HomeMy WebLinkAboutX2019-3755 - Permits�rwtr$ City of Newport Beach - Building Division
y 100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
'c Inspection Requests Phone (949)644-3255
Combination Type - BLDG
COMB Permit: X2019-3755 IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II
Project No : 2035-2018
Issued Date: 11126/2019
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 Sundays or Holidays
Job Address: 212 MARSALA DR NB
Description: MFR DELTA 4, CHANGE CMU POOL FENCING TO RETAINING WALL & INCREASE SCOPE OF WORK, ADD ADD'L 31 LF TO (E) RETAINING WALL S�
Legal Desc.: TR 12309 LOT 5 POR OF LOT /i
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: 949-720-2828
Phone:
714-557-5877
Phone:
State Lie:
Applicant: AZYNN
Con State Lie: 568466
Engineer:
OLIVIER JOHN C
Address:
Lic Expire:
0513112021
Address:
16796 VON KARMAN, STE 100
Bus Lic:
BT20012606
IRVINE, CA 92606
......
Phone:
Lic Exp Date:
12/31/2019
Phone:
949/474.1960 State Lic:C-044568
o ®
°eeeon
Code Edit: 2016
Worker's Compensation Insurance
Designer:
Type of Construction:
Carrier:
INSURANCE CO OF THE WEST
Address:
Occupancy Group: U
Policy No:
WSD503883000
Added /New sq.ft. Bldg: 0
Expire:
12/31/2019
Phone:
Added /New sq. ft. Garage: 0
No of Stories: 0
Building Setbacks
Rear: /
Special Conditions:
°O....
No of Units : 0
Front: I
Bldg Height: 0
Left: I
Bldg Sprinklers:
Right: I
Flood Zone:
Use Zone:
Parking Spaces:
0
Fire Hazard Zone : N
Construction Valuation: $12,000.00
Building Permit Fee: $412.00
Excise Tax:
$0.00
Planning Department -
Fire Department
e.e.
Plan Check Fee: $0.00
Additional Fee :
$183.00 -
Plan check Fee :
$40.00 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:
$0.00
SJH Trans :
$0.00 Demolition Fee
Record Management: $12.00
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
P/W Plan Check :
$0.00
Grading Bond:
$0.00
Hazardous Mat $0.00
Electrical %:
$0.00
San Dist:
$0.00
Building Green Fee: $1.0
Mechanical %:
$0.00
NMUSD Fee:
$0.00
-
$0.00
Plumbing %:
$0.00
$0.00
TOTAL F E : $648.0
Plan Check Fee :
$0.00
Fee Due at Permit Issuance •
$648.00
PROCESSED BY:
PUBLIC WORKS PROVAL:
ZONING APPROVAL:
V
PLAN CHECK BY:
GRADING APPROVAL:
__
APPROVAL TO ISSU .
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)
Bection 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
ie 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 Iicensure 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 (_) all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044,
lusiness 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
nproved for the purpose of sale).
1 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).
I am exempt from Iicensure 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 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://www.leginfo.ca.gov/calaw.html.
signature of Property Owner or Authorized Agent Date
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm urlder penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 0 ) of _ivision_3 of the Business and Prof salons C , and my lice £se is i II force
nd effect. Licee"Gless License No Date Contractor Signature, ,*::->
V•O•ffRS' CQMP*SATION DECLARATION
IARNINGPFAILURe V"LClIRE 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
qST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
peTe,y"affirm under penalty of perjury one of the following declarations:
I have and Jill Pnamtain 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
nce of ttiework for which this permit is issued. Policy No.
....
JI6ftVd and voll h4aNtain 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' compensatiol
Isuren carrier and policy number are:
Iarr' I• • • _. Policy Number Expiration Date
that, inthe 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
ould t7P•gpt subject to the workers' compensation_gwviaions of Section 3700 of the Labor Code,.I shall forthwith comply with those provisions.
of
hereby affirm under natty of perjury the{there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
Lender's Name Lender's 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 ordidances and state laws re l Tg to building construction.
I authorize representatives of this city or cou t �tj1e above-idegtified perty for inspection purposes.
Signature of Property Owner or Authorized Agent = d' L Print Property Owners or Authorized Agent's Name
ACTION DATE BY 15ECLARATICA OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
1403
PERMIT EXPIRED I SUBMITTED ASBESTOS NOTIFICATION TO
PERMIT CANCELLED EPA
PERMITEXTENDED QMD
PERMIT FINAL $6 102o ASBESTOS NOTIFICATION IS NOT APPLICABLE TO
CERTIFICATE OF CS PROPOSED DEMOLITION
OCCUPANCYISSUED SIGNATURE: