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HomeMy WebLinkAboutX2019-0700 - Permitswtr, City of Newport Beach -Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2019-0700 ! 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 1 9 0 7 0 0 Project No: 0455-2019 ti Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 `' eYxxe Combination Type - MFP Issued Date : Inspection Arearea :2019 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 Building Permit Fee: Job Address: 1112 CORELLA N8. Excise Tax: $0.00 Planning Department - Description: MFR RE -COAT PRIVATE DECKS/STAIR LANDINGS "LIKE FOR LIKE", REPLACE DAMAGED WOOD FRAME MEMBERS AS NEEDED Plan Check Fee: $0.00 Legal Desc.; N TR 12309 LOT 4 $102.66 Plan check Fee : $0.00 Fire Inspection: $0.00 Overtime Plan Ck: 77 Owner: IRVINE COMPANY Contractor.. CUESTA CONSTRUCTION CO .Architect: $0.00 Address: 550 NEWPORT CENTER DR .Address: 3195A AIRPORT LOOP DR Address: Grading PC Consultant: NEWPORT BEACH, CA 92660 SJH Trans : COSTA MESA CA 92626 $0.00 Demolition Fee Phone: Phone: 714-557-5877. Phone: State Lic: $0.00 Applicant: MATSUSHITA TAK Con State Lic: 566466 Engineer: CHRISTIAN DALE $0.00 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 pO•° Refund Deposit $0.00 Disabled Access: $0.00 Code Edit : 2016 Worker's Compensation Insurance Designer • ° c ° °; ° ` Type of Construction:.. VB Carrier: INSURANCE CO OF THE WEST Address: 9 ° o c Occupancy Group: R2 Policy No: WSD503883000 0 0 Added /New sq.ft. Bldg: 0 - Expire: 12131/2019 Phone: $0.00 Added /New sq. ft. Garage: 0 $0.00. ° • m ° ° No of Stories: 2 Building Setbacks Rear: I Special Conditions: BLDG 40: 1112-1127 No of Units : 12 Front:. / $0.00 Bldg Height: 0 Left: / u000c ° Bldg Sprinklers: N Right: Y Flood Zone: Use Zone: Parking Spaces: 0 Fire Hazard Zone : N 11 Construction Valuation: $25.000.00 ° • o o IITOTAL FEE: $575.66/ F Plan Check Fee -PROCESSED BY: Zl �� ZONING APPROVAL: GRADING APPROVAL: $0.00 Fee Due at Permit Issuance : $575.66 PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: Building Permit Fee: $472.00 Excise Tax: $0.00 Planning Department - Fire Department 9GC0 Plan Check Fee: $0.00 Additional Fee : $102.66 Plan check Fee : $0.00 Fire 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 Insp. Fee: $0.00 Park Dedication: $0.00 Refund Deposit $0.00 Disabled Access: $0.00 PAN 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 Feer $0.00. $0.00 Plumbing %: .$0.00 $0.00 IITOTAL FEE: $575.66/ F Plan Check Fee -PROCESSED BY: Zl �� ZONING APPROVAL: GRADING APPROVAL: $0.00 Fee Due at Permit Issuance : $575.66 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) (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 the 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 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 not more than five hundred dollars ($500). ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do L) 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 improvements 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 im 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 apply 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: 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 legall) sell 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:/Avww.leginfo.ca.gov/calaw.html. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sei& n 70 )- If D' i ion 3 of the Business and Profegylljfls C,o an m f nse is in full force and effect. �.bena Class License No a Contract ignature �i°i�!/..�A. WORKERS'rr'�''•COINPENSATION DECLARATION WA iNG: FAIyvRE TA IlECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUB.IECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMUSNSA WON, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. • Fhersby affirm vender penalty of perjury one of the following declarations: • ,I have app.v1(iu lnaintain 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 IJ&mance of the work for which this permit is issued. Policy No. • vnave ylf'anc vier NSA of arW 4ililyaintain 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' cArriel•dhd policy number are: Policy Number Expiration Date is performance Applicant 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 compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. / I y CATION REGARDING CON�.jRUCTION LENDING AGENCY l :reby Iml under penalty of perj that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097 lder's N Qie 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 relating to building construction. I authorize representatives of this city or county to r t a e -Identified property for inspection purposes. nature of Prooertv Owner or AuthBxized Aaent Z Print Property Owner's or Authorized Agw s Name,46— ACTION PERMIT EXPIRED PERMITCANCELLED BY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE SUBMITTED ASBESTOS NOTIFICATION TO PERMITFINAL /VLTASBESTOS NOTIFICATION IS NNNOOfT�APPLICABLE TO CERTIFIC4TEIS/1hEM%FIN//OCCUPANCVSL C/f` SIGNATURE: FOR OFFICE USE ONLY Code).