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Home My WebLink AboutX2019-0706 - Permitswtv�e City of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 r:; 3.... Permit Counter Phone (949)644-3288 r Inspection Requests Phone (949)644-3255 P� xn Combination Type - MFP Ili► ►i►i2ii►►0 iii►�iii►►i►ii►►iii►►iii►►ii►►ii►N II COMB Permit: X2019-0706 Project No: 0455-2019 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: 200 MARSALA DR NB Description: MFR RE -COAT PRIVATE DECKS/STAIR LANDINGS "LIKE FOR LIKE REPLACE DAMAGED WOOD FRAME MEMBERS AS NEEDED Legal Desc.:. TR 12309 LOT 5 POR OF LOT Construction Valuation: $25.001 Additional Fee : Building Permit Fee: $472.00 tr, t �� N Owner: IRVINE COMPANY Contractor: CUESTA CONSTRUCTION CO ' Architect: Investigation Fee: .$0.00 .Address: 560 NEWPORT CENTER DR Address: 3196A AIRPORT LOOP DR Address: $0.00 - NEWPORT BEACH, CA 92660 : -COSTA MESA CA 92626 Hazardous. Mat $0.00 - Phone: : Phone: 714-557-5877 Phone: State Lic Applicant: MATSUSHITA TAK Con State Lie: 568466 Engineer: CHRISTIAN DALE Address: 1744 WEST KATELLA AVE #107 Lie Expire: 06/3112019 Address: 1744 W KATELLA AVE #107 - - s.., ' ORANGE CA 92867 Bus Lie: BT20012806 ORANGE CA 92667 Phone: 714-997-1145 + Lie Exp Date: 1213112019 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 ; ®. Added /New sq.ft. Bldg: 0 Expire: 12/31/2019 Phone: Added /New sq. ft. Garage:. 0 ° No of Stories: 2 Building Setbacks Rear: I Special Conditions: BLDG 46: 200-215 • o m No of Units : 12 Front: I ° ° Bldg Height: 0 Left:. '. Bldg Sprinklers: N Right: I • ° Flood Zone Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Doom.. PROCESSED BY:. ZONING APPROVAL: GRADING APPROVAL: Excise Tax: Construction Valuation: $25.001 Additional Fee : Building Permit Fee: $472.00 Grading Bonds Fee: Plan Check Fee: $0.00 Grading PC Consultant : Overtime Plan Ck: $0.00. Grading Permit Fee: Investigation Fee: .$0.00 Grading. PC Fee: Record Management: $0.00 WQ Insp. Fee: Energy Compliance: $0.00 $0.00 CA Seismic Safety: $0.00 $0.00 Disabled Access: $0.00 Hazardous. Mat $0.00 Building Green Fee : $1,00 TOTAL FEE: $5' PROCESSED BY:. ZONING APPROVAL: GRADING APPROVAL: Excise Tax: $0.00 Additional Fee : $102.66 Grading Bonds Fee: $0.00 Grading PC Consultant : $0.00 Grading Permit Fee: $0.00 Grading. PC Fee: $0.00 WQ Insp. Fee: $0.00 .Electrical %: Mechanical %: Plumbing %: $0.00 $0.00 $0.00 Planning Department - - Plan check. Feel. Fire Department Fair Share: Fire Inspection: SJH Trans : Fire Plan Rev In -lieu Housing Fee Demolition Fee Public Works Department - Park Dedication: $0.00 PAN Plan Check: $0.00 San Dist: $0.00 NMUSD Fee: $0.00 Plan Check Fee: $0.00 Fee Due at Permit Issuance PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: \- �� oel000c . c ° oe , 0 e,00a Sogoo o'000c m� o o� o . .. a o e i $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00. $0.00 $575.66 Fire Department $0.00 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: $0.00 Fee Due at Permit Issuance PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: \- �� oel000c . c ° oe , 0 e,00a Sogoo o'000c m� o o� o . .. a o e i $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00. $0.00 $575.66 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) lection 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 is 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 'rofessions 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 of more than five hundred dollars ($500). 3 I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044, lusiness 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 nprovements 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 nproved 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 only 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). J I am exempt from licensure under the Contractors' State License Law for the following reason: ly 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 ell 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 'rofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htm]. 'signature of Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000 j4isi9Q,n 3 of the Bus�nsa and Profes ' s (�id my license is in full force nd effect. &Jce*ndE.CIass License No t U / i ContrSignature CORKERS' C61011PENSATION DECLARATION NWG: FAIUURB TO YECURE 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 r OF COMPEf1SAMN, DAMAGES AS PROVIDED FOR IN SECTION 3708 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. Aby affirmkinder penalty of perjury one of the following declarations: have a0®S +nili 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 th Wince of the Q✓ork for which this permit is issued. Policy No. Uave 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 rance carrier -And policy number are: ter Policy Number Expiration Date fa of Agent • • . Phone # sertify thatain tqe 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 if I sho%d-ft8me SpI;gWt to the vfprors' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. --) / / ereby 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). nder'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 relating to building construction. I authorize representatives of this y or county %r'terr ttLe e -Identified property for inspection purposes. mature of Prooertv Owner or Au l d Agent /y�'�F Print Property Owner's or Authorized Agent' PERMIT EXPIRED OF DATE I BY DECLARTION 01 REGULATIONS PART 61 OF IIT E 40 AND AOMD RULE CE WITH CODE OF AL FOR OFFICE USE ONLY C NOTIFICATION TO APPLICABLE TO