunder penally 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).
rider'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 ordinancesand state laws relating to building construction.
I authorize representatives of this city or county;M r t_ -identifie party forinspection purposes.. ////Uy4 Pte/ V���T at �. 9�4
..,.,I,,.e ... o.,...aa„ n,.,,.er.,r n,nH„geod Aocnf ,.- Print Prooertv Owner's or Authorize ria is Name
ACTION D4 -L4 BY DECLARATIA OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE O Y
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE - �J
1403
PERMIT EXPIRED 0 I SUBMITTED ASBESTOS NOTIFICATION TO
PERMIT CANCELLED OEPA
PERMIT EXTENDED OMD
PERMITFINAL APSESTOS NOTIFI TION ISN TAPPLICABLE TO
CERTIFICATE OF A' 1EjYbE/7nqN'N;
OCCUPANCY ISSU vids,51 RE: �i/�