HomeMy WebLinkAboutX2019-0717 - Permitsire City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permits X2019-0717
100 Civic Center Drive, Newport Beach, CA 92660 X 2 6 1 9 0 7 1 7 Project No : 0455-2019
r... Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255
., x,,b Combination Type - MFP Issued Date: 0311412019
9Kr€n.
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
JobAddress:. 100.LAURENTNB - -
Description. MFR RE-COAT PRIVATE DECKSISTAIR LANDINGS "LIKE FOR LIKE", REPLACE DAMAGED WOOD FRAME MEMBERS AS NEEDED�.�� ^T/t,
Legal Desc.:. TR 12309 LOT 7 POR OF LOT (V' tl1 IVE
'Owner: IRVINE COMPANY Contractor:. CUESTA CONSTRUCTION CO Architect:
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:
Fire Department
.Applicant: MATSUSHITA TAK
Con State Lie: 568466
Engineer: CHRISTIAN DALE
$472.00
Excise Tax:
Address: 1744 WEST KATELLA AVE #107
Lie Expire: 06131/2019
Address:. 1744 W KATELLA AVE #107
.Demolition Fee
Plan Check Fee: $0.00.
ORANGE CA 92867
- Bus Lie: BT20012806
.ORANGE CA 92667
General Service.
Phone 714-997-1145
Lie Exp Date:. X12131/2019
Phone:. 714-997-1145 State Lic:S-002705
•, °
Fair Share :
Code Edit: 2016
Worker's Compensation Insurance
.Designer.
$0.00
Grading PC Consultant:
Type of Construction: VIB
Carrier INSURANCE CO OF THE WEST -
Address:-
°° •
°c°O° o
Occupancy Group: R2.
Policy No: WSD503883000
$0.00
00 00
Added /New sq.ft. Bldg: 0
Expire: 12/31/2019
Phone:
•
•° •°n
Added ./New sq. ft. Garage: 0
CA Seismic Safety:
o °
•• °
No of Stories:. 2
Building Setbacks Rear:./
Special Conditions:BLDG 56: 112-119
i°Osco
�o °•..
No of Units: 6
Front: /' -
PIN Plan Check;
•• - o..
Bldg Height: 0
Left:l.
$0.00
o ° °
oo•ou.
Bldg Sprinklers:. N
- Right: l
o0 0
°000yo
Flood Zone:
Use Zone: Parkina 5aces: 0
Fire Hazard Zone .:N
$0.00
'
Construction Valuation: $25.000.00
e
Fire Department
° • J
$0.00
Building Permit Fee;
$472.00
Excise Tax:
$0.00
Planning Department-
$0.00
.Demolition Fee
Plan Check Fee: $0.00.
- Additional Fee :
$102.66
Plan check Fee:
General Service.
Overtime Plan Ck:.
$0.00
Grading Bonds Fee:
$0.00
Fair Share :
Grading Bond: -
$0.00
Investigation Fee:
$0.00
Grading PC Consultant:
$0.00
SJH Trans
Record Management:
$0.00
Grading Permit Fee:
$0.00
In -lieu Housing Fee
Energy Compliance:
$0.00
Grading PC Fee:
$0.00
Public Works Department -
CA Seismic Safety:
$0.00
WQ Insp. Fee:
$0.00
Park Dedication :
$0.00
Disabled Access: :
$0.00.
PIN Plan Check;
$0.00
Hazardous Mat -
$0.00
Electrical %:
: $0.00
San Dist:
$0.00
Building Green Fee :
` $1.00
Mechanical %:..
$0.00
- NMUSDFee:
$0.00
Plumbing %:
$0.00 -
TOTAL FEE: $5755..666 Plan Check Fee : $0.00' Fee Due at Permit Issuance
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
.PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
APPROVAL TO ISSUE:
$0.00
$0.00
$575.66
e
Fire Department
° • J
$0.00
Fire Inspection:
$0.00
Fire Plan Rev
$0.00
$0.00
.Demolition Fee
$0.00
Building Dept Adm
$0.00
General Service.
$0.00
Refund Deposit
$0.00
Grading Bond: -
$0.00
TOTAL FEE: $5755..666 Plan Check Fee : $0.00' Fee Due at Permit Issuance
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
.PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
APPROVAL TO ISSUE:
$0.00
$0.00
$575.66
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
he 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
professions 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
lot 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 (_) portions of the work, and the structure is not intended or offered for sale (Section 7044,
3usiness 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
mprovements 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
mproved 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
apply 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).
1 am exempt from licensure under the Contractors' State License Law for the following reason:
3y, 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
3rofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi.
Signature of Property Owner or Authorized Agent Date
LICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that am licensed under provisions of Chapter 9 (commencing with S n�0 ) o ision 3 of the ess and Profs Be is in full force
and effect. License Class License No e 3 /'J" Contr ctor nature
NORKERS' COMPENSATION DECLARATION
YARNING: FAILURE T"WURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,00D(, IN ADDITION TO THE
YOST OF GOMPEN SATION DAMAGES AS PROVIDED FOR IN SECTION 5705 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
1lereby,affirm Under penalty of perjury one of the following declarations:
;�I,hdyf= 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 thI
$ffo nce of thg worl�for which this permit is issued. Policy No.
avaand will mei lin 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' compensatior
sur�ll a carrieyagd policy number are:
,'a*rrIeor0.. : Policy Number Expiration Date
Jame of Agent . Phone #
....
• I CertiQ, that, ip $I}QgQformance of the wopk for which this permit is issued, I shall not employ any person in any manner so as to become subject to the worktz= of California, and agree
hat if I s Id become -to the rs' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
..t..
>ignaiur� of A �^"� / / Da
)ECLARATION /aRDING CONST TION LENDING AGENCY
hereby 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 3097, Civil Code).
-ender's Name Lender's Address
3y',,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 o dinances and state laws relating to building construction.
I authorize representatives of this city or county t eh _ a e-i ntified property for inspection purposes. -
Signature of Property Owner or Aulho d A en = Print Property Owner's or Authorized AgentA 1>t Date l
ACTION DATE BY DECLARATI9fi OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
1403
PERMIT EXPIRED U I SUBMITTED ASBESTOS NOTIFICATION TO
PERMITCANCELLED EPA
PERMIT EXTENDED QMD
PERMITFINAL ij ijpFO SBESTOS NOTIFICATION I%SNN TAPPLICABLE TO
CERTIFIC4TEOOCCUPANCYISF � �' POSED DE OIJ I�'U✓/!� __
OCCUPANCYISSUED C/Yf S 1CaN.A7URE: ��i`((bf ••(N/