HomeMy WebLinkAboutX2019-1595 - PermitsCity of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2019-1595
k" +I 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 1 9 1 5 9 5 Project NO : 1130-2019
Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255 Issued Date
Combination Type - MFP Inspection Area 4
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. j
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 N13 ,
Description: MFR - T/O BUR, INST 1-LYR ROSIN & SOPREMA SOPRA-G (BASE SHEET & PLY MEMBRANE) CLASS "A" 9 SOS & REPLACE FRAMING --CARPORTS-- °
Legal Desc.: TR 12309 LOT 2 POR OF LOT
Owner: IAC AT JAMBOREE LLC Contractor: SUPERIOR ROOFING COMPANY Architect
Address: PO BOX 2450 Address: 520 EAST STUART AVENUE Address: _
NEWPORT BEACH, CA 92657 REDLANDS CA 92374 - ?,
Phone:
Phone: 800.761-6272 Phone: State Lic.
a '
Con State Lic: 264860 Engineer: CHRISTIAN DALE ; ....
'
Applicant: MENDEZ RENE >+>„
Address: 520 EAST STUART AVE Lic Expire: 1213112019 Address: 1744 W KATELLA AVE #107
ORANGE CA 92667
REDLANDS CA 92374
Phone: 800-761.6272
Code Edit: 2016
Type of Construction:
Occupancy Group: U
Added /New sq.ft. Bldg:
Added /New sq. ft. Garage:
No of Stories: 0
No of Units : 0
Bldg Height: 0
Bldg Sprinklers:
Flood Zone:
Construction Valuation: $8,000.00
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
$0.0c
Building Green Fee :
$1.00
TOTAL FEE: $325.00
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Bus Lic:
Lic Exp Date:
BT30062662
03131/2020
Phone:
714-997-1145 State Lic:S-002705
Worker's Compensation Insurance
Designer:
>>>>,
Carrier:
STARR INDEMNITY & LIA
Address:
Policy No:
WC1000002810
Expire:
06101/2019
Phone:
Building Setbacks
Rear: I
Special Conditions: CARPORT #491-494
Front: I
Left: I
Right: I
Use Zone:
Parkin S aces:
0
Fire Hazard Zone : N
Excise Tax:
$0.00
Planning Department-
Fire Department
$0.00
Additional Fee :
$0.00
Plan check Fee:
$0.00
Fire Inspection:
$0.00
Grading Bonds Fee:
$0.00
Fair Share :
$0.00
$0.00
Fire Plan Rev
Demolition Fee
Grading PC Consultant :
$0.00
$0.00
SJH Trans :
In -lieu Housing Fee:
$0.00
Building Dept Adm
$0.00
Grading Permit Fee:
Grading PC Fee:
$0.00
Public Works Department -
General Service
$0.00
0.00
$0.00
WO Insp. Fee:
$0.00
Park Dedication
Grading Bond:
$0.00
Electrical %:
$0.00
San Dist:
$0.00
$0.00
Mechanical %:
$0.00
NMUSD Fee:
$0.00
$0.00
Plumbing %:
$0.00
Plan Check Fee: $0.00 Fee Due at Permit Issuance : $325.00
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
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)
(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).
U 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
nrroved for the pu, pose of sale).
I, as owner or 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
arpl, :c an owr.er of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).
0 1 am exempt fro,n licensure under the Contractors' State License Law for the following reason:
9y my a:gnature 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 legall)
'sell a structure that I t rve 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
Pl ofessions Code, is available upon request when this application is submitted or at the following Web site:hftp://www.leginfo.ca.gov/calaw.htmi.
Sign -tire of Property Owner or Authorized Agent Date
L!CEtISED CONTRACTOR'S DECLARATION
I herohy affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 700 ivis' of the Business and Prof si orand m nse is in full force
and effect License Class License No Date Contractor Signatur
NORKERS' COF_J4 E'NSATION DECLARATION
NRRNINS; FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMIN PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
FOST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm und.:l penalty of perjury one of the following declarations:
1 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 thl
>e ormance of the work for which this permit is issued. Policy No.
and will maintain 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'
carrier and policy number are:
Policy Number Expiration Date
of Agent
LJI certify that, in the perf mance 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' c5rnpensation laws of California, and afire
that, if I should become bject worker ' compensa ' provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. /
Signature of Applicant Dat I /< -
DECLARATION REG DING CONSTRUCTION LEND AGENCY
I hereby affirm under enalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 309 , Civil Code).
Lender's Name Lender's Address
By 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 cou ordinances and state laws relating to building construction.
I authorize representatives of this city or county o an a above -id 'fietl grope for inspection purposes. 5�( ���
Signature of Property Owner or Authorized Agent Print PropertyOwners or Authorized Agent's Name ate
ACTION DATE BY DECLARATION OF COMPLIANCrVVITH CODE OF FEDERAL 1 FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
ASBESTOS NOTIFICATION TO
PERMIT CANCELLED
PERMIT EXTENDED QMD
PERMITFINAL (%/B/19 l ESTOS N961FICATION IS NOT APPLICABLE TO
CERTIFICATEOF .�� PROP ED DE OLI
OCCUPANCYISSIIED V-6 Z I SIGNATURE: