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Home My WebLink AboutX2019-3755 - Permits�rwtr$ City of Newport Beach - Building Division y 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 'c Inspection Requests Phone (949)644-3255 Combination Type - BLDG COMB Permit: X2019-3755 IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II Project No : 2035-2018 Issued Date: 11126/2019 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: 212 MARSALA DR NB Description: MFR DELTA 4, CHANGE CMU POOL FENCING TO RETAINING WALL & INCREASE SCOPE OF WORK, ADD ADD'L 31 LF TO (E) RETAINING WALL S� Legal Desc.: TR 12309 LOT 5 POR OF LOT /i 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: 949-720-2828 Phone: 714-557-5877 Phone: State Lie: Applicant: AZYNN Con State Lie: 568466 Engineer: OLIVIER JOHN C Address: Lic Expire: 0513112021 Address: 16796 VON KARMAN, STE 100 Bus Lic: BT20012606 IRVINE, CA 92606 ...... Phone: Lic Exp Date: 12/31/2019 Phone: 949/474.1960 State Lic:C-044568 o ® °eeeon Code Edit: 2016 Worker's Compensation Insurance Designer: Type of Construction: Carrier: INSURANCE CO OF THE WEST Address: Occupancy Group: U Policy No: WSD503883000 Added /New sq.ft. Bldg: 0 Expire: 12/31/2019 Phone: Added /New sq. ft. Garage: 0 No of Stories: 0 Building Setbacks Rear: / Special Conditions: °O.... No of Units : 0 Front: I Bldg Height: 0 Left: I Bldg Sprinklers: Right: I Flood Zone: Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $12,000.00 Building Permit Fee: $412.00 Excise Tax: $0.00 Planning Department - Fire Department e.e. Plan Check Fee: $0.00 Additional Fee : $183.00 - Plan check Fee : $40.00 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: $12.00 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 P/W Plan Check : $0.00 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical %: $0.00 San Dist: $0.00 Building Green Fee: $1.0 Mechanical %: $0.00 NMUSD Fee: $0.00 - $0.00 Plumbing %: $0.00 $0.00 TOTAL F E : $648.0 Plan Check Fee : $0.00 Fee Due at Permit Issuance • $648.00 PROCESSED BY: PUBLIC WORKS PROVAL: ZONING APPROVAL: V PLAN CHECK BY: GRADING APPROVAL: __ APPROVAL TO ISSU . 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) Bection 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 ie 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 Iicensure 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). 1 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 pply 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 Iicensure 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 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 urlder penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 0 ) of _ivision_3 of the Business and Prof salons C , and my lice £se is i II force nd effect. Licee"Gless License No Date Contractor Signature, ,*::-> V•O•ffRS' CQMP*SATION DECLARATION IARNINGPFAILURe V"LClIRE 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 qST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. peTe,y"affirm under penalty of perjury one of the following declarations: I have and Jill Pnamtain 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 nce of ttiework for which this permit is issued. Policy No. .... JI6ftVd and voll h4aNtain 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 Isuren carrier and policy number are: Iarr' I• • • _. Policy Number Expiration Date that, inthe 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 ould t7P•gpt subject to the workers' compensation_gwviaions of Section 3700 of the Labor Code,.I shall forthwith comply with those provisions. of hereby affirm under natty of perjury the{there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, 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 the information I have provided is correct. I agree to comply with all applicable city and county ordidances and state laws re l Tg to building construction. I authorize representatives of this city or cou t �tj1e above-idegtified perty for inspection purposes. Signature of Property Owner or Authorized Agent = d' L Print Property Owners or Authorized Agent's Name ACTION DATE BY 15ECLARATICA OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED EPA PERMITEXTENDED QMD PERMIT FINAL $6 102o ASBESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATE OF CS PROPOSED DEMOLITION OCCUPANCYISSUED SIGNATURE: