HomeMy WebLinkAboutX2019-0709 - Permitsrywt.�, City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2019-07091
100 Civic Center Drive, Newport Beach, OA. 92660 x 2 0 1 9 0 7 0 9 4 Project No : 0455-2019
Permit Counter Phone (949)644-3288
;$ Inspection Requests Phone (949)644-3255
41rnv'' Combination Type - MFP Issued Date: 03/14/2019
Inspection Area : 8
Construction Hours: Monday Friday 7.00 a.m.
to 6.30 p.m. and Saturday from 6:00 a.m. to 6:00 p.m. No work on Sundays or Holidays
Job Address: 240 MARSALA DR NB
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Description:.. MFR RE -COAT PRIVATE DECKS/STAIR LANDINGS "LIKE FOR LIKE", REPLACE DAMAGED WOOD FRAME MEMBERS AS NEEDED�, t ��
Legal Desc.: TR 12309 LOT 5 POR OF LOT EWF&�
.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
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Phone:
Phone:
714.557-5877 Phone: State Lie:
Applicant: MATSUSHITA TAK
Con State Lie: 568466. Engineer: CHRISTIAN DALE
Address: 1744 WEST KATELLA AVE #107
Lie Expire:
05/31/2019 Address: 1744 W KATELLA AVE #107
......
ORANGE CA 92867
Bus Lie:
' BT20012806 ORANGE CA 92667
•O..
Phone: 714-997-1145
Lie Exp Date:
.12/31/2019 Phone: 714-997-1145 State Lic:S-002705
Code Edit . 2016
Worker's Compensation
Insurance Designer.
Type of Construction: VB
Carrier:.
INSURANCE CO OF THE WEST Address:
Occupancy Group:. R2
Policy No:.
WSD503883000
Added /New.sq.ft, Bldg: 0
Expire:
12/31/2019 Phone:
Added/New sq. ft. Garage: 0
No of Stories: 2
Building Setbacks
Rear: 7. Special Conditions: BLDG 49:240-255
No of Units: 16
Front: -I
Bldg Height: 0
Left: I
Bldg Sprinklers: N
Right: 7
0000°o
of
Flood Zone:
Use Zone:
Parking Spaces: 0 Fire Hazard Zone:N
opOU`<
Construction Valuation: $25,000.00
Building Permit Fee:. $472.00 -
Excise Tax:
$0.00 Planning Department - - Fire Department
Plan Check Fee:. $0.00
Additional Fee :
$102.66 Plan check Fee: $0.00 Fire Inspection:
$0.00'
Overtime Plan Ck $0.00
Grading Bonds Fee:
$0.00 Fair Share : - $0.00 ' Fire Plan Rev.
$0.00,
i
Investigation Fee: $0.00
Grading PC Consultant:
$0.00 SJH Trans : $0.00 Demolition Fee
VIII
Record Management: $0.00 '
Grading Permit Fee:
$0.00 In -lieu Housing Fee : $0.00 Building Dept Adm
$0.00
Energy Compliance: $0.00
Grading PC Feer
$0.00 Public Works Department- General Service
$0.00
CA Seismic Safety: $0.00
WQ Insp. Fee:
$0.00 Park Dedication : -. $0.00 Refund Deposit
$0.00
Disabled Access: $0.00
PAN Plan Check: $0.00 Grading Bond:
$0.00.
Hazardous Mat $0.00
Electrical %:
$0.00 San Dist: $0.00
Building Green Fee : $1.00.
Mechanical %: '
$0.00 NMUSD Fee: $0.00
$0.00
Plumbing %:
$0.00
$0.00 .
TOTAL FEE.: $575.6
Plan Check Fee: $0.00 Fee Due at Permit Issuance : $575.66
PROCESSED BY:
PUBLIC WORKS APPROVAL:
ZONING APPROVAL:.
-
PLAN CHECK BY: %.�--.------..-.
GRADING APPROVAL:..
APPROVAL TO ISSUE:
OWNER -BUILDER DECLARATION
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) 1 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
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).
I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U 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
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
n roved 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).
7 I am exempt from licensure under the Contractors' State License Law for the following reason:
ly 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 legall,.
ell a structure that 1 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:tlw .leginfo.ca.gov/calaw.html.
signature of Property Owner or Authorized Agent Date
.ICENSED CONTRACTOR'S DECLARATION
hereby affircri uurIcret penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Seption 7 1 of !vision 3 of the Busi s and Profs ns o and m li ense is in full force
nd effect. 1-lb@119e Class License No Contractor ignature
YORKERS' CORWENSATION DECLARATION
'ARNING: FAINRE t8 SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
WOF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirrt: u rider penalty of perjury one of the following declarations:
11 have and will maintain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for th
aGfgrmanci btthework for which this permit is issued. Policy No.
have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensatioi
lsurance carrlbr and policy number are:
ariier Policy Number Expiration Date
B of Agent Phone a
..
:ertity ttynLn the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to thew rkers' compensation laws of California, and
if I gh - ize subje3 to the we*rs' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
Heby affirm under penalty of perjury6at there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code)
lder's Name Lender's Address
my signature below, I certify to each of the following:
I am the property owner or authorized to act on the property owner's behalf.
I have read this application and the information I have provided is correct.
I agree to comply with all applica eland county ordinances and state laws relating to building construction.
I authorize representatives !s c or county t$'te the abov identified property for inspection purposes.
naURe of Pronedv owner n uthorized ADent //� ✓ � Print Prooertv Owner's or Authorized Agen 's Name UP v�
BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
1403
1 L3 I SUBMITTED ASBESTOS NOTIFICATION TO
APPLICABLE TO
OF