HomeMy WebLinkAboutX2019-0708 - Permits'orf City of Newport Beach -Building Division IIIIIIIIIIII�IIIIIIIIIIIIIIIIIIIIIIIIIIIIII II
ff 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 1 9 0 7 0 8
1 _ Permit Counter Phone (949)644-3288
u Inspection Requests Phone (949)644-3255
Combination Type - MFP
COMB Permit: X2019-0708
Project No : 0455-2019
Issued Date: 03114/2019
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: 232 MARSALA DR NB
Description: MFR RE -COAT PRIVATE DECKS/STAIR LANDINGS "LIKE FOR LIKE", REPLACE DAMAGED WOOD FRAME MEMBERS AS NEEDED
Legal Desc.: TR 12309 LOT 5 POR OF LOT
Owner: IRVINE COMPANY
Contractor:
CUESTA CONSTRUCTION CO
Architect:
INS
P ECD710
Worker's Compensation
Address:. 550 NEWPORT CENTER DR
Address:
3195A AIRPORT LOOP DR
Address:.
$0.00
NEWPORT BEACH, CA 92660
CA Seismic Safety:
COSTA MESA CA 92626
Public Works Department-
Disabled Access:
Phone:
Phone:.
714.557.5877
Phone:.
State Lie:
Applicant: MATSUSHITATAK
Address: 1744 WEST KATELLA AVE #107
ORANGE CA 92867
Phone:. 714-997-1145
Code Edit: 2016
Type of Construction:. VB
Occupancy Group: R2
Added /New sq.ft. Bldg: 0
Added /New, sq. ft. Garage: 0
No of Stories: 2
No of Units : 8
Bldg Height: 0
Bldg Sprinklers: N
Flood Zone:
Building Permit Fee: $472.00
Plan Check Fee: $0.00
TOTALFEE:
PROCESSED BY:
Con State Lie:. 568466
Lie Expire:
Overtime Plan Ck:
$0.00
BT20012806
Investigation Fee:
$0.00
Worker's Compensation
Record Management:
$0.00
INSURANCE CO OF THE WEST
Energy Compliance::
$0.00
Expire:
CA Seismic Safety:
$0.00
Public Works Department-
Disabled Access:
$0.00
$0.00
Hazardous Mat
$0.00
$0.00
Building Green Fee :.
$1.00
TOTALFEE:
PROCESSED BY:
Con State Lie:. 568466
Lie Expire:
05131/2019
Bus Lic:
BT20012806
Lie Exp Date:
12131/2019
Worker's Compensation
Insurance
Carrier:
INSURANCE CO OF THE WEST
Policy No:
WSD503883000
Expire:
12131/2019
Building Setbacks
Use Zone:
Excise Tax:
Additional Fee
Grading Bonds Fee:
Grading PC Consultant
Grading Permit Fee:.
Grading PC Fee:
WQ Insp. Fee:
Electrical %:
Mechanical %:
Plumbing %:
Rear: /
Front: I
Left: I
Right: I
$0.00
$102.66
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
0
Engineer:
CHRISTIAN DALE
Address:
1744 W KATELLA AVE #107
ORANGE CA 92667
Phone:
714-997-1145 State Lic:S-002705
Designer:
SJH Trans :
Address:
$0.00
Phone:
Special Conditions:BLDG 48: 232-239
Planning Department -
Plan check Fee:
$0.00
Fair Share:
$0.00
SJH Trans :
$0.00
In -lieu Housing Fee:
$0.00
Public Works Department-
Park Dedication :
$0.00
PAN Plan Check:
$0.00
San Dist:
$0.00
NMUSD Fee:
$0.00
M
Fire Department
Fire Inspection:.
Fire Plan Rev
Demolition Fee
Building Dept Adm
General Service
Refund Deposit
Grading Bond:
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Plan Check Fee: $0.00 Fee Due at Permit Issuance : $575.66
PUBLIC WORKS APPROVAL:
ZONING APPROVAL: �� PLAN CHECK BY:
GRADING APPROVAL: APPROVAL TO ISSUE:
o -
ooboor
. I c
OWNER -BUILDER
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)
lection 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 I, 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,
usiness 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
nproved for the purpose of sale).
3 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:
y.. 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
all 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
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 �/�p
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Se 1 70 of i ' ion 3 of the si a nd Profe) Js d d pryil ase is in full force
nd effect. License Class License No Dat /J� Contra or Sig ature /��
/ORKERS.C(MVENSATION DECLARATION
ARMING: FAILURE -"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
psT OF COMP&NSATQN, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
iereby affirrD jAq,r penalty of perjury one of the following declarations:
I leave 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 Cade, for IN
mance otthe work for which this permit is issued. Policy No.
••••••
Fave 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' compensation
rance caniesarld policy number are:
a_rrist • • • Policy Number Expiration Date
V1 %of Agent • enone IF
I certify thatria/.haperformance 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
SJl should becoibe subjec ytpr compQnsation provisions of Section 3700 of the Labor Code, 1 shall forthwith comply with those provisions.
frPMtureof ADoliPadt
!CLARAT ON �• ARDING CONSTRUC ON LENDING AGENCY
Breby 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
ider's Name Lender's Address
Imy 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 r th a -id ed property for inspection purposes.
compensation laws of California, and
Civil Code).
Signature of Property Own ooze A er t— - Print Property Owner's or Authori ed A s Name U7A4,/ .0 •vf D to 7�
ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
1403
PERMITEXPIRED I U I SUBMITTED ASBESTOS NOTIFICATION TO
APPLICABLE TO
PROPOSED
SIGNATURE: