HomeMy WebLinkAboutX2019-0711 - PermitsI ; City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII COMB Permit: X2019-0711
100 Civic Center Drive Newport Beach, CA 92660
x 2 0 1 9 0 7 1 1Project
No: 0455-2019
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Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255
Combination Type - MFP
- Issued Date : 03/14/2019
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 OrHolidays
Job Address: 324 MONTE CARLO NB:
Description:. MFR. RE -COAT PRIVATE DECKS/STAIR LANDINGS "LIKE FOR LIKE", REPLACE DAMAGED WOOD FRAME MEMBERS AS NEEDED
Legal Desc : TR 12309 LOTS POR OF LOT
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Owner. IRVINE COMPANY
Contractor: CUESTA CONSTRUCTION CO Architect: 1 1 I
Address: :'650 NEWPORT CENTER DR
Address: 3195A AIRPORT LOOP DR. Address:.
` NEWPORT BEACH, CA 92660
COSTA MESA CA 92626
Phone:
Phone: 714-557-5877 Phone: State Lic:
..Applicant MATSUSHITATAK
Con State Lic:- 568466 Engineer: CHRISTIAN DALE
Address: 1744 WEST KATELLA AVE #107
Lic Expires 0 513112 01 9 Address: 1744 W KATELLA AVE #107
ORANGE CA 92867
Bus Lic: BT20012806 -ORANGE CA 92667
Phone: 714-997-1145
Lic Exp Date: 12131/2019 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: 12131/2019 Phone: •
•® °"„
Added /New sq. ft. Garage: 0'
c. a
•• •.
No of Stories: 2 ' .
Building SetbacksRear: I Special Conditions: BLDG 51: 324-339 .O°OCA
° ° • to
No of Units: 16
Front: I
•• j°
.Bldg Height: 0
Left: / °° o°<
o°•o.,
Bldg Sprinklers; N
Right:/. °° `:
••°•d°.
Flood Zone:
Use Zone: Parking Spaces: 0 Fire Hazard Zone : N
Construction Valuation:. 925.000.00
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'Building Permit Fee: $472.00 -
°
Excise Tax; $0.00. Planning Department- Fire Department ° ••
m°"°°
Plan Check Fee: .$0.00
Additional Fee : $102.66 Plan check Fee : $0.00 Fire Inspection:
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: $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 tys
WO Insp. Fee: $0.00 Park cation Refund
Disabled Ac eSafety:
$0.00
PAN Plan Check . $0.00 Grading Bond:0.00
.$0.00
Hazardous Mat $0.00
Electrical %°:'. $0.00 San Dist: $0.00
Building Green Fee: - $1.00
Mechanical °7°: $0.00 : NMUSD Fee: $0.00 $0.00
Plumbing %: $0.00 .$0.00..:
TOTAL FEE : $575.66
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: "
I
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)
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 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
fessions 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 theapplicant to a civilpenally of
more than five hundred dollars ($500). -
1, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044,
riness and Professions Coder The Contractors' State License Law does not apply to an owner of property who,. through employees' or personal effort, builds or improves the property, provided that the
lrovements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -Builder will. have the burden of proving that it was not built or
roved for the purpose of sale).
1, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law. does not
)ly to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the. Contractors' State License Law).
I am exempt fromlicensure under the. Contractors' State License Law for the following reason: -
my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legal)
a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and
ifessions Code; is available upon request when this application is submitted or at the following Web site:hftp://www.leginfo.ca.gov/calaw.ht L.
nature of Property Owner or Authorized Agent Date
SENSED CONTRACTOR'S DECLARATION -
areby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with S$ 1 700 of 1 1 ion 3 o the Bu ' ess and Profes ' 1s Coyle, ^ my is n is in full force
1 effect. License Class License No �pa1 Con rSighature ✓G...1
)RKERS' CQppe@NSATION DECLARATION \\ZrE
WING: FAILURE*rQ.9l;gt'RE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRININ. NA -1 TIES AND CIVIL FIN S U TO ONE HUNDRED THOUSAND DOLLARS ($100,0001, IN ADDITION TO THE
IT OF OOMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 7706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
AMY* li irm uodar penalty, of perjury one of the following declarations:
.. .•
'I,h2vg 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
FQprlance of the workfor which this permit is issued. Policy No.
'y re.and witI MAInnlin 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' compensation
jr9fiee carrie.W policy number are:
`-
IIeT' : ' ' Policy Number Expiration Date
IV&Agent Phone #
.....
eertifg that, irk 2h� �p.etforman e -of the work for which this permit is issued, I shall not employ any person in any manner sous to become subject to the workers' compensation laws of California, and agree
t, if 1 should become o b' to the wor compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permitis issued (Section 697
Ender's Name Lender's Address
Iy';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 an tate laws relating to building construction.
1 authorize representatives of this city or county to r th Identifie roperty for inspection purposes.
o 1r,.:d� A &.=A iv'� Print Prooertv Owner s or Authorize AGent Name Aacow
ACTION BV DECLARATION�L�IA
F -EOM NCE WITH CODE OF FEDERAL FOR�,FICE USE ONLY
REGULATIONS PART 61 OF
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PERMIT EXTENDED I LJAQMD
PERMITFINAL /y gdYOASBESTOS NOTIFICATION
TAPPLICABLE TO
CERTIFICATEOF �O/Y� PROPOSED DEMR
OCCUPANCYISSUED G/" Z SIGNATURE: %'
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