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HomeMy WebLinkAboutX2019-0665 - PermitsCity of Newport Beach- Building Division IIIIIIIIIIIIIIIIIIIIIIIII�IIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2019-0665 Investigation Fee: 100 Civic. Center Drive, Newport Beach, CA 92660 x 2 0 1 9 0 6 6 5 Project No ;-0455-2019 h, °z Permit Counter Phone(949)644-3288 ` $0.00 Disabled Access: R' Inspection Requests Phone (949)644-3255 Hazardous Mat `t`a•r�7y.� ,' Combination Type - MFP Issued Date: 0 311 412 01 9 $0.00 NMUSD Fee: 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: 2600 SAN MARCO NB $575.66 Description: MFR RE -COAT PRIVATE DECKS/STAIR LANDINGS "LIKE FOR LIKE", REPLACE DAMAGED WOOD FRAME MEMBERS AS NEEDED Legal Desc.i N TR 12309 LOT 3 T0 �"" SFEC11 Owner: IRVINE COMPANY Contractor: CUESTA CONSTRUCTION CO Architect: Address: 560 NEWPORT CENTER OR 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 Lie: .568466 - Engineer: CHRISTIAN DALE '.. Address: 1744 WEST KATELLA AVE #107 Lie Expire:: 05/3112019 - Address: 1744 W KATELLA AVE #107 , ORANGE CA 92867. Bus Lie: BT20012806 ORANGE CA 92667 Phone: 714-997-1145 Lie Exp Date: 1213112019 Phone: 714-997.1145 State Lic:S-002705 Code Edit : 2016 Worker's Compensation Insurance - so Designer. • Type of Construction: VB Carrier: INSURANCE CO OF THE WEST • ®' Address: Occupancy Group: R2 Policy No: WSD603883000 • ° a o m ..... Added /New sq.ft. Bldg: 0 Expire: 12/3112019 Phone: ° • ° • ':o Added /New sq. ft. Garage: 0 e • • •' ° No of Stories: 2 Building Setbacks Rear: / - 00 o Special Conditions: BLDG 9: UNITS 2600-2610 ° No of Units : 9 Bldg Height: 0 Bldg Sprinklers: N Building Permit Fee: $472.00 Plan Check Fee: $0.00 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management'. $0.00 Energy Compliance: $0.00 CA Seismic Safety: ` $0.00 Disabled Access: $0.00 Hazardous Mat $0.00 Building Green Fee : $1.00 PROCESSED BY: Front: I Left: Right: I Excise Tax: $0.00 Additional Fee : $102.66 Grading Bonds Fee: $0.00 Grading PC Consultant : $0.00 Grading Permit Fee: $0.00 Grading PC Fee: $0.00 WQ Insp. Fee: $0.00 TOTAL FEE: $575.66 ZONING APPROVAL: GRADING APPROVAL: Electrical %: Mechanical %: Plumbing %: $0.00 $0.00 $0.00 Plan Check Fee 0 Fire Hazard Zone : N Planning Department - Fire Department Plan check Fee Fire Inspection: Fair Share : Fire Plan Rev SJH Trans : Demolition Fee In -lieu Housing Fee: Building Dept Adm Public Works Department - Park Dedication: $0.00 PAN Plan Check: $0.00 San Dist: $0.00 NMUSD Fee: $0.00 $0.00 Fee Due at Permit Issuance PUBLIC WORKS APPROVAL: PLAN CHECK BY: - APPROVAL TO ISSUE: 0000 o• 0 o° occ oo° o Fire Department $0.00 Fire Inspection: $0.00 Fire Plan Rev $0.00 Demolition Fee $0.00 Building Dept Adm • $0.00 General Service 0 0 • $0.®0 Refund Deposit $0.00 Grading Bond: $0.00 Fee Due at Permit Issuance PUBLIC WORKS APPROVAL: PLAN CHECK BY: - APPROVAL TO ISSUE: 0000 o• 0 o° occ oo° o o o e a ao I o a000 o.. 0 ooaoo oa000a e o o c •o•oao o e ° 00000c • $0.00 ° 0 0 • $0.®0 curio $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $575.66 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 items) 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 Dt more than five hundred dollars ($500). ] I, as owner of the property, or my employees with wages as their sole compensation, will do U 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 :Iprovements 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: 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 =_II 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.govlcalaw.htmi. ignature of Property Owner or Authorized Agent Date ICENSED CONTRACTOR'S DECLARATION /'fin/ hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with S ction 70 Di 7-3-afthe-Busin�ae--a d Prof a is in full force nd effect. License Class License No ate i Cont ctrl or S{ naturer� IORKERS' COMPENSATION DECLARATION /7 ARNING: FAILURE -"bECVRE 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 DST OF COMPENSAiriM.DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. iletabyaffirm Linder penalty of perjury one of the following declarations: • • I have and Ou111• rtyaintain 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 IN UWmance of the -work for which this permit is issued. Policy No. and vWT p{a)pjam 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' carrier and policy number are: ! •! • _ Policy Number Expiration Date a Ol Agent' " vnones ettyy that, in the performance of the w�oJrc 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 if Is@bGuI beaoma subj¢0 to the wgQcrs' ccgaonsation provisions of Section 3700 of the Labor Code, 1 shall forthwith comply with those prwfslona / y itule of AnDIIOan • hereby affirm underer penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued .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. 1 agree to comply with all applicable city and county ordinances nd state laws relating to building construction. I authorize representatives of this city or county ter t e Id ntified property for inspection purposes. Signature of Property Owner or9athoriz-ad Agent Print Property OWner'e-VAO rized Agent's Nam ACTION DATE ' BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL R ICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED U I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED EPA PERMIT EXTENDEDn q D PERMIT FINAL ry? �� S 'OS NOTIFICATION IS N9rT APPLICABLE TO CERTIFICATE OF ROP ED DE I OCCUPANCYISSUED �%K IG ATURE: Civil Code).