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HomeMy WebLinkAboutX2019-0707 - Permits1y City of Newport Beach - Building Division ,r 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)6443255 Combination Type - MFP iiiiiii7 COMB Permit: X2019-0707 Project No: 0455-2019 Issued Date : 0 311 112 01 9 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: 216 MARSALA DR NB - Description: MFR RE -COAT PRIVATE DECKS/STAIR LANDINGS "LIKE FOR LIKE", REPLACE DAMAGED WOOD FRAME MEMBERS AS NEEDED ECI Legal Desc.: TR 12309 LOT 5 POR OF LOT -INSPUR Owner: IRVINE. COMPANY Contractor: CUESTA CONSTRUCTION CO. Architect: Address: 550 NEWPORT CENTER DR Address:. 3195A AIRPORT LOOP DR Address: Construction Valuation: $25.000.00 NEWPORT BEACH, CA 92660 Plan check Fee : COSTA MESA CA 92626 $472.00 Excise Tax: Phone:. Phone: 714-557-5877 Phone: State Lie: Applicant: MATSUSHITA TAK Con State Lie: 568466 Engineer: CHRISTIAN DALE Address: 1744 WEST KATELLA AVE 0107 Lie Expire: 05/31/2019 Address: 1744 W KATELLA AVE #107 ORANGE CA 92867 Bus Lie: BT20012806 Grading PC Fee: ORANGE CA 92667 Phone: 714-997-1145 Lie Exp Date: 1 2131 /2 01 9 Phone: 714.997.1145 State Lic:S-002705 Code Edit: 2016 Worker's Compensation Insurance Designer: Hazardous Mat Type of Construction: VB Carrier: INSURANCE CO OF THE WEST Address: $1.00 Occupancy Group: R2 Policy No: WSD603883000 Plumbing %: Added /New sq.ft. Bldg: 0 Expire: 1213112019 Phone: Added /New sq. ft. Garage:. 0 No of Stories: 2 Building Setbacks Rear: / . Special Conditions: BLDG 47:216.231 No of Units : 12 Front: / Bldg Height: 0 Left: / Bldg Sprinklers: N Right: / Flood Zone: Planning Department - Use Zone: Construction Valuation: $25.000.00 $102.66 Plan check Fee : Building Permit Fee: $472.00 Excise Tax: $0.00 Plan Check Fee: $0.00 Additional Fee $0.00 Overtime Plan Ck: $0.00 Grading. Bonds Fee:. Investigation Fee: $0.00 Grading PC Consultant: In -lieu Housing Fee: Record Management: $0.00 Grading Permit Fee: $0.00 Energy Compliance: $0.00 Grading PC Fee: $0.00 - CA Seismic Safety: $0.00 WO Insp. Fee-: Refund Deposit Disabled Access: $0.00 $0.00 Hazardous Mat $0.00. Electrical %: $0.00 Building Green Fee :. $1.00 Mechanical %: NMUSD Fee: $0.00 Plumbing %: $0.00 TOTAL FEE : $575.66 1 . PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: $0.00 Planning Department - Fire Department $102.66 Plan check Fee : $0.00 Fire Inspection: $0.00 Fair Share: $0.00 Fire Plan Rev $0.00 SJH Trans : $0.00 Demolition Fee $0.00 In -lieu Housing Fee: $0.00 Building Dept Adm $0.00 Public Works Department - General Service $0.00 - Park Dedication: $0.00 Refund Deposit PAN Plan Check: $0.00 Grading Bond: $0.00 San Dist: $0.00 $0.00 NMUSD Fee: $0.00 $0.00 Plan Check Fee: $0.00 c oe Ube• • $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Fee Due at Permit Issuance : $575.66 PUBLIC WORKS APPROVAL: PLAN CHECK BY: A APPROVAL TO ISSUE: L_ - 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 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). 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, 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). 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). 3 1 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 legall] 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. ',ignature 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 Se 'on 7000) f_D... 3 of the Bu mess and Profs s s Co e a my li�ranse is in full force nd effect. License Class License No D / 4 Co, Signature V I/ORKERS' COMPENSATION DECLARATION ARNING: FAILURE406ECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE QIT.4F COMPFANSATIQN, DAMAGES AS PROVIDED FOR IN SECTION 3705 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirrQ VlIIJgJ)edalty of perjury one of the following declarations: I*Ibave 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 aMmance of the work for which this permit is issued. Policy No. •••••• I 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' compensatiol u�ance carsisr and policy number are: Agent Policy Number Date 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 workers' compensation laws of California, and hepgtkers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ) y Ature of p M {"s Wr- `� v ate :EARA 0t3 R GA DING CONST UCTION LENDING AGENCY eby 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 97, ivil Code). ter's Name Lender's Address iy signature below, I certify to each of the following: 1 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 applicab city and county ordinances and state laws relating to building construction. I authorize representatives of t ' city or county/ nterr he/la�ove-identified property for inspection purposes. �'/� L I ature of Propertv Owner or thor ed Apent///�f/Y (/�N� ___ Print Property Owner's or Autho d A nt's Name / � wfta I orfo hw/` DATE BY DECLARATMN OF COMPLIANCE WITH CODE OF FEDERALI FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE SUBMITTED PERMITCANCELLED PERMIT EMENDED PERMIT FINAL CERTIFICATEOF OCCUPANCY/SSUED APPLICABLE TO