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HomeMy WebLinkAboutX2019-0666 - Permitswlt,_ City of Newport Beach -Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII IICOMB Permit: X2019-0666 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 1 9 0 6 6 6 Project No : 0455-2019 p, Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 u'"�zarfiw'� Combination Type -MFP Issued Date : 03/1412019 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: 2612 SAN MARCO NB Description: MFR RE-COAT PRIVATE DECKS/STAIR LANDINGS "LIKE FOR LIKE", REPLACE DAMAGED WOOD FRAME MEMBERS AS NEEDED Legal Desc.:. N TR 12309 LOT 3 Tp E 9. 0" Fil Owner: IRVINE COMPANY Contractor:' CUESTA CONSTRUCTION CO Architect: Address: 550 NEWPORT CENTER DR - Address: 3195A AIRPORT LOOP DR Address: NEWPORT BEACH, CA 92660 COSTA MESA CA 92626 Phone: - Phones 714-557-5877 Phone: State Lie: Applicant:., MATSUSHITATAK Con State Lic: 668466 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: 12/31/2019 Phone: 714-997-1145 State Lic:S-002705 00°0 Code Edit: 2016 Worker's Compensation Insurance Designer: °°®°°® Type of Construction: VB Carrier: INSURANCE CO OF THE WEST Address: , ° 0.n Occupancy Group: R2 Policy No:. WSD603883000 ° ° Added /New sq.ft. Bldg: 0 Expire: 12/31/2019 Phone: • 'o Added /New sq. ft. Garage: 0 ° ° • • °I o No of Stories: 2 Building Setbacks Rear I Special Conditions: BLDG 10: UNITS 2612-2627 �o 00 0° •'• No of Units : 15 Front: I o° o Bldg Height: 0 Left: I m Bldg Sprinklers: N Right: I °° a o o ©s o Flood Zone: °e°o° Use Zone: Parking Spaces: 0 Fire Hazard Zone : N o Construction Valuation: $25.000.00 o o Building Permit Fee: $472.00 - Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $0.00 Additional Fee ; $102.66 Plan check Fee : $0.00 Fire Inspection: : $0.88. Overtime Plan Ck:. $0.00 Grading Bonds Fee: $0.00 Fair Share ; $0.00 Fire Plan Rev $11.60 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. Feet $0.00 Park Dedication : $0.00 Refund Deposit $0.00 Disabled Access: $0.00 - P/W 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 Fee: $0.00 $0.00 Plumbing %: $0.00- $0.00. TOTAL FEE: $575.66 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $575.66 PROCESSED BY: PUBLIC WORKS APPROVAL: ZONING APPROVAL:. PLAN CHECK BY: GRADING APPROVAL: 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 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 ($500). I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, lusiness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the nprovements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner-Builder will have the burden of proving that it was not built or nproved for the purpose of sale). I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not only to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). ] I am exempt from licensure under the Contractors' State License Law for the following reason: ly my signature below I acknowledge that, except for my personal residence in which 1 must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legall, ell a structure that I have built as an owner-builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and 'rofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. signature of Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Se i n 70 t?f 'vi ion 3 of the Business ail Prof lgll$ C,o nd license is in full force nd effect. License Class License No / / Contractor Sig ature f"(�A-Wi' YORKERS' COMPENSATION DECLARATION A DARNING: FAILURSTO SAVRE 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 ,OST OF 2OMPENSPFrIDN/DAMAGES AS PROVIDED FOR IN SECTION 3708 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. MT&%5affirm Linder penalty of perjury one of the following declarations: 1h and will 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 ince of thework for which this permit is issued. Policy No. !h a and vp6 one0ain 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 Isur ce carrier and policy number are: :elr`IeP .•: •. Policy Number Expiration Date Isimof Agent • Phone # 3tc41r*y that, ig the Wrformance 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 Iat, if I'shouldted"s, subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. •'•'• oat 31� �....ufe of Ap is at+�— iECL i - DING CONSTRUCTION LENDING AGENCY her affirm under rif o ' ry t Is a construction lending agency for the performance of the work for which this permit is issued (Sectio . ,Civil Code). andarc Name �/ Lender's Address 3y my signature below, I certify toach 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 representafips-ofthis�city or countylq:entert ove= ntified property for inspection purposes. Signature of Property Own LorA uzed gent l/I Print Property Owner's or ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFI REGULATIONS PART 61 OF TITLE 40 AND P RULE PERMIT EXPIRED PERMITEXTENDED PERMIT FINAL CERTIFICATE OF OCCUPANCY ISSUED NOTIFICATION TO APPLICABLE TO