HomeMy WebLinkAboutX2019-1596 - Permits&'"11*1�f
City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII COMB Permit: X2019-1596
.100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 1 9 1 5 9 6 Project No : 1130-2019
F Permit Counter Phone (949)644-3288
ub Inspection Requests Phone (949)644-3255 Issued Date
q,arr w�„r Combination Type - MFP Inspection Area CI
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: [AC 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:
State Lie:
+;
Phone:
Phone:
800.761-6272
,
Applicant: MENDEZ RENE
Con State Lie:
284880
Engineer:
Address:
CHRISTIAN DALE
1744 W KATELLA AVE #107
Address: 520 EAST STUART AVE
Lie Expire:
12/3112019
BT30062662
ORANGE CA 92667
REDLANDS CA 92374
Bus Lie:
Lie Exp Date:
03131/2020
Phone:
714-997-1145 State Lic:S-002705
Phone: 800.761-6272
Code Edit: 2016
Worker's Compensation Insurance
Designer:
Type of Construction:
Carrier:
STARR INDEMNITY & LIA Address:
-
Occupancy Group: U
Policy No:
WC1000002810
Phone:
Added /New sq.ft. Bldg: 0
Expire:
06101/2019
Added /New sq. ft. Garage: 0
Building Setbacks
Rear: I
Special Conditions: CARPORT #515-516
No of Stories: 0
Front: I
No of Units : 0
Left: I
Bldg Height: 0
Right: I
Bldg Sprinklers:
Use Zone: Parking Spaces:
0 Fire Hazard Zone : N
Flood Zone:
Construction Valuation: $4 500.00
Building Permit Fee: $324.00
Excise Tax:
$0.00
$0.00
Planning Department -
Plan check Fee :
Fire Department
$0.00 Fire Inspection:
$0.00
Plan Check Fee: $0.00
Additional Fee :
Grading Bonds Fee:
$0.00
Fair Share:
$0.00 Fire Plan Rev
$0.00
Overtime Plan Ck: $0.00
Investigation Fee: $0.00
Grading PC Consultant :
$0.00
SJH Trans :
$0.00 Demolition Fee
$0.00 Building Dept Adm
$0.00
Record Management: $0.00
Grading Permit Fee:
$0.00
$0.00
In -lieu Housing Fee:
Public Works Department -
General Service
$0.00
Energy Compliance: $0.00
Grading PC Fee:
WQ Insp. Fee:
$0.00
Park Dedication : $0.00
Refund Deposit
$0.00
CA Seismic Safety : $0.00
PNV Plan Check: $0.00
Grading Bond:
$0.00
Disabled Access : $0.00
$0.00
Electrical %:
$0.00
San Dist: $0.00
$0.00
Hazardous Mat
Building Green Fee : $1.00
Mechanical %:
$0.00
NMUSD Fee: $0.00
$0.00
Plumbing %:
$0.00
Plan Check Fee :
$0.00 Fee
Due at Permit Issuance : $325.00
TOTAL FEE : $325.00
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 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 L) 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
improved for the pii pose of sale).
❑ 1, as owner a- -,ha property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not
rrl!, ro an owre- Df 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 exempl fro,n licensure under the Contractors' State License Law for the following reason:
Ry ,my signature brlow 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 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 Cope, is available upon request when this application is submitted or at the following Web site:hftp://www.leginfo.ca.gov/calaw.htmi. ire of Property Owner or Authorized Agent Date
I Ir"ISED C0'4TRP_CTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 700 o Div! io 3 of the Business and ofessi od d my li Is in full force
and effect. License Class License No Date Contractor Si n re
(JORKFRS' C(,Mp5NSATION DECLARATION
VARNING:. FAILURE TO SECORE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUaJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
,OST OF COM PENSA-INN, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES.
hereby affirm under p=nalty 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 the
)errtormance 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
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
t, if I should become yubjec the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. /
nature of Applicant / �G� Cat
CLARATION REG RDING CONSTRUCTION NDI GENCY
Ireby 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 30 Civil Code).
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 rdmances and state laws relating to building construction.
I authorize representatives of this city or county to t e a ve-identifi property for inspection purposes. ee --��
nature of PropertyOwner or Authorized A ent Print Propert Owner's or Authorized Agent's Na a I�CFt-� GZ ate
TION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY j
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
rCKIv11I tAPIKtu I SUBMITTED ASBESTOS NOTIFICATION TO
PERMIT CANCELLED LIEPA
PERMIT EXTENDED OMD
PERMITFINAL 06/I3/I°I NPROPO
LOTIFICATION IS NOT APPLICABLE TO
CERTIFICATE OFION
OCCUPANCY ISSUED ,��ep 77%'�✓�"Z