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HomeMy WebLinkAboutX2019-1312 - PermitsCity of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII COMB Permit: X2019-1312 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 1 9 1 3 1 2 Project No: 2031-2018 rw`,r Permit Counter Phone (949)644-3288 rn Inspection Requests Phone (949)644-3255 Y 2-0 1. _ I 15'12, nd yc� Combination Type - BLDGIssued Date : 07/31/2019 x u 7 �A `\ (.nib o �) �( 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 6:00 a.m. to 6:00 p.m. No work on Sundays or Holidays Job Address: 2 MILANO DR NB Description: SHADE STRUCTURE 408 SF Legal Desc.: TR12309 LOT 2 POR OF LOT i I Y S P EC Owner: IRVINE COMPANY Address: 550 NEWPORT CENTER DR Record Management: NEWPORT BEACH, CA 92660 Phone: 949-720-2828 Applicant: CAZARES JOSE Address: 2605 STATE ST, STE B Hazardous Mat SAN DIEGO CA 92103 Phone: 619-325-1993 Code Edit: 2016 Type of Construction:. VB Occupancy Group: B Added /New sq.ft. Bldg: 0 Added /New sq. k. Garage: 0 No of Stories: 1 No of Units: 0 Bldg Height: 0 Bldg Sprinklers: N Building Permit Fee: $1,288.00 Plan Check Fee: $1,120.56 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $50.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access: $0.00 Hazardous Mat $0.00 Building Green Fee : $5.00 Worker's Compensation Insurance Carrier: TOTAL FOE: $2,503.56 PROCESSED BY: ZONING APPROVAL: Contractor: ~- CUESTA CONSTRUCTION CO Address: 3195A AIRPORT LOOP DR Fair Share : COSTA MESA CA 92626 Phone: 714-557-5877 Con State Lic: 568466 Lic Expire: 05/3112021 Bus Lic: BT20012806 Lic Exp Date: 12/31/2019 Worker's Compensation Insurance Carrier: INSURANCE CO OF THE WEST Policy No: W80503883000 Expire: 12/31/2019 Building Setbacks Excise Tax: Additional Fee Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: Electrical %: Mechanical W Plumbing %: Rear: I Front: I Left: I Right: / $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Architect: Address: Phone: State Lic Engineer: Address: Phone: State Lic: Designer: MORRIS IAN Address: 309 OAKBRANCH DR ENCINITAS CA 92024 Phone: Special Conditions: REV19-1205 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 Plan Check Fee : $1,160.56 Fee Due at Permit Issuance: PUBLIC WORKS PLAN CHECK BY: GRADING APPROVAL: I APPROVAL TO ISSUE: TOR ¢oee seem ,mm m nmmmoo • m o c em c e e • o 4m m m AO 66 9 mmf) o m moom.mo mmeoo 0 oecmo m o m•mme m soamm n o eemmoo m mm m c $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $1,343.00 Fire Department $40.00 Fire Inspection: $0.00 Fire Plan Rev $0.00 Demolition Fee $0.00 Building Dept Adm General Service Refund Deposit Grading Bond: Plan Check Fee : $1,160.56 Fee Due at Permit Issuance: PUBLIC WORKS PLAN CHECK BY: GRADING APPROVAL: I APPROVAL TO ISSUE: TOR ¢oee seem ,mm m nmmmoo • m o c em c e e • o 4m m m AO 66 9 mmf) o m moom.mo mmeoo 0 oecmo m o m•mme m soamm n o eemmoo m mm m c $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $1,343.00 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 :he 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 Professions Code) or that he or sheds 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 -ot 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 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 mprovements 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 m 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 ap ly to an owner of property who builds or improves thereon, and whe° ontracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). I am exempt from licensure under the Contractors' State License Law for the following reason: By 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 Bell 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 Professions 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 LICENSED CObURACTOR'S DECLARATION hereby affirm Ifr Vi;g0nalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000 of Division 3 of the Business and Profession Ede, and my I' 1s s 1 full force Bnd effect. License Class License No Date / - Contractor Signature z-��6f/� IVORKBRS' CRIPENSATION DECLARATION rIN& 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 1$100,0001, IN ADDITION TO THE 06 �OMPENSATI•ON, DAMAGES AS PROVIDED FOR IN SECTION OTOS OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hFreby affirm Under I%palty of perjury one of the following declarations: 11 .. .S I Aave and wjl 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 thf Walkance, of fhewowlt for which this permit is issued. Policy No. I'll 3 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' compensatior 1sut g carrier end policy number are: mien ...... Policy Number Expiration Date T ME M,Agent Phone # 31 certify that, in-tha 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 the workers' compensation laws of California, and agre( hat, if I should become subject to Jhe workers' co pensa ' n provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. signature of Applicant Y.��.�Ga'�-yam Date-�� )ECLARATION RE ARDI CONSTCTION LENDING AGENCY hereby affirm under penalty of perjuryhat there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). _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. I agree to comply with all applicable city and county or finances and state laws lating to building construction. I authorize representatives of this city or cour4y to a the above -id ified p o arty for inspection purposes. _ signature of Pro art Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name Date ACTION DATE BY DECLARPMON OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE PERMIT EXPIRED UI SUBMITTED ASBESTOS PERMIT CANCELLED EPA PERMIT EXTENDED I LIAQMD NOTIFICATION IS NOTAPPLICABLE TO CERTIFICATEOF v� % �`� SIGNATURE: DEMOLITION OCCUPANCYISSUED