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HomeMy WebLinkAboutX2019-0710 - PermitsCity of Newport Beach - Building Division IIN COMB Permit: X2019-0710 IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II o 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 1 9 0 7 1 09 Project No: 0455-2019 Permit Counter Phone (949)644-3268 Inspection Requests Phone (949)644-3255 SII Combination Type -.MFP. Issued Date : 0311412019: 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: 308 MONTE CARLO NB'. Description: MFR RE -COAT PRIVATE DECKS/STAIR LANDINGS"LIKE FOR LIKE", REPLACE DAMAGED WOOD FRAME MEMBERS AS NEEDED - Legal Desc.: TR 1230910T 5 POR OF LOT : INS . EC -71-U0 ^� 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 Lic: Applicant: MATSUSHITATAK Con State Lie: 568466 - Engineer: CHRISTIAN DALE Address: 1744 WEST KATELLA AVE #107 Lie Expire: 05131/2019 Address: 1744 W KATELLA AVE #107 ORANGE CA 92867 Bus Lie: 'BT20012806 - ORANGE CA 92667. Phone: 714.997-1145 Lie Exp Date: 12/31/2019 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 e Added /New sq.ft. Bldg: 0 Expire: 12131/2019 - Phone: • • . ° Added/New sq. ft. Garage: 0 No of Stories: 2 Building Setbacks Rear:. / Special Conditions: BLDG 50: 308-323 ...... No of Units : 16 Front:. I - e• ..Bldg Height: 0 - Left: / ° °•. Bldg Sprinklers: N Right:'/ Flood Zone: Use Zone: Parkin S aces:. 0 Fire Hazard Zone : N Construction Valuation: $25,000.00. o..... ° Building Permit Fee: $472.00 Excise Tax: $0.00 Planning Department- Fire Department coon d� Plan Check Fee: $0.00 Additional Fee: $102.66 Plan check Fee : $0.00 Fire Inspection: •®.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: $0.00 Grading Permit Fee: - $0.00 1n -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 : $1.00 Mechanical %: - $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: 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) action 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 ofessions 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 t more than five hundred dollars ($500). 1 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, Isiness 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 provements 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 Proved 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 ply 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 licensure under the Contractors' State License Law for the following reason: 1 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 legalh II a structure that I have built as an owner -builder if it has not been constructed in its entirely by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and ofessions Code, is available upon request when this application is submitted or at the following Web site:http://www,leginfo.ca.gov/calaw.htmi. 3nature of Property Owner or Authorized Agent Date CENSED CONTRACTOR'S DECLARATION ereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with S ch a�7000)pf v�'sion 3 of the Busin as and Profs a Cp` �i �y license is in full force d effect. License Class License NoyDte� y/S��i Contrac `nature �'/ ORKERS' COMPENSATION DECLARATION ,RNING: FAILURE�T0,sgrL•RE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP T NE HUNDRED THOUSAND DOLLARS ($100,000(, IN ADDITION TO THE ST OF OOMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. - ;reby ®ffirm uaderpeealty of perjury one of the following declarations: I,ha4e and will maintain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for &Iffince of th$ work�for which this permit is issued. Policy No. bave.and wit'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' compensa raAOe carrier %V pplicy number are ie4' Policy Number Expiration Date Vol Agent. • . Phone # .... Certify that, irj illi' formance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to he workers' compensation laws of California, and at if I should becom0 subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisio LENDING AGENCY U. G ' is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). Lender's Address my. signature Below, I certify Keach 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 count ordinances nd state laws relating to building construction. '. I authorize representativesf IS cl r county: ter a ve-identif property for inspection purposes. mature of Property Owner d yu rized A ent Print PropertOwner's or Authoriz— ed A €nt's N e i 621 ;TION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE 0 Y REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE EXPIRED ASBESTOS NOTIFICATION TO PERMITFINAL 3/L/A0' 0CERTIFIG4TE O�-S/ LJ ASBESTOS NOTIFICATION I} NOT APPLICABLE TOPROPOSED . OCCUPANCYISSUED ] Gq[ S SI NATURE:E 10 J