HomeMy WebLinkAboutX2019-0565 - Permitsvil o,: City of Ne00
wpw Bpach•- Building Division ��IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII �� COMB Permit: X2019-0565
oo 100 Civic Centel Drive, Nevgoo43eDcYj„A 2060 X 2 0 1 9 0 5 6 5 Project No : 2036-2018
Permit Counter-Phoae;94$)$4�2D8- • : rI r_ )
Inspection Requests Phone•(949)644-8256 :.. ` A �` (� 0 > - X1.7 - Issued Date :02/21/2019
Combination Type -. BLDG ELEC PLUM GRAD fn'/ M1 InspectionDate : e1 : 8
�m� mmr ••• ee ea o �` 1"1✓ll�t/\,L1 Y�
• • •—c -
• �ERhj/j-S EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION.
ConstAictlom•HouYs r•Mealday-.P,rjdV.Y.,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: 212 MARSALA DR NB -
Description:EXTERIOR SITE IMPROVEMENTS AROUND BLDG 2121/2, LIGHTING AND HARDSCAPE 23006 SF "NEWPORT NORTH”
Legal Desc.: TR 12309 LOT 5 POR OF LOT
Owner: IRVINE CO Contractor CUESTA CONSTRUCTION CO Architect:
Address:` 550 NEWPORT CTR DR Address 3195A AIRPORT LOOP DR Address:
NEWPORT BEACH, CA 92660 COSTA MESA CA 92626
Phone: Phone:. 714557-5877 Phone: State Lic
Applicant. CAZARES JOSE Con State Lic: 568466 Engineer: WELSH STEPHANIE
Address: 2605 STATE ST, STE B Lic Expire: 05131/2019 Address: 12722 BARRETT LN
:SAN DIEGO CA 92103 - `Bus Lic BT20012806 SANTA ANA CA 92705
Phone: 619-325-1993 Lic Exp Date: 12131/2019 - Phone: 714.352.6297 State Lic:S-002998 -
Code Edit 2016 Worker's Compensation Insurance Designer: MORRIS IAN _
Type of Construction Carrier: INSURANCE CO OF THE WEST Address: 2605 STATE STREET STE B
Occupancy Group: Policy No: WSD503883000- - .SAN DIEGO, CA 92103
Added /New sq.ft.Bldg:. 0 Expire: 12131/2019 Phone: 619-325-1990 -
Added /New sq. ft. Garage: 0
No of Stories. 0 Building Setbacks Rear: / Special Conditions: eN f =K
No of Units : 0 Front: / q s
Bldg Height: 0 Left: 10i" �a
Bldg Sprinklers: Right: I
Flood Zone: Use Zone: Parking Spaces: 0 Fire Hazard Zone : N
Construction Valuation: .$100.000.00.
Building Permit Fee: $1,113.00 Excise Tax: $0.00 Planning Department - Fire Department
Plan Check Fee: $0.00 Additional Fee: ($745.50) Plan check Fee $160.00 Fire Inspection:. $0.00
Overtime Plan Ck: - $0.00. -.'Grading Bonds Fee: $0.00 Fair Share : $0.00.. Fire Plan Rev .$0.00
Investigation Fee: .$0.00 Grading PC Consultant: :$1,257.88 SJH Trans. $0.00 Demolition Fee'
Record Management: $116.00 Grading Permit Fee: $875.00 In -lieu Housing Fee: $0.00 Building Dept Adm $0.00
Energy Compliance:. $0.00 Grading PC Fee: $276.12 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: $82.50 Grading Bond: $0.00
Hazardous Mat $0.00 Electrical %: $77.91 San Dist: $0.00
Building Green Fee: $4.00. .Mechanical %:. $0.00 NMUSD Fee: :$0.00 $0.00
Plumbing %: ,.: $100.17 $0.00
TOTAL FEE : $3,317.08 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $3,317,08
PROCESSED BY:�JJ,,``''
CEJ 9PUBLIC WORKS APPROVAL:
ZONING APPROVAL: •YRN PLAN CHECK BY: TT
r tiG "
GRADING APPROVAL: -61k APPROVAL TO ISSUE:
OWNER -BUILDER DECLARATION
1 hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) indicated below by 4hePchee jn jk§;) 0ave.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 repairan struotuns. pridfj;d 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 (ddmmencing 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 NHe�truPltBrejs nst'inten[led-A erefl fl*r sale (Section 7044,
lusiness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' orpersonal effort, *!Ids 8r 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 Owhgr.BWr9sr will Ylare thtbun:10b? 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 legally
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 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://wvw.leginfo.ca.gov/calaw.html.
signature of Property Owner or Authorized Agent Date
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7p00 of Division 3 of the Business and Profess! n Conde, and y ns s in f II force
nd effect. License Class License No Date/ Contractor Si nature✓
VORKERS' COMPENSATION DECLARATION
DARNING: 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 (5700,000), IN ADDITION TO THE
OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3705 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the following declarations:
] 1 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 IN
gffVance of the work for which this permit is issued. Policy No.
ave 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
nce carrier and policy number are:
er .GdLS - G ,f fhe L,tAf. Policy Number Ci so 5Z-30130 "(3 Expiration Date /01
lame of Agent ✓ n r.i�iDn /h. P, /'/).��� �i L LGA _ _. Phone # 42/3=/og — a6/i C—
]I certify that, in 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 the workers' compensation laws of California, and agree
Hat, if I should become subject o the workers' comp sation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
ignature of Applicant 1Z Datg.j �cJ
I hereby affirm under penalty of perjury that there is aconstruction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
Lender's Name Lenders Address
By 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 ordinances and state laws relating to building construction.
I authorize representatives of this city or county to er the above ntified perty for inspection purposes./yji� Date
Signature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name
ACTION DATE BY DECLARA ION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
1403
PERMITEXPIRED 1 SUBMITTED ASBESTOS NOTIFICATION TO
PERMITCANCELLED UEPA
PERMITEXTENDED 13AQMD
PERMIT FINAL 7 r ASBESTOS NOTIFICATION IS NOT APPLICABLE TO
CERTIFICATE OF Z PROPOSED DEMOLITION
OCCUPANCY ISSUED SIGNATURE:
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