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Home My WebLink AboutX2019-2110 - Permitsrwyrl.,N11 City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII COMB Permit: X2019-2110 4. 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 1 9 2 1 1 0 II Project No : 1130-2019 rh ;' s Permit Counter Phone (949)644-3288 ,. Inspection Requests Phone (949)644-3255 Issued Date : 07/08/2019 Combination Type - MIFF 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 "'CARPORT 7 (UNITS 57-64) . REMOVE/REPLACE (E) 16 SQ B.U.R, REPLACE DAMAGED PLYWOOD OR RAFTERS AS NEEDED, CLASS 'B' MIN. Legal Desc.: TR 12309 LOT 2 FOR OF LOT ^ 1 �� Owner: IAC AT JAMBOREE LLC Contractor: 160 SUPERIOR SOUTR OFING COMPANY ArcAddressI p, 1 SPE Address: PO BOX 2450 O CA 92376 NEWPORT BEACH, CA 92658 Phone Applicant: MENDEZ RENEE 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: $8 000.00 Building Pennit 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: Phone: Con State Lic: Lic Expire: Bus Lic: Lic Exp Date: MALT 800.761-6272 Phone: 284880 1213112019 BT30062662 03/3112020 Worker's Compensation Insurance Carrier: EMPLOYEE SERVICE GRP Policy No: WC112579600 Expire: 12/3112019 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 State Lic: Engineer: CHRISTIAN DALE Address: 1744 W KATELLA AVE #107 ORANGE CA 92667 Phone: 714-997-1145 State Lic:S-002705 Designer: Address: Phone: Special Conditions: LIQUEFACTION AREA Planning Department - Plan check Fee: Fair Share SJH Trans In -lieu Housing Fee Public Works Department - Park Dedication : $0.00 P/W Plan Check: $0.00 San Dist: $0.00 NMUSD Fee: $0.00 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: $0.00 $0.00 $0.00 $0.00 $0.00 $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 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 not 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, 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 roved for the purpose of sale). 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 imp ❑ 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 Iicensure under the Contractors' State License Law for the following reason: By 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, 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. of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Se3Da 7 00 c Division 3�ofthe Busin n Profess Co and m se is in full force and effect. License Class License No ! Contract r Sig lure WORKERS' COMPENSATION DECLARATION NARA"NG: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES up TO ONE UNDRED THOUSAND DOLLARS (5100,000), IN ADDITION TO THE IOET DF COWENCATION, 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: I have 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, vrmance it the wark for which this permit is issued. Policy No. 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' carrer and policy number are: Policy Number if Agent Date I cenlry Met, In the bertormance 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' ompensation laws of California, and afire ', i; I sh d b=rom , ubject to orkers' c sation provisi Section 3700 of the Labor Code, I shall forthwith comply with those provisions. / natur CLA TION- �gR G CONSTRUCTION LENDING AGENCY areby a er penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, lull Code). Ider's Name Lender's Address my, below, certify to each of the following: I am the property owner or authorized to act on the property owners 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 city or county 15PKer the,00,ye-IdentIf!2gpv5perty for inspection purposes. 'r / wgimwle or rroperz uwne or ent Print Property Ownej'&Uthoriz A en' ame Fe- -vl.� Dat �C"lii ACTION - DAT Y DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY -REGULATIONS PART 61 OF TITLE 40 AND AQM D RULE 1403 PERMIT EXPIRED U I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED EPA PERMIT EXTENDED QMD PERMITFINAL 09/06 /19 , TOS TIFICATION 15 NOT APPLICABLE TO CERTIFICATE OF OP05 OCCUPANCY ISSUED '�j� R ,