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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: