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HomeMy WebLinkAboutX2019-0018 - Permits�w City of Newport Beach - Building Division *X20190018* COMB Permit: X2019-0018 100 Civic Center Drive, Newport Beach, CA 92660 Project No: 0014-2019 Permit Counter Phone (949)644-3288 u S , Inspection Requests Phone (949)644-3255 -..91 -Wer*' Combination Type - BLDG ELEC Issued Date: rea :2019 Inspection Area 7 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: 4695 MACARTHUR CT NB - Description: COMM PATIO SITE IMPROVEMENTS, LANDSCAPE & IRRIGATION, 8'H X.11 LF MEDIA GREEN WALL Legal Desc.: P BK 196 PG 40 PAR 2 A Owner IRVINE CO Address: 550 NEWPORT CENTER DR Record Management: NEWPORT BEACH, CA 92660 Phone: $0.00 Applicant: GARCIA JENNIFER Address: 401 GLENNEYRE ST 1ST FLR Hazardous Mat ' LAGUNA BEACH CA 92651 Phone: 949-502-4500. Code Edit: 2016 Type of Construction: Occupancy Group: U Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 0 No of Units : 0 Bldg Height: 0 Bldg Sprinklers: Building Permit Fee: $936.00 Plan Check Fee: $816.06 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $40.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access: $67.00 Hazardous Mat $0.00 Building Green Fee : $3.00 PROCESSED BY: Contractor: CUESTA CONSTRUCTION CO Address: 3195A AIRPORT LOOP DR COSTA MESA CA 92626 Phone: 714-557-5877 Con State Lie: 568466 Lie Expire: 05/31/2019 Bus Lie: BT20012806 Lie Exp Date: 12/31/2019.. Worker's Compensation Insurance Carrier: INSURANCE CO OF THE WEST Policy No: WSD603883000 Expire: 12/3112019 Building Setbacks Rear: I • Front: / Phone: Left: / ° :0 Right: I Use Zone: Parkino Soaces:. 0 Architect $0.00 Planning Department - Address:;'± Fire Department Phone: State Lie: ...... $40.00 Fire Inspection: ee.e Grading Bonds Fee: Engineer: WELSH STEPHANIE a oe• oee.•o Address: 12722 BARRETT LN a e e .e e o c SJH Trans : SANTA ANA CA 92705 • e ° ° ° Phone: 714-352-6297 State Lic:8-002998 me ° ° :0 In -lieu Housing Fee: $0.00 Building Dept Adm Designer Grading PC Fee: e.. e m em ®• o Address: General Service o em e e m mmmoa. Phone: Park Dedication : omoo 0 0 e•m®o Refund Deposit $0.00 oomoeo Special Conditions: ...... 0 0 0 ooeoeo Grading Bond: $0.00 0 00 0 o m ommm 0 0 mo•o Excise Tax: $0.00 Planning Department - Fire Department Additional Fee: $0.00 Plan check Fee : $40.00 Fire Inspection: $0.00 Grading Bonds Fee: $0.00 Fair Share : $0.00 Fire Plan Rev $0.00 Grading PC Consultant: $0.00 SJH Trans : $0.00 Demolition Fee Grading Permit Fee: $0.00 In -lieu Housing Fee: $0.00 Building Dept Adm $0.00 Grading PC Fee: $0.00 Public Works Department - General Service $0.00 WQ Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $0.00 PAN Plan Check: $0.00 Grading Bond: $0.00 Electrical %: $65.66 San Dist: $0.00 Mechanical %: $0.00 NMUSD Fee: $0.00 $0.00 Plumbing %: .$0.00 $0.00 TOTAL FEE: $1,989.72 ZONING APPROVAL: GRADING APPROVAL: Plan Check Fee: $1,255.06 Fee Due at Permit Issuance : $734.66 PUBLIC WORKS APPROVAL: PLAN CHECK BY: 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) Iction 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 U all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, 6iness 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 )rovements 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 )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 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 legall} I 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. issvrailable upon request when this application is submitted or at the following Web site:http://Www.leginfo.ca.gov/calaw.htmi. nature of ProPlgy 9finer or Authorized Agent Date ,MXD CQUITRIACTOR'S DECLARATION ereby affirm uti dor penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sect7b, 0 of Division 3 of the Busine and Profess! Code, an y lice se i in full force I effect. Licensetiass License No at o'� Contra Signature ' )BOERS' COMPENSATION DECLARATION ININS: 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 ($100,000(, IN ADDITION TO THE it QF�COMPENSATIaN, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. nepy affirm gdrh penalty of perjury one of the following declarations: h have and wa1•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 thI �rmance of the Work for which this permit is issued. Policy No. VE and wmIllFlA6in 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 arawece Ml• carrier and policy number are: 11eT• . .00. Policy Number Expiration Date of Agent certify that, in the 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 if I should become subj.e._c-t(/pthe workers' comp satin I Ions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. e s cW�lldi✓, � �/ \/PSS 2Q1—/4 3reby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). Ider's Name Lender's Address 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 and state laws eta ng to building construction. I authorize representatives of this�y or county to er/9f the above-iopntified open y for inspection purposes. /7 !i n ACTION DATA' ABY� DECLARATIOREGULANS PARTOF O 1 O MPLIATITTLE 40 AN AQMD RULECE WITH CODE OF RAL FOR OFFICE USE ONLY �v 1403 PERMIT EXPIRED I U I SUBMITTED ASBESTOS NOTIFICATION TO PERMITFINAL \\•S,`P, [a" UASBESTOS NOTIFICATION 15 NOT APPLICABLE TO CERTIFICATE OF PROPOSED DEMOLITION OCCUPANCY ISSUED SIGNATURE: