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Home My WebLink AboutX2019-2281 - PermitsCity of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Combination Type - MFP Il i iiiiii iiiii iiiii iiiii iiii iiiii iiiii iiiii 1 II COMB Permit: X2019-2281 Project No : Issued Date: 07/2212019 Inspection Area : y 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 (UNITS 7.14) REMOVEIREPLACE (E) 16 SO OF B.U.R, CLASS'B' Legal Desc.: TR 12309 LOT 2 POR OF LOT Owner: IAC AT JAMBOREE LLC Contractor: SUPERIOR ROOFING COMPANY Architect: L� Address: PO BOX 2450 Address: 160 SOUTH LINDEN Address: NEWPORT BEACH, CA 92658 RIALTO CA 92376 -110 Phone: Phone: 800-761-6272 Phone: State Lic: Engineer: g 9 � Applicant: SUPERIOR ROOFING COMPANY Con State Lic: 284880 Address: 160 SOUTH LINDEN Lic Expire: 1213112019 Address: ^3 RIALTO CA 92376 Bus Lic: BT30062662 Phone: 800-761-6272 Lic Exp Date: 0313112020 Phone: State Lic: 0 Code Edit : 2016 Worker's Compensation Insurance Designer: Type of Construction: Carrier: EMPLOYEE SERVICE GRP Address: Occupancy Group: U Policy No: WC112579600 �' Added /New sq.ft. Bldg: 0 Expire: 12/3112019 Phone: Added /New sq. ft. Garage: 0 No of Stories: 0 Building Setbacks Rear: I Special Conditions: No of Units : 0 Front: I Bldg Height: 0 Left: I Bldg Sprinklers: Right: I Flood Zone: X Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $8,000.00 Building Permit Fee: $324.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $0.00 Additional Fee : $0.00 Plan check Fee : $0.00 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: $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. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $0.00 Disabled Access : $0.00 PAN 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 : $325.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $325.00 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 items) 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 U all of or U 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). 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 ly 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 1 am exempt from Iice nsure 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 pe 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 '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 Section 00 of ivi 'o 3 of the Business and Pro s ' s Q d my ii nd effect. License Class License No Data2 Contractor Signature/. ./�4 VORKERS' COMPENSATION DECLARATION and 'ARNING: FAILURE TO SECURE 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 DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS 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 the erfgmance of the work for which this permit is issued. Policy No. have and will faijain 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' 'ance carrier a licy number arI: . ier .-.-. \, R1 I i PO/41mlair Exoiration Date is of Agent 'iZznK _-.- X'W t1I certify that, in the performance of the work for which this , if I should become subject to the �wer Br compensg}ie. is issued, I shall no.1 employ any person in any manner so as to become subject to the workers' compensation laws of California, and ions of qVAkrr3700 of the Labor Code, I shall forthwith comply with those provisions. _ _ , ignature of Applicant c'' IECLARATION REGAR IN ONSTRUCTIO LENDING AGENCY 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 (Section 3097, Civil Code). Ender's Name Lender's Address ''y 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 city or coin//a ant above-i if prope Inspection purposes. �I n r' _/ lionature of Prooertv Owner or Authorized Aoent`Y '/' Print Property Owner's or Authorized ADent's NameY Y—I— MQ�'LC-ltf � ACTION DATE RY DECLARATION OF COMPLIANCE WITR'6D FFOPI REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE PERMIT EXPIRED U I SUBMITTED ASBESTOS NOTIFICATION TO PERMITCANCELLED UEPA PERMIT EXTENDED QM D PERMITFINAL CERTIFICATE OF OCCUPANCY ISSUED l0/03/19 ,2 ASBESTOS NOTIFICATION NOTAPPLICABLE TO P POSEDD MOLIT SIGNATU A&f-A ; FOR OFFICE USE ONLY