HomeMy WebLinkAboutX2019-1312 - PermitsCity of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII COMB Permit: X2019-1312
100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 1 9 1 3 1 2 Project No: 2031-2018
rw`,r Permit Counter Phone (949)644-3288 rn
Inspection Requests Phone (949)644-3255 Y 2-0 1. _ I 15'12,
nd yc� Combination Type - BLDGIssued Date : 07/31/2019
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7 �A `\ (.nib o �) �( 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 6:00 a.m. to 6:00 p.m. No work on Sundays or Holidays
Job Address: 2 MILANO DR NB
Description: SHADE STRUCTURE 408 SF
Legal Desc.: TR12309 LOT 2 POR OF LOT i I Y S P EC
Owner:
IRVINE COMPANY
Address:
550 NEWPORT CENTER DR
Record Management:
NEWPORT BEACH, CA 92660
Phone:
949-720-2828
Applicant:
CAZARES JOSE
Address:
2605 STATE ST, STE B
Hazardous Mat
SAN DIEGO CA 92103
Phone:
619-325-1993
Code Edit: 2016
Type of Construction:. VB
Occupancy Group: B
Added /New sq.ft. Bldg: 0
Added /New sq. k. Garage: 0
No of Stories: 1
No of Units: 0
Bldg Height: 0
Bldg Sprinklers: N
Building Permit Fee: $1,288.00
Plan Check Fee: $1,120.56
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management:
$50.00
Energy Compliance:
$0.00
CA Seismic Safety:
$0.00
Disabled Access:
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$5.00
Worker's Compensation Insurance
Carrier:
TOTAL FOE: $2,503.56
PROCESSED BY:
ZONING APPROVAL:
Contractor:
~-
CUESTA CONSTRUCTION CO
Address:
3195A AIRPORT LOOP DR
Fair Share :
COSTA MESA CA 92626
Phone:
714-557-5877
Con State Lic:
568466
Lic Expire:
05/3112021
Bus Lic:
BT20012806
Lic Exp Date:
12/31/2019
Worker's Compensation Insurance
Carrier:
INSURANCE CO OF THE WEST
Policy No:
W80503883000
Expire:
12/31/2019
Building Setbacks
Excise Tax:
Additional Fee
Grading Bonds Fee:
Grading PC Consultant
Grading Permit Fee:
Grading PC Fee:
WQ Insp. Fee:
Electrical %:
Mechanical W
Plumbing %:
Rear: I
Front: I
Left: I
Right: /
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Architect:
Address:
Phone: State Lic
Engineer:
Address:
Phone: State Lic:
Designer: MORRIS IAN
Address: 309 OAKBRANCH DR
ENCINITAS CA 92024
Phone:
Special Conditions: REV19-1205
Planning Department -
Fire Department
Plan check Fee
Fire Inspection:
Fair Share :
Fire Plan Rev
SJH Trans :
Demolition Fee
In -lieu Housing Fee:
Building Dept Adm
Public Works Department -
Park Dedication :
$0.00
PAN Plan Check:
$0.00
San Dist:
$0.00
NMUSD Fee:
$0.00
Plan Check Fee : $1,160.56 Fee Due at Permit Issuance:
PUBLIC WORKS
PLAN CHECK BY:
GRADING APPROVAL: I APPROVAL TO ISSUE:
TOR
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$0.00
$0.00
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$0.00
$1,343.00
Fire Department
$40.00
Fire Inspection:
$0.00
Fire Plan Rev
$0.00
Demolition Fee
$0.00
Building Dept Adm
General Service
Refund Deposit
Grading Bond:
Plan Check Fee : $1,160.56 Fee Due at Permit Issuance:
PUBLIC WORKS
PLAN CHECK BY:
GRADING APPROVAL: I APPROVAL TO ISSUE:
TOR
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$0.00
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$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$1,343.00
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)
;Section 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
:he 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
Professions Code) or that he or sheds 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
-ot 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,
Business 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
mprovements 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
m 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
ap ly to an owner of property who builds or improves thereon, and whe° ontracts 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:
By 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
Bell 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
Professions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi.
Signature of Property Owner or Authorized Agent Date
LICENSED CObURACTOR'S DECLARATION
hereby affirm Ifr Vi;g0nalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000 of Division 3 of the Business and Profession Ede, and my I' 1s s 1 full force
Bnd effect. License Class License No Date / - Contractor Signature z-��6f/�
IVORKBRS' CRIPENSATION DECLARATION
rIN& 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 1$100,0001, IN ADDITION TO THE
06 �OMPENSATI•ON, DAMAGES AS PROVIDED FOR IN SECTION OTOS OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hFreby affirm Under I%palty of perjury one of the following declarations:
11
.. .S
I Aave and wjl 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 thf
Walkance, of fhewowlt for which this permit is issued. Policy No.
I'll
3 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
1sut g carrier end policy number are:
mien ...... Policy Number Expiration Date
T ME M,Agent Phone #
31 certify that, in-tha 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 agre(
hat, if I should become subject to Jhe workers' co pensa ' n provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
signature of Applicant Y.��.�Ga'�-yam Date-��
)ECLARATION RE ARDI CONSTCTION LENDING AGENCY
hereby affirm under penalty of perjuryhat there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
_ender's Name Lender's Address
3y 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 or finances and state laws lating to building construction.
I authorize representatives of this city or cour4y to a the above -id ified p o arty for inspection purposes. _
signature of Pro art Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name Date
ACTION DATE BY DECLARPMON OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
PERMIT EXPIRED UI SUBMITTED ASBESTOS
PERMIT CANCELLED EPA
PERMIT EXTENDED I LIAQMD
NOTIFICATION IS NOTAPPLICABLE TO
CERTIFICATEOF v� % �`� SIGNATURE: DEMOLITION
OCCUPANCYISSUED