HomeMy WebLinkAboutX2019-0712 - Permitst , City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII
I
COMB Permit: X2019-0712
100 Civic Center Drive, Newport Beach, CA 92660
x 2 0 1 9
0 7 1 2
Project No: 0455-2019
$472.00
t+ _ Permit Counter Phone (949)644-3288
$0.00-
Plan Check Fee: $0.00
Additional Fee:
Inspection Requests Phone (949)644-3255
Overtime Plan Ck
$0.00
e'wrntd*�g Combination Type - MFP
$0.00
Issued bate :
-
Grading PC Consultant
$0.00
Inspection Area : 8
$0.00
Grading Permit Fee:
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION..
Energy Compliance:
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: 300MONTE CARLO NB -
$0.00
WQ Insp. Fee:
$0.00
Description: MFR RE -COAT PRIVATE DECKS/STAIR LANDINGS"LIKE FOR LIKE', REPLACE DAMAGED WOOD
FRAME MEMBERS AS NEEDED
Legal Desc.: 7R 12309 LOT 5 POR OF LOT
Hazardous Mat
$0.00
Electrical %I
Building Green Fee: `
8wa' 1��r1 t,
I S ECI®1
Mechanical %:
0
Owner: IRVINE COMPANY
Contractor CUESTA CONSTRUCTION CO
: Architect: 1 V 1 ,
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 Lic
Applicant: MATSUSHITA TAK
Con State Lice 568466
Engineer: CHRISTIAN DALE ....
Address: 1744 WEST KATELLA AVE #107
Lic Expire: .06/3112019
Address: 1744 W KATELLA AVE #107 •
-
ORANGE CA 92867
Bus Lic: 8720012806
°. ° •'
ORANGE CA 92667 •
• a
.060°°
Phone. 714-997-1145.
Lic Exp Dater 1213112019
°
Phone: 714-997-1145 State. Lic:S-002705 . •
• °
- Code Edit r 2016
Worker's Compensation Insurance
Designer. •
° °,e ° `
Type of Construction:. VIB -
- Carrier: INSURANCE CO OF THE WEST
Address: 0 e
Occupancy :Group:: R2
Policy No: WSD603883000
°
0 0
Added/New sq.ft, Bldg: 0
Expire: 1213112019
Phone;
Added /New sq. ft. Garage: 0
° o°O
0000c
No of Stories: 2
Building Setbacks Rear I
Special Conditions: BLDG 52: 300-307
• ° ° ° `
No of Units: B -
Front:.l
Bldg Height:. 0
Left: /
Bldg Sprinklers: N-
Right: /_
o c 0 0 0
Flood Zone: :
Use Zone: ' Parking Spaces: 0
Fire Hazard Zone : N
Plumbing :
TOTAL FEE: $575.66
PROCESSED BY:
ZONING APPROVAL:
GRADING: APPROVAL:
$0.00-
uonstrucnon vamanon:
azo.uuU.uu
$102.66
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:
$0.00
Investigation Fee:
$0.00
Grading PC Consultant
$0.00
Record Management:
$0.00
Grading Permit Fee:
$0.00
Energy Compliance:
$0.00
Grading PC Fee:
CA Seismic Safety:
$0.00
WQ Insp. Fee:
$0.00
Disabled Access
$0.00
$0.00.
Hazardous Mat
$0.00
Electrical %I
Building Green Fee: `
$1.00
Mechanical %:
0
Plumbing :
TOTAL FEE: $575.66
PROCESSED BY:
ZONING APPROVAL:
GRADING: APPROVAL:
$0.00-
Planning Department -
$102.66
Plan check Fee:
$0.00
$0.00-
Fair Share:
$0.00
.$0.00
SJH Trans:
$0.00
$0.00
In -lieu Housing Fee :.
$0.00
$0.00
Public Works Department -
$0.00
Park Dedication:
$0.00
PAN Plan Check:
$0.00
$0.00
San Dist :
$0.00
$0.00.
NMUSDFee:
-$0.00
$0.00
Plan Check Fee
$0.00
Fire. Department
Fire Inspection:
Fire Plan Rev
Demolition Fee
Building Dept Adm
General Service
Refund Deposit
Grading Bond:
Fee Due at Permit Issuance
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
APPROVAL TO ISSUE:
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$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
ie 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 U 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
nproved 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).
1 am exempt from licensure under the Contractors' State License Law for the following reason:
iyi my signature below I acknowledge that, except for my personal residence in which I must have resided for at least oneyear 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
Irofessions 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
.ICENSED C.gN.�RACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing wit ction 7000) f DLGig(on 3 of the Busines and Profess] cf I rise is in full force -
P:
effect. Liden's� Class License No ate ^��/ 7 Contracto ignature �(/
VORKERS&COMPENSATION DECLARATION
.. ..
p1RNljjJJG: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (E'IDD,DOD(, IN ADDITION TO THE
clSr bF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 37DB OF THE LABOR CODE, INTEREST, AND ATTORNEY'; FEES.
hereby affirgCgn ei-penalty of perjury one of the following declarations:
Pmave
ve 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
ancgdfZhE)york for which this permit is issued. Policy No.
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
faarance carrier and policy number are:
:artier •..... Policy Number Expiration Date
Is of Agee rnone s
certify Aat. M tfte performance of the wor for which this permit is issued, I shall not employ any person in any manner so as to become subject to th orkers' compensation laws of California, and agre
if I should become Su to t/I�e r ' co ensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with t�se-pr Isions.
Is re of App I t .1�^� Da
:L RATION R ARDING CONS N�t£NDING AGENCY
reby rm underpemal o perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Sectio Civil Code).
ier's Name Lender's Address
ny 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 Wifinances and state laws relating to building construction.
I authorize representatives of this city or county yyy/rer the fled property for inspection purposes. //'. /
lature of Property Owner nze gent !'!' ^ A 4�� Print Property Owner's or Fit rrized ant's Name r �I ` ate ✓
ION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OF ICE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
NOTIFICATION
PERMITFINAL Z/y/2 e✓(y3 LIJASBESTOS NOTIFICATION IS NOT PPUCABLE TO
CERTIFICATEOF '7 /C601 PROPOSED DEM�}jaJ�O
OCCUPANCY155UED Chf S SIGNATURE: {�i/�� �j�JJJ