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Home My WebLink AboutX2019-2007 - Permits�twtn City of Newport Beach - Building Division IIIIIIIIIIII�IIIIIIIIIIIIIIIIIIII II 100 Civic Center Drive, Newport Beach, CA 92660 x 2 0 1 9 2 0 0 7 h '.. Permit Counter Phone (949)644-3288 -m Inspection Requests Phone (949)644-3255 4,rya �uY,* Combination Type - MFP COMB Permit: X2019-2007 Project No : 1130-2019 Issued Date : 0612612019 Inspection ArE 4 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSrtC IIUN. 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 "CARPORT 117-124) " REMOVEIREPLACE (E) 16 SQ B.U.R, REPLACE DAMAGED PLYWOOD OR RAFTERS AS NEEDED, CLASS'B' MIN. Description: MFR 20 (UNITS Legal Desc.: TR 12309 LOT 2 POR OF LOT Owner: IAC AT JAMBOREE LLC Contractor: SUPERIOR ROOFING COMPANY Architect: Address: PO BOX 2450 Address: 160 SOUTH LINDEN Address: NEWPORT BEACH, CA 92658 RIALTO CA 92376 Phone: State Lic: Phone: Phone: B00-761-6272 Applicant: MENDEZ RENEE Con State Lie: 284880 Engineer: CHRISTIAN DALE Address: 1744 W KATELLA AVE #107 Address: 160 SOUTH LINDEN Lie Expire: 12131/2019 ORANGE CA 92667 RIALTO CA 92376 Bus Lie: BT30062662 Lie Exp Date: 0313112020 Phone: 714-997.1145 State Lic:S-002705 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: Flood Zone: X Valuation: 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: Worker's Compensation Insurance Carrier: EMPLOYEE SERVICE GRP Policy No: WC112579600 Expire: 12131/2019 Building Setbacks Zone: 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 kin S a $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 0 Designer: Address: Phone: Special Conditions: LIQUEFACTION AREA Fire Planning Department - Plan check Fee: Fair Share : SJH Trans: In -lieu Housing Fee Public Works Department - Park Dedication : $0.00 PM 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 FLBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: hs� 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 (_) all of or (_) 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). ❑ 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 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 legalli 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.c2.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 Section ) f D' is�pn 3 of the Business and Pwfgss� dg ild my nse is in full force and effect. License Class License No Dat 2 / `'r Contractor Signatuux INORKERS' COMPENSATION DECLARATION MASHING: 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 (E100,000(, IN ADDITION TO THE COST 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: 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 .e of the work for which this permit is issued. Policy No. have an I maintain rance carr r nd policy of 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' Date JI certify that, in the performance 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' compensation laws of California, and agre lat, if I should beco Iect to rkers!�' c//orcrc��pp,ensation provisi of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ignature of Appli Kt � l/2C�G'l/( 9 IECLARATION REGARDING CONSTRUCTION LENDING Agfikn 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 ordin as and state laws relatingtpkuilding construction. I authorize representatives of this city or cou't%above= ented pr for inspection purposes. ignature of Property Owner or Authorized Age Print Print ProDertv Owner's or Authorized Acent's Name 1 KE.i'l.� /v,>?• YCLE'-`Z. :.IFS l'/( ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED W I SUBMITTED ASBESTOS NOTIFICATION rU ' PERMITCANCELLED EPA PERMIT EXTENDED QMD PERMIT FINAL 07/07/111 NOTIFICATION IS NOT APPLICABLE TO CERTIFICATE OF EN NNAEBIL� OCCUPANCY ISSUED �/�