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Home My WebLink AboutX2019-3875 - PermitsCity of Newport Beach - Building Division I IIIIIIIIIIIIIIIIIIIII�IIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2019-3875 100 Civic Center Drive; Newport Beach, CA 92660 x 2 0 1 9 3 a 7 e Project No tx+ ; r a Permit Counter Phone (949)644-3288 C " Inspection Requests Phone (949)644-3255 Issued Date: 12I05I2019 Combination Type - MFP Inspection Are, 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: 2 MILANO DR NB Description: MFR CARPORTS (UNITS 427-434) REMOVEIREPLACE (E) 16 SQS OF B.U.R, CLASS'B' Legal Desc.: TR 12309 LOT 2 POR OF LOT 1 N1 qP LzuTO R Owner: IAC AT JAMBOREE LLC Address: PO BOX 2450 NEWPORT BEACH, CA 92658 Phone: Applicant: SUPERIOR ROOFING COMPANY Address: 160 SOUTH LINDEN RIALTO CA 92376 Phone: 800-761.6272 Code Edit : 2016 Type of Construction: VB Occupancy Group: U Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 1 No of Units : 0 Bldg Height: 0 Bldg Sprinklers: Valuation: $8 500.00 Building Permit Fee: $324.00 Plan Check Fee: $0.00 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $0.00 Energy Compliance: $0.00 CA Seismic Safety : $0.00 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee : $1.00 TOTAL FEE: $325.00 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Contractor: SUPERIOR ROOFING COMPANY Address: 160 SOUTH LINDEN RIALTO CA 92376 Phone: 800-761-6272 Con State Lic: 284880 Lic Expire: 12/3112019 Bus Lic: BT30062662 Lic Exp Date: 0313112020 Worker's Compensation Insurance Carrier: EMPLOYEE SERVICE GRP Policy No: WC112579600 Expire: 1213112019 Building Setbacks Excise Tax: Additional Fee Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: Electrical %: Mechanical %: Plumbing %: Rear: I Front: I Left: I Right: I $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Architect: Address: Phone: Engineer: Address: Phone: Designer: Address: Phone: Special Conditions: Fire 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 San Dist: $0.00 NMUSD Fee: $0.00 State Lic: State Lic: 71 Fire Department $0.00 Fire Inspection: $0.00 $0.00 Fire Plan Rev $0.00 $0.00 Demolition Fee $0.00 Building Dept Adm $0.00 General Service $0.00 Refund Deposit $0.00 Grading Bond: $0.00 $0.00 $0.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $325.00 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 U 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 improved for the purpose of sale). ff 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 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). ❑ 1 am exempt from licensure under the Contractors' State License Law for the following reason: By my signature below 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://www.leginfo.ca.gov/calaw.html. Signatula of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION L herEty affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Se io 7000 of iv's' n 3 of the B s and Professiop Code a my license is in full force and effsct. License Cl^ss License No ,t Contrac r ignature o _._� YYoF'Y,ERS' COMPENSATION DECLARATION o —C TC �'I! ! ;: FAILURE TC SEMRE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($700,0001, IN ADDITION TO THE COST OF �OMPENSATIOM, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: 7 I have and +r!I nciatain 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, ynrmance of the work for which this permit is issued. Policy No. :lj,.e and w,ll m:.intain 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' ranee carrier and policy number are: Policy Number Expiration Date of Agent in the performance of the work for which this permit is become subject to workers' comyerpation provisic shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and :tion 3700 of the Labor Code, I shall forthwith comply with those provisions. j CLARATION REGARDING CMIISTRUCTION LENDING AG ENC ��"`-- :reby affirm under penalty of perjury that there is a construction lending agency forthe performance of the work for which this permit is issued (Section 3097, Civil Code). Ider'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 it�r county tofr the abov�i.-identified property for inspection purposes. nature of Property Owner or & rued Agent A ��7 print Property Owner's or Authorized ADent's Name—ktlke—_ W-, u\. ACTION PERMIT EXPIRED PERMITCANCELLED PERMIT EMENDED PERMIT FINAL CERTIFICATE OF OCCUPANCYISSUED %"0'Y DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE I SUBMITTED ASBESTOS NOTIFICATION TO NOTIFICATION 15 NOT APPLICABLE TO IOr