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HomeMy WebLinkAboutXR2022-3168 - PermitsCity of Newport Beach
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Permit XR2U22-3168
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Community Development Department- Building Division
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1 6 8
COMB :
1y 100 Civic Center Drive, Newport Beach, CA 92660
Plan Check No: PC2022-3031
Permit Counter Phone: (949) 644-3288
Issued Date : 03/07/2023
Inspection Requests Phone: (949) 644-3255
Inspection Area : 2
cgciFoaN`P newportbeachca.gov/inspections
Combination Type - MFP ELEC MECH PLUM
Work Class - Repair
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE
OR LAST VALID INSPECTION, BUT NO LATER THAN 3 YEARS FROM ORIGINAL ISSUANCE DATE
NO CONSTRUCTION RELATED NOISE ON SATURDAY
OR SUNDAY IN HIGH DENSITY AREAS AND NO WORK ON SUNDAY AND HOLIDAYS IN ALL AREAS
Job Address : 200 PROMONTORY DR W
Legal Desc : P BK 49 PG 15 PAR.1 PARCEL MAP 49-15 PAR 1 FOR OF PAR
Description: MFR - (14 UNITS) FIRE & WATER DAMAGE REPAIR
APPROX 18760 SF
Owner: PROMONTORY POINT APARTMENTS LLC
Contractor: CUESTA CONSTRUCTION CO
Architect
Address : PO BOX 2450
Address : 3195A AIRPORT LOOP DR
Address
NEWPORT BEACH, CA 92658
COSTA MESA, CA 92626
3 6
Phone:
Phone: (714)557-5877
Phone:
Con State Lie : 568466
State Lie :
t
Lie Expire : 05/31/2023
Applicant : LUIS ENCISO
Bus Lie: BT20012806
Engineer : ORTIZ ROBERTO
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Address : 3337 MICHELSON DR, 170
Bus Lie Expire: 12/31/2023
Address : 1744 W KATELLA AVE
4.
IRVINE, CA 92612
ORANGE,. CA 92867
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Phone: (949) 655-1550
Workers' Compensation Insurance
Phone: (714) 997-1145
Carrier: INS CO OF THE WEST
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Owner/Builder:
Policy No: WVE503883004
Designer:
Address :
W. C. Expire : 12/31/2023
Address
Phone:
Phone:
Code Edition : 2019
Fire Sprinklers : NO
Construction Valuation : $1,500,000.00
Type of Construction : V-B
Fire Hazard Zone : NO
Added/New/Ti sq. ft. Bldg: 0
Occupancy Groups : R-2
No of Units : 14
Alteration sq. ft. Bldg : 17,291
Bldg Height:
No of Stories : 3
Added/New sq. ft. Garage: 0
TOTAL sq. ft. 0
Building Setbacks
Flood Zone : X; X
Use Zone : PC - Promontory Point - UP 1494
PROCESSED BY: L+��
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SPECIAL CONDITIONS:
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reasons) 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
the permit to fife a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter9 (commencing with Section 7000) of Division 3 of the Business and
Professions Code) cr that he or she is exempt from l censure 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
not more than five hundred dollars ($500).
0 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,
Business 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
improvements are not intended or offered for sale. If, however, the building or improvemant is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not builtor
improved for the purpose (if 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
app€y 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)..
I am exempt from ficensure under the Contractors' State License Law for the following reason:
By my signature below 1 acknowledge that, except for my personal residence in which I must have resided for at toastone year prior to completion of the improvements Covered by this permit, I cannot legally
sell a structure that I have built as an owner -builder if it has not bean constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and.
Professions Code„ isavailable upon request when this application is submitted or at the following Web site:http:tiwww.ieglnfo.ca.gov/calaw:html. -
Signature of Property Owner or Authorized Agent_ pate
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter (Commencing with Sectio o f Divf ion of the Business and Pr 6�ns f, Ids, and my license is In full force
and effect. License Class License No Da, ! contractor Signature _
WORKERS' COMPENSATION DECLARATION
NANNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRdWNAL PENALTIES AND CIVIL FINES UP TOONE HUNDRED THOUSAND DOLLARS (1000,000), IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION aTOS OF THE LABOR CODE, INTEREST, ANC ATTORNEY'$ FEES.
hereby affirm under penalty of perjury one of the following declarations:
I have 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, forth,
)erformance of the work for which this permit is issued. Policy No.
A have 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' compensator
nsurance Safer and poll beer are: (i r�r
:arrler rtm lTwc'e �'Oynn6wfu Gi" I VUN°Cd"�olicy Number W V GS� �i b � 0 J Expiration Date
Name of Agent J— Phone tf
JI certify that, in. the porter anco ork for which this permit is issued, I shall not employ any person in any manner so as to become subject to the works 'compensation taws of California, and agre
hat, if I should be "Is u act the err' Compensation provisions of Section 3700 of (fie Labor Code, I shall forthwith comply with those provisions.
3ECLuraof Applicant1 - Date
DECt.ARATtON REGA pN ON ION LENDlNR 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).
..eoder's Name Lenders Address
3y my signature below, I certify to each of the following:
I am the property owner or authorized to act or) the property owner's behalf.
I have read this application and.. the information I have provided is correct,
( agree to comply with all applicable oiry and county o inane "a and state laws relating to building construction.
I authorize representatives of this city or county tar a ve-identified property for inspection purposes.
5i nature of Pro. ert Owner or Authorized A ant Pont Property Owner's or Authorized Agent's Name vvYr bl
ACTION DATE BY DNAOTON OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE. USE ONLY
RE431.4AVONS PART GI OF TITLE 40 AND AQMD RULE
1403
PERANTEXP1RE0 €0 1-UPMIYTED ASBESTOS NO-,IFICATION TO
PEAMIT CJ1NCElEEQ ,�A
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PERMIT FINAL T9FCERTIFICATE Or CLITDN
OLCUFANCYISSUEA `