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HomeMy WebLinkAboutX2019-0716 - PermitsCity of Newport Beach - Building Division Illllllllllllll lllllllllllllllllll lllllllu COMB Permit: X2019-0716 _ 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 1: 9 0 7 1 6 Project No: 0455-2019 x; Permit Counter Phone (949)644-3288 'u. Inspection Requests Phone (949)644-3255 '�'�?arv�x'x�� 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: 112 LAURENT NB Description: MFR RE -COAT PRIVATE DECKS/STAIR LANDINGS "LIKE FOR LIKE", REPLACE DAMAGED WOOD FRAME MEMBERS AS NEEDED Legal Desc.: TR 12309 LO7 7 POR OF LOT p, �yr'� Owner IRVINE COMPANY Contractor. CUESTA CONSTRUCTION CO Architect: Ia'��E.0 Address: , 550 NEWPORT CENTER DR Address, 3195A AIRPORT LOOP DR Address. NEWPORT BEACH, CA 92660 - COSTA MESA CA 92626 $0.00 `Phone: Phone: 714-557-5877 Phone: State Lir Applicant: MATSUSHITATAK Con State Lie:. 568466. Engineer: CHRISTIAN DALE Address: 1744 WEST KATELLA AVE #107 Lie Expire: 05/31/2019 Address: 1744 W KATELLA AVE #107 ORANGE CA 92867 Bus Lie: BT20012806 ORANGE CA 92667 Phone: 714.997-1145 Lie Exp Date: 12131/2019 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 55:120-127 No of Units : 8 Front: / Bldg Height: - 0 Left: l Bldg Sprinklers:. N Right: - I - Flood Zone: Use Zone: Parkina Soaces: 0 Fire Hazard Zone : N Planning Department - Plan check. Fee: Fair Share : SJH Trans In -lieu Housing Fee: Public Works Department - Park Dedication- $0.00 PAN Plan Check: $0.00 Hazardous Mat $0.00 Electrical %: $0.00 San Dist: $0.00 Building Green Fee : $1.00 .Mechanical %: $0.00 NMUSD Fee: $0.00 Plumbing %: $0.00 II TOTAL FEE: $575.66 PROCESSED BY: L� ZONING APPROVAL: GRADING APPROVAL: Plan Check Fee : $0.00 Construction Valuation: $25.000.00 $0.00 Fire Inspection: $0.00 Building. Permit Fee: $472.00 Excise Tax: $0.00 $0.00 Plan Check Fee: $0.00 o• mm.. Additional Fee': $102.66 Refund Deposit Overtime Plan Ck:. $0.00 Grading. Bonds Fee: $0.00 ° 'm 'Investigation Fee: $0.00 Grading PC Consultant : $0.00 00000 Record Management: $0.00 Grading Permit Fee: $0.00 Energy Compliance: $0.00 Grading PC Fee: $0.00 CA Seismic Safety: $0.00 WQ Insp. Fee: $0.00 Disabled Access: $0.00 Planning Department - Plan check. Fee: Fair Share : SJH Trans In -lieu Housing Fee: Public Works Department - Park Dedication- $0.00 PAN Plan Check: $0.00 Hazardous Mat $0.00 Electrical %: $0.00 San Dist: $0.00 Building Green Fee : $1.00 .Mechanical %: $0.00 NMUSD Fee: $0.00 Plumbing %: $0.00 II TOTAL FEE: $575.66 PROCESSED BY: L� ZONING APPROVAL: GRADING APPROVAL: Plan Check Fee : $0.00 Fee Due at Permit Issuance PUBLIC WORKS APPROVAL: PLAN CHECK BY: , APPROVAL TO ISSUE: mese Fire Department $0.00 Fire Inspection: $0.00 - Fire Plan Rev $0.00 Demolition Fee $0.00 Building Dept Adm o• mm.. ' General Service m Refund Deposit Grading Bond:. Fee Due at Permit Issuance PUBLIC WORKS APPROVAL: PLAN CHECK BY: , APPROVAL TO ISSUE: mese m + •mmm + + + 0000mc o• mm.. a o m • i o e po c ® ® eommom bl o of oo ° 'm n o mom o i a0000 + om o 00000 mOROGO ° oo 000` o e moem $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $575.66 OWNER -BUILDER 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) ction 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 ($500). I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044, ;iness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the rovements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or roved for the purpose of sale). 1, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not ply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). I am exempt from licensure under the Contractors' State License Law for the following reason: my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legalh. a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy/ of the applicable law, Section 7044 of the Business and fessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htrgt. nature of Property Owner or Authorized Agent / Date LENSED CONTRACTOR'S DECLARATION i/ reby afrirgflTd %penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with S ti 00 sion 3 of t usiness and Profs s �/ d icense is in full force Effect. License Class License No - ate15490 C ntra \r Signature �y 1AKER$ QOMFENSATION DECLARATION WING: FAIL%E YO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRI INAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (6100,000(, IN ADDITION TO THE mOF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. �reby affirm under penalty of perjury one of the following declarations: I' -.•.•• 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 /mance of the work for which this permit is issued. Policy No. nave a;d w1114aintain 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'' compensatiol yance carrRr and policy number are: aer _ _ _ _ ' Policy Number Expiration Date • • NarS9 of Agent / Phone # •' I certify that in •8 performance of thew rk for which this permit is issued, I shall not employ any person in any manner so as to become subject to the that, if I shouts esu ' t to the Es' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Sionature of lFlAA4l//[[[[ lican �� c compensation laws of California, and I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Sectidw3097, Civil Code). Lender's Name Lender's Address By 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 theAnformation I have provided is correct. I agree to comply with all applicable city and county o dinances an state laws relating to building construction. I authorize representativ 's city or county t er e b -id property for inspection purposes. vJn�r_7 r; / a Signature of Pro ert Own r r Aut rued A ent Print Property Owner's or Authorized Agent's me /r/ Cftt�;G/ u date Z / I7 ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED I LJ I SUBMITTED ASBESTOS NOTIFICATION TO L 1/? 1IW% J 'VV' IIPCI SB ESTOS FD DENIBUT OIT ION ISO APPLICABLE TO OF