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Home My WebLink AboutX2019-0667 - Permits1 City of Newport Beach - Building Division IIIIIIIIIIIIIIIII�IIIIIIIIIIilllllllllllll COMB Permit: X2019-0667 it a 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 1 9 0 6 6 7 ;� Project No :0455-2019 r; � Permit Counter Phone (949)644-3288 3' Inspection Requests Phone (949)644-3255 e�4�,p Combination Type - MFP Issued Date: 03/1412019 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 Syy%d{ C Job Address: 2132 BASTIA NB -; ".r9 "LIKE �. n YY. g D vil Description: MFR RE -COAT PRIVATE ECKS/STAIR LANDINGS FOR LIKE', REPLACE DAMAGED WOOD FRAME MEMBERS AS NEEDED Legal Desc.: 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 Lia:. Applicant:. MATSUSHITA TAK Con State Lie: 568466 Engineer. CHRISTIAN DALE '.. Address:. 1744 WEST KATELLA AVE. #107 tic Expire: 05/31/2019 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 Designer. •aee.• Type of Construction: VB Carrier: INSURANCE CO OF THE WEST Address: m ° ° ° • Occupancy Group: R2 Policy No: WSD503883000 • ° Added /New sq.H. Bldg:. 0 °® oe Expire: 1213112019. Phone: + ° Added /New sq. f<. Garage: 0 No of Stories: 2 Building Setbacks Rear: / Special Conditions: BLDG 11: UNITS 2132-2142 No of Units : 8 Front: / Bldg Height: 0 Left: I Bldg Sprinklers: N : Right: I°° a° e ...... aa•aa Flood Zone: o°aoo Use Zone: Parking Spaces: ' 0 Fire Hazard Zone : N a Construction Valuation: $25.000.00 a ' m I 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: : $9.B$.. a •a • ° Overtime Plan Ck: $0.00 Grading Bonds Fee: $0.00: Fair Share : $0.00 Fire Plan Rev Investigation Fee: $0.00 Grading PC Consultant: $0.00 SJH Trans: $0.00 Demolition Fee 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 Fee: $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 W $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: $57 66 Plan Check Fee: $0.00 Fee Due at Permit Issuance : $575.66 PROCESSED BY: PUBLIC WORKS APPROVAL: ZONING APPROVAL: I- 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 reason(s) indicated below by the checkmark(s) 1 have placed next to the applicable item(s) ction 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 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 Cessions 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 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, iness 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 rovements 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 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 ly 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). .3 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 completic 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 'rofessions 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 .ICENSED CONTRACTOR'S DECLARATION �' hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing witIII777...SSS tion 0g�) f D'�sion 3 of the Bu, nd effect. License Class License No to J if /7 Co ra VORKERS' COMPENSATION DECLARATION ... 'ARNING: FAILUR6T0 SE�CyRE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES U OST OF &OMPENSA'fIONPDAMAGES AS PROVIDED FOR IN SECTION 3708 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. HEtdW.affirm Linder penalty of perjury one of the following declarations: the applicable law, Section 7044 of the Business and Date and license is in full force HUNDRED THOUSAND DOLLARS ($100,000(, IN ADDITION TO THE 1 1 have and will rhtintain 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 igrVAnce of the'work for which this permit is issued. Policy No. tI have and wi11 mak;ain 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' compensa Isurea crarrier and policy number are: ewlep Policy Number Expiration Date 9CceW that, iry the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become SL tat, if (Should bes"s, su ject tg the worl{ers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those :reby affirm-urrd penalty of perjury tKat there is a construction lending agency for the performance of the work for which this permit is issued ider'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 owners behalf. I have read this application and the information I have provided is correct. I agree to comply with all applicable city and county ordinances and state laws relating to building construction. I authorize representatives of this city or county to the// e -Identified property for inspection purposes. mature of ProDertv Owne of r Authorized Agent/'il�� Print Property Owner's or Authoriz d Agents -Nam ACTION ATE -BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED LJ I SUBMITTED ASBESTOS NOTIFICATION TO PERMITCANCELLED DEPA PERMIT EXTENDED QMD PERMITRIVAL ,/f /j B §NOTIFICATION IS TAPPLICABLE TO CERTIFICATE OF OHD DE LITION OCCUPANCY ISSUED _ GN"ATURE:' to the workers' compensation laws of California, and Civil Code).