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Home My WebLink AboutX2019-0705 - Permitst City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIII�IIIIIIIIIIIIIIIIIIIIIII� II COMB Permit: X2019-0705 ` '". 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 1 9 0 7 0 5 Project No : 0455-2019 H Permit Counter Phone (949)644-3288 9 v, Inspection Requests Phone (949)644-3255. cM R�y,'r '' Combination Type:- MFP : Issued Date: 03/14/2019 Inspection Area : 8 PERMITS EXPIRE 980 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: 114000RELLANB Description: MFR RE -COAT PRIVATEDECKS/STAIR LANDINGS "LIKE FOR LIKE", REPLACE DAMAGED WOOD FRAME MEMBERS AS NEEDED Legal Desc.: NTR 12309 LOT 4 Owner. IRVINE COMPANY Contractor: CUESTA CONSTRUCTION CO Architect: I i ti103 IFT CIA ;'" 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 Lie: 568466 Engineer:. CHRISTIAN DALE Address:.. 1744 WEST KATELLA AVE #107 Lie Expire: 05/3112019 Address: 1744 W KATELLA AVE #107 `• ORANGE CA 92867 .Bus Lie: BT20012806 - ORANGE CA 92667 o `° ° Phone: .714-997-1145 . - Lie Exp Date: 12/3112019 Phone: 714-997-1145 State Lic:S-002705 .... ° _ Code Edit: 2016; Worker's Compensation Insurance Designer. '.o'•: ° Type of Construction: VB Carrier: INSURANCE CO OF THE WEST Address: Occupancy Group: Q - Policy. No: WSD503883000 Added /New sq.ft. Bldg: 0 Expire: 12/3112019 Phone: ea•mm• • ° Added /New sq. ft. Garage: 0 No of Stories: 2 'Building Setbacks Rear: I Special Conditions: BLDG 45:1140-1151 ° ° a ° o e m • o 0 No of Units: 10 Front: / Bldg Height: 0 Left: / Bldg Sprinklers: N Right: I Flood Zone:......Use Zone:. Parkin Spaces: 0 Fire Hazard Zone `. N ° Construction Valuation: $25.000.00 o o• •' Building Permit Fee: $472.00 Excise Tax: $0.00 Planning Department - Fire Department oo•m '. 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 : $0.00 Refund Deposit $0.00 Disabled Access : $0.00.. PM 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: \ )t1 PLAN CHECK BY: GRADING APPROVAL: APPROVAL TO ISSUE: Y - 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 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 is 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). 1, 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, lusiness 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 one year of completion, the Owner -Builder will have the burden of proving that it was not built or n roved 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 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 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.html. signature of Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with ction 00) Div I' 3 of the Bu ' ss and Profes ' 6ode, d my ILcgasa is in full force nd effect. 1.CQIisQ,Class License No e l `J Y' Cc a or ignature ✓((/�f �V'+� VORKERS'MMPENSATION DECLARATION �ARNWG: FAIL11R%T(},SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMI L PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE OST OF COMRHIShT$ON, DAMAGES AS PROVIDED FOR IN SECTION 3703 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. heroby affirm under penalty of perjury one of the following declarations: JJ have ai.411(naintain 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( Wi(tarance of the work for which this permit is issued. Policy No. ani twintain 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' c&rier'and policy number are: ' Policy Number Expiration Date tify thaj,in tvrformance of t e work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the I shoald be e s ct to th rkers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ire 6AKlicant ' hereby affirm under 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). ender's Name Lender's Address �y my signature below, I certify to each of the fallowing: 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 thip}�-�city or county tt niterr a ,%.,'(�e�ntifi% �oparty for inspection purposes. y� g L innnhlra of Prnnerty Owner n uoS fhori;'. A❑ent //��d�k..r// �/%'�'� Print Procertv Owners or Authorizes an s Name /� ida eLLOAV ✓7/ai It PERMITCANCELLED PERMIT EXTENDED PERMIT FINAL CERTIFICATE OF OCCUPANCY ISSUED 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 IS NOTAPPLICABLE TO laws of California, and