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Home My WebLink AboutX2019-2006 - Permitsr� w1 Jy� City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2019-2006 ¢ 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 1 9 2 0 0 6 Project No : 1130-2019 A', Permit Counter Phone (949)644-3288 r� 47 Inspection Requests Phone (949)644-3255 Issued Date : 0612612019 Combination Type - BLDG I Inspection Area 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 22 (UNITS 133.136) * REMOVEIREPLACE (E) 9 SQ B.U.R, REPLACE DAMAGED PLYWOOD OR RAFTERS AS NEEDED, CLASS'B' MIN. Legal Desc.: TR 12309 LOT 2 POR OF LOT Owner: [AC 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 Lie: Phone: Phone: 800-761-6272 Applicant: MENDEZ RENEE Con State Lie: 284880 Engineer: CHRISTIAN DALE Address: 160 SOUTH LINDEN Lie Expire: 1213112019 Address: 1744 W KATELLA AVE #107 RIALTO CA 92376 Bus Lie: BT30062662 Phone: ORANGE CA 92667 714-997-1145 State Lic:S-002705 Phone: 800-761-6272 Lie Exp Date: 03131/2020 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.'.� 1 Building Setbacks Rear: I Special Conditions: LIQUEFACTION AREA No of Stories: No of Units: 0 Front: I Bldg Height: 0 Left: I Bldg Sprinklers: Right: I Use Zone: Parkinq Spaces: 0 Fire Hazard Zone : N Flood Zone: X Construction Valuation: $4 500.00 Building Permit Fee: $324.00 Excise Tax: $0.00 Planning Department- Fire Department $0.00 Fire Inspection: $0.00 Plan Check Fee: $155.00 Additional Fee : $0.00 $0.00 Plan check Fee: Fair Share : $0.00 Fire Plan Rev $0.00 Overtime Plan Ck: $0.00 $0.00 Grading Bonds Fee: Grading PC Consultant : $0.00 SJH Trans : $0.00 Demolition Fee Investigation Fee: Record Management: $0.00 Grading Permit Fee: $0.00 In -lieu Housing Fee : $0.00 Building Dept Adm General Service $0.00 $0.00 Energy Compliance: $0.00 Grading PC Fee: $0.00 $0.00 Public Works Department - Park Dedication : $0.00 Refund Deposit $0.00 CA Seismic Safety: $0.00 WQ Insp. Fee: PM Plan Check: $0.00 Grading Bond: $0.00 Disabled Access : $0.00 Hazardous Mat $0.00 Electrical %: $0.00 San Dist: $0.00 $0.00 Building Green Fee : $1.00 Mechanical %: $0.00 NMUSD Fee: $0.00 $0.00 Plumbing %: $0.00 TOTAL FEE : $480.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $480.00 PUBLIC WORKS APPROVAL: PROCESSED BY: --- 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 items) 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 ie 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 Irofessions 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 of more than five hundred dollars ($500). 1 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, lusiness 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 nprovements 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 Jn 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 pply 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: 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 permit, I cannot legal) 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 Business and Irofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htm]. 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 700q Div, ' 3 of the Business and P�ode nd my se is in full force nd effect. License Class License No E t/��'! Contractor Signatu 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 ATTORNEYS FEES. hereby affirm under penalty of perjury one of the following declarations: 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 n a, tain workers'W tion insur e, rance carrier an )icy number ier oil IN is of Agent certify that, in the performance of the work for which this permit is , if I should become subiect to the-W rkers' compensation orovisk of by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' Date d, I shall not employ any person In any manner so as to become subject to the workers' compensation laws of California, and agre� Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Dat < C-� f �&/ CLARATION RE(MRDING CONSTRUCTION LENDING AGENCY �� )reby 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 county ordinances and state laws relating to building construction. I authorize representatives of this city or coup to nt a a�t�ry Iden' property for inspection purposes. n ��j��{ nature of Property Owner or Authorized Agent 9 Print Prooertv Owner's or Authorized ADent's NamAl , fl? Civil Code). E1261 ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AOMD RULE 1403 PERMITEXPIRED I SUBMITTED ASBESTOS NOTIFICATION TC'.. EPA QM D AS ESTOS NOTIFICATION IS NOTAPPLICAB E TO PERMIT CANCELLED PERMIT EXTENDED PERMITFINAL 03"07,119 CERTIFICATE OF RO SE DE OCCUPANCYISSUED s ATU