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Home My WebLink AboutX2019-1600 - Permits�wrnkr City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIII�IIIIIII� II COMB Permit: X2019-1600 o 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 1 9 1 6 0 0 Project No : 1130-2019 ti Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Issued Date `H�rsaww•t Combination Type - MIFF Inspection Area J 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" 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: 620 EAST STUART AVENUE Address: NEWPORT BEACH, CA 92657 REDLANDS CA 92374 State Lic: + Phone: Phone: 800-761.6272 Phone: . 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: 03131/2020 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 0 Building Setbacks Rear: I Special Conditions: CARPORT #293-296 No of Stories: No of Units : 0 Front: / Bldg Height: 0 Left: I Bldg Sprinklers: Flood Zone: Right: / Use Zone: Parkin Spaces: 0 Fire Hazard Zone : N Construction Valuation: $4 500.00 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 Fire Plan Rev $0.00 Overtime Plan Ck: $0.00 Grading Bonds Fee: $0.00 $0.00 Fair Share : SJH Trans : $0.00 Demolition Fee Investigation Fee: $0.00 Record Management : $0.00 Grading PC Consultant: Grading Permit Fee: $0.00 In -lieu Housing Fee : $0.00 Building Dept Adm $0.00 Energy Compliance: $0.00 Grading PC Fee: $0.00 Public Works Department - General Service $0.00 $0.00 CA Seismic Safety: $0,00 WQ Insp. Fee: $0.00 Park Dedication : $0.00 $0.00 Refund Deposit Grading Bond: $0.00 Disabled Access : $0.00 PAN Plan Check: 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 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Plan Check Fee : $0.00 Fee Due at Permit Issuance : $325.00 PUBLIC WORKS APPROVAL: 1L/ PLAN CHECK BY: APPROVAL TO ISSUE: (�J 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, pdorto its issuance, also requires the applicant for is 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 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). I, as owner of the property, or my employees with wages as their sole compensation, will do L) 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 nproved for the purpuse of sale). I, as owner o, toe property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not pp'y tD an owns. 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 exemp: froln licensure under the Contractors' State License Law for the following reason: iy my signature bclow 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, 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 'rofesaions Code, is mailable upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. :igns.t::re of Property Owner or Authorized Agent Date .10EMSED CO.NITRt.CTOR'S DECLARATION he•Phy affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70 Divi iop,3 of the Business and Profe to de d my Ii rise is in full force nd effert. License Class License No Date Y- Contractor Signature VORKH'RS' COMp5NSATION DECLARATION 'ORNIN4 FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE DST OF COMPENSATION, CAMAGES 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: 7 I 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 erfornanee 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 lame of Agent Phone # ]I certify that, in the perfo 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' ompensation laws of California, and agre iat, if I should become s ject a work ' compensation ovisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Iignature of Applicant 4wzDal L1l )ECLARATION REG ING CONSTRUCT N LEND G A ENCY hereby affirm under natty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 30 , Civil Code). Ender's Name Lender's Address Iy 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 ent abov 'dentifi property for inspection purposes. signature of Property Owner or Authorized Agent � Print Prooertv Owner's or Authorized A❑enfs NamR e,. o ACTION DATE BY I DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 14 PERMIT EXPIRED I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED C 17EPA PERMITEXTENDED QMD PERMIT FINAL O6/ICl/Iq EST07NOTIFICATION IS NOT APPLICABLE TO CERTIFICATE OF C7 ED f1EMQW"I5N OCCUPANCY ISSUED SIGNATU SIGNATA