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Home My WebLink AboutX2019-2282 - Permitsrgwro�r City of Newport Beach - Building Divisioneac, IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII COMB Permit: X2019-2282 ,t 100 Civic Center Drive, Newport Beach, C92660 x 2 0 1 9 2 2 8 2 II aProject No Permit Counter Phone (949)644-3288 M � Inspection Requests Phone (949)644-3255 Issued Date 07122/2 q Combination Type - MFP �� yP : 019 w�, InspectionArea.� 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 27-32) REMOVE/REPLACE (E) 12 SQ OF B.U.R, CLASS'B' y y1 Legal Desc.: TR 12309 LOT 2 POR OF LOT Owner: IAC AT JAMBOREE LLC Address: PO BOX 2450 Contractor: SUPERIOR ROOFING COMPANY Architect: Address: 160 SOUTH LINDEN Address: NEWPORT BEACH, CA 92658 RIALTO CA 92376 Phone: Phone: 800-761.6272 Phone: State Lie: �> Applicant: SUPERIOR ROOFING COMPANY Con State Lic: 284880 Engineer: Address: 160 SOUTH LINDEN Lie Expire: 12I31/2019 Address: RIALTO CA 92376 Bus Lie: BT30062662 Phone: 800.761-6272 Lie Exp Date: 03131/2020 Phone: State Lie: Code Edit : 2016 Worker's Compensation Insurance Designer: Type of Construction: VB Carrier: EMPLOYEE SERVICE GRP Address: Occupancy Group: U Policy No: WC112579600 Added /New sq.ft. Bldg: 0 Expire: 1213112019 Phone: Added /New sq. ft. Garage: 0 No of Stories: 1 Building Setbacks Rear: I Special Conditions: No of Units : 0 Front: I Bldg Height: 0 Left: / Bldg Sprinklers: Right: I Flood Zone: X Use Zone: Parking Spaces: 0 Fire Hazard Zone : N ' Construction Valuation: $6,000.00 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 W $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: it 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) ction 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, priorto 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 L) all of or L) 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 )r❑vements 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 fly 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: 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 coven 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 Professions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.govtcalaw.htmi. Signature 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 Section 7 00) of ivisio 3 of the Business and Pro f".06fis COW, and effect. License Class License No Date Contractor Signature this permit, I cannot of the Business and my licos%jewirf full VORKERS' COMPENSATION DECLARATION '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 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 orrnance of the work for which this permit is issued. Policy No. have and w"aintain 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' compensatio Date ame of Agent -- ]I certify that, in the performance of the rk forwhich 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 agree lat, if I should become su jact to ers' ompe tion provisions of ion 3700 of the Labor Code, I shall forthwith comply with those provisions. ignature of Applicant IECLARATION REG BING CONSTRWCTION LE 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 Iy 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 coun to, a abov entified pro r inspection purposes. fionnture of Prooertv Owner or Authorized Age Print Property Owner's or Authorized Agent's Name ` I`r\ vKi jYIi/ ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMITEXPIRED ISUBMITTED ASBESTOS NOTIFICATION TO PERMITCANCELLED LIEPA '- PERMIT EXTENDED AQMD _ PERMITFINAL Oa/Z4I/ly ASBESTOS NOTIFICATIO OT APPLICABLE TO CERTIFICATE OF ; PR POSED LITI OCCUPANCY ISSUED SIGNATURE: