HomeMy WebLinkAboutX2019-2008 - PermitsCity of Newport Beach - Building Division
- 100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
E
Inspection Requests Phone (949)644-3255
Combination Type - MFP
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COMB Permit: X2019-2008
Project No :1130-2019
Issued Date : 06/26/2019
Inspection Area 4
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION.
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
Construction Hours: Monday
-
Job Address: 2 MILANO DR NB
(E)
9 SQ B.U.R, REPLACE DAMAGED PLYWOOD OR RAFTERS AS NEEDED, CLASS'B' MIN.
Description: MFR"CARPORT 17 (UNITS 137-140)
REMOVEIREPLACE
Legal Desc.: TR 12309 LOT 2 POR OF LOT
Owner: IAC AT JAMBOREE LLC
Contractor:
ROOFING COMPANY Architect:
SUPERIOR60
Address: PO BOX 2460
SOUT
,
NEWPORT BEACH, CA 92668
RIALTO CA 9237fi
Phone: State Lic:
--
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Phone:
Phone:
800.761-6272
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Applicant:
Con State Lic:
284B80 Engineer: CHRISTIAN DALE
Address: 1744 W KATELLA AVE #107
160 SOU H LINDNEEEN
Address: 160 SOUTH LINDEN
Lic Expire:
12/3112019
BT30062662 ORANGE CA 92667
RIALTO CA 92376
Bus Lic:
Lic Exp Date:
03/3112020 Phone: 714-997-1145 State Li¢5-002705
Phone: 800-761-6272
Code Edit: 2016
Worker's Compensation Insurance Designer:
."'��
I,.
Type of Construction: VB
Carrier:
EMPLOYEE SERVICE GRP Address:
Occupancy Group: U
Policy No:
WC112579600�`•
Phone:
Added /New sq.ft. Bldg: 0
Expire:
1213112019
Added /New sq. ft. Garage: 0
Building Setbacks
Rear: I Special Conditions: LIQUEFACTION AREA
No of Stories: 0
Front: I
No of Units : 0
Left: I
Bldg Height: 0
Right: I
Bldg Sprinklers:
X
Use Zone: Parkin S aces: 0 Fire Hazard Zone : N
Flood Zone:
Construction Valuation: $4 500.00
Building Permit Fee: $324.00
Excise Tax:
$0.00 Planning Department - Fire Department
Plan Fee : $0.00 Fire Inspection:
$0.00
Plan Check Fee: $0.00 .
Additional Fee:
$0.00 check
$0.00 Fair Share : $0.00 Fire Plan Rev
$0.00
Overtime Plan Ck: $0.00
Grading Bonds Fee:
Grading PC Consultant:
$0.00 SJH Trans : $0.00 Demolition Fee
Investigation Fee: $0.00
$0.00
Grading Permit Fee:
$0.00 In -lieu Housing Fee: $0.00 ng Deptti
$0.00
Record Management:
Energy Compliance: $0.00
Grading PC Fee:
edm
General
$0.00 Public Works Department - Refund Deposit
$0.00
CA Seismic Safety : $0.00
WQ Insp. Fee:
$0.00 PAN PlanDediCheck: $0.00 Grading Bond:
$0.00
Disabled Access : $0.00
Hazardous Mat $0.00
Electrical %:
$0.00 San Dist : $0.00
$0.00
$0.00
Building Green Fee : $1.00
Mechanical %:
$0.00 NMUSD Fee:
$0.00
Plumbing %:
$0.00
Plan Check Fee : $0.00 Fee Due at Permit Issuance : $325.00
TOTAL FEE : $325.00
Pu3LIC WORKS APPROVAL:
PROCESSED BY:
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PLAN CHECK BY:
ZONING APPROVAL:
APPROVAL TO ISSUE:
GRADING APPROVAL:
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, priorto 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 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 legal)
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.
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 Secti a 001of Iv ion 3 of the Business d �Qfes Co nd my licen in full force
and effect. License Class License No 3- `I' Contractor Si:gnaSu[ac S'
NORKERS' COMPENSATION DECLARATION
NARNING: 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
:OST 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:
)01 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
ormance of the work for which this permit is issued. Policy No.
have and will r4aRtain 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'
rance carrier an Blicy number ar K
ier I. r Expiration Date
1e of Agent
certify that, in the performance of th ork for which this permit is
if I should becor�su/b�Iet to rkers' co/m/pgnsation provisic
lature of Applican SUD ' //�
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. _
rreby 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
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 coun ordinances and state laws relating to building construction.
I authorize representatives of this city or co o e the a $°e-identifproperty for inspection purposes.
nature of Property Owner or Authorized Ag I
Print Prooertv Owners or Aothnrhed Acenf'�
ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQM D RULE
1403
PERMITEXPIRED I LII SUBMITTED ASBESTOS NOTIFICATION M -
PERMIT EXTENDED C MD
PERMIT FINAL 5 STOS NOTIFICATION IS NOT APPLICABLE TO
CERTIFICATE OF y PR. �5yi7 D�tvlp{�ION /
OCCUPANCY ISSUED �'`" �_1�If,o..a
Code).
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