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Home My WebLink AboutX2019-0715 - Permitsawtt City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIII�IIIIIIIIIIIIII II COMB Permit: X2019-0715 !I 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 1 9 0 7 1 5 Project No: 0455-2019. n ei. Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 - ''r"s v,*a 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 or Holidays Job Address: 120 LAURENT NB Description: ' MFR RE -COAT PRIVATE DECKS/STAIR LANDINGS "LIKE FOR LIKE", REPLACE DAMAGED WOOD FRAME MEMBERS AS NEEDED Legal Desc.: TR 12309 LOT 7 POR OF LOT INSPECTOR 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 Lia 568466 .Engineer:. CHRISTIAN DALE. -' Address: 1744 WEST KATELLA AVE #107 Lic Expire;. 05/31/2019 Address: 1744 W KATELLA AVE #107 ORANGE CA 92867 Bus LIC: BT20012806 ORANGE CA 92667 Phone. 714-997-1145 Lic Exp Date: 12/31/2019 Phone: 714.997-1145. State Lic:S-002705 •.bp,° Code Edit: 2016 Worker's Compensation Insurance Designer. OOO Type of Construction: VB Carrier: INSURANCE CO OF THE WEST Address: Occupancy Group: R2 Policy. No: WSD603883000 ' Added /New sq.ft. Bldg: 0 Expire: 12/31/2019 Phone: - Added /New sq. k. Garage: 0. -. o..... No of Stories: 2 -. Building Setbacks Rear: / Special Conditions: BLDG 55:120-127 No of Units i' 8 Front:./: • ° Bldg Height: 0: Left: / peoop Bldg Sprinklers: N Right: / ° p®oopp .Flood Zone: Use Zone. ' Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $25,000.00 •p p ° Building Permit. Fee: $472.00 Excise Tax: $0.00 Planning Department - Fire Department p p o p • ° p Plan Check Fee: $0.00 Additional Fee ; $102.66 Plan check Fee: $0.00Fire 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: $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 Safety: $0.00 WQ Ins p . Fee: $0.00 Park Dedication $0.00 Refund Deposit $0.00 Disabled Access : $0.00 - PM Plan Check: $0.00 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical %: $0.00 San Dist: $0.00 f 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: �-.. LDER 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 �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 the applicant to a civil penalty 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 U portions of the work, and the structure is not intended or offered for sale (Section 7044, :iness 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 Irovements 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). 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 )Iy 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: 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 legalll 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 fessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. nature of Property Owner or Authorized Agent Date TENSED CONTRACTOR'S DECLARATION Ireby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with tion OQO of iv'sion 3 of the ass and Profeysi:id s Ci g1and my license is in full force I effect. Liceggp,Class License No e 3 /5 / Contra Signature )RKERVtOMPIENSATION DECLARATION WWI: 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 ($700,000), IN ADDITION TO THE IT Of COMPENSARIONIDAMAGES AS PROVIDED FOR IN SECTION 3708 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. ireb.y affirm u ndei penalty of perjury one of the following declarations: i'have and Will tr>aintain 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 tante : fftNewerk for which this permit is issued. Policy No. `� a 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' compensatioi hraace carfller"gpp'policy number are: Policy Number Expiration Date that, i theperformance 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 Duld4come subjgyyt to 1�a wgrkers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.) y nature of K5nt�[//M S RUC :LARA O EGARDING CONTION LENDING AGENCY ,eby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued fer's Name Lender's Address ny 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 inf rmation I have provided is correct. I agree to comply with all applicable Ity and county r finances a - state laws relating to building construction. I authorize representatives of this ty or county t th 1 ntified property for inspection purposes. iature of Prooertv Owner or Aut ri d ADent Print Property Owner's or Authorized Ageaf s mim Civil Code). ACTION DATA BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED U I SUBMITTED ASBESTOS NOTIFICATION TO PERMITCANCELLED DEPA PERMIT EXTENDED ZTAQMD PERMITFINAL f SBESTOS NOTIFIC I IS NOTAPP (CABLE TO CERTIFICATE OF mixt ROP SE D OLI OCCUPANCYISSUED , ^ _)Yf C SIGNATU _ _—