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Home My WebLink AboutX2019-1594 - PermitsCity of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2019-1594 .� 100 Civic Center Drive, Newport Beach, CA 92660 x 2 0 1 9 1 5 9 4 Project No : 1130-2019 Permit Counter Phone (949)644-3288 F Inspection Requests Phone (949)644-3255 Issued Date: Combination Type - MIFF 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 - TIO BUR, INST 1-LYR ROSIN & SOPREMA SOPRA-G (BASE SHEET & PLY MEMBRANE) CLASS "A" 16 SQS & REPLACE FRAMING "*CARPORTS" Legal Desc.: TR 12309 LOT 2 POR OF LOT 'a 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 Applicant: MENDEZ RENE Con State Lic: 284880 Engineer: CHRISTIAN DALE Address: 520 EAST STUART AVE Lic Expire: 1213112019 Address: 1744 W KATELLA AVE #107 REDLANDS CA 92374 Bus Lic: BT30062662 ORANGE CA 92667 Phone: 800.761-6272 Lic Exp Date: 03/31/2020 Phone: 714-997-1145 State Lic:S-002705 Code Edit : 2016 Worker's Compensation Insurance Designer: - Type of Construction: Carrier: STARR INDEMNITY & LIA Address: > Occupancy Group: U Policy No: WC1000002810 Added /New sq.ft. Bldg: 0 Expire: 06/01/2019 Phone: Added /New sq. ft. Garage: 0 No of Stories: 0 Building Setbacks Rear: I Special Conditions: CARPORT #483-490 No of Units : 0 Front: I Bldg Height: 0 Left: I Bldg Sprinklers: Flood Zone: Use Zone: Right: I Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $8,000.00 Building Permit Fee: $324.00 Excise Tax: $0.00 Planning Department - Fire Department $0.00 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 Investigation Fee: $0.00 Grading PC Consultant : $0.00 $0.00 SJH Trans : In -lieu Housing Fee : $0.00 Demolition Fee $0.00 Building Dept Adm $0.00 Record Management: $0.00 Energy Compliance: $0.00 Grading Permit Fee: 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 $0.00 Disabled Access : $0.00 PAN Plan Check: $0.00 Grading Bond: 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 : $325.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $325.00 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: ER -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 he 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 'rofessions Code) or that he qr 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 lot 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 U portions of the work, and the structure is not intended or offered for sale (Section 7044, 3usiness 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 mprovements 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 'nproved for the purpose of sale). I, as owner of ,he property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not Intl;' `c an owr.E, 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 frog. Iicensure under the Contractors' State License Law for the following reason: 3y my signature b^,low 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 legaII, 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 '. ofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. Sign *ire of Property Owner or Authorized Agent Date JCENSED G?N.TP.ACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7 0) cl Di 's' n 3 of the Business and Prof s' Codg�nd m nse is in full force Ind effect. License Class License No Date Contractor Signatur VC)RKkRS' CONIDENSATION DECLARATION IARNINC- 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':OMPENSFT-314, EAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. hereby affirm urdx 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 Trance 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 of Agent Date 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 worker ' compensation laws of California, and agree t, if I should become sub' ct to t workers' mpensatio visions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applicant to `T CLARATION REGA ING CONSTRUCTION LENDIN-0 AGENCY :reby affirm under p nalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3 97, Civil Code), Idler'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 co�unty ordinances and state laws relating to building construction. r, I authorize representatives of this city or couryfy to r thP�bove-id d property for inspection purposes. Q 1 ' rA r I �1 nature of Property Owner or Authorized Aoe�n(( i�� Print Prooertv Owner's or Authorized Anent's Na e" NAP (4P7 n to DATE BY/ DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AOMD RULE PERMIT EXPIRED I Jdl SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED UEPA PERMIT EXTENDED qM D PERMITFINAL ��19 j BESTOS IMPT7'IFICATION 15 NOT APPLICABLE TO CERTIFICATE OF PROP DE�IIOLI TG OCCUPANCY ISSUED � SIGNATURE: // OU/ �1 �,;?64