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Home My WebLink AboutX2019-1598 - Permitsr8'rF1•Gq City of Newport Beach - Building Division �y. 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 F -> Inspection Requests Phone (949)644-3255 Combination Type - MFP Job Address Description: Legal Desc.: Owner: Address: Phone: Applicant: Address: Phone IAC AT JAMBOREE LLC PO BOX 2450 NEWPORT BEACH, CA 92657 MENDEZ RENE 520 EAST STUART AVE REDLANDS CA 92374 800-761-6272 Code Edit : 2016 Type of Construction: Occupancy Group: U Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 0 No of Units : 0 Bldg Height: 0 Bldg Sprinklers: Flood Zone: 11 Construction Valuation: $ 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 $0.00 Building Green Fee : $1.00 TOTAL FEE: $325.00 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: II iiiiiiiiiiiiiiiiiiit II COMB Permit: X2019-1598 Project No : 1130-2019 Issued Date : Inspection Area PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPtC I IUN. 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 2 MILANO DR NB MFR -T/O BUR, INST 1-LYR ROSIN & SOPREMA SOPRA-G (BASE SHEET & PLY MEMBRANE) CLASS "A" 9 SQS & REPLACE FRAMING -CARPORTS- a ' TR 12309 LOT 2 POR OF LOT a Contractor: SUPERIOR ROOFING COMPANY Address: 520 EAST STUART AVENUE REDLANDS CA 92374 Phone: 800-761-6272 Con State Lie: 284880 Lie Expire: 12I3112019 Bus Lie: BT30062662 Lie Exp Date: 0313112020 Worker's Compensation Insurance Carrier: STARR INDEMNITY & LIA Policy No: WC1000002810 Expire: 0610112019 Building Setbacks Excise Tax: Additional Fee Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: Electrical %: Mechanical W Plumbing %: Rear: / Front: I Left: I Right: I $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.60 $0.00 Architect Address: Phone: State Lie Engineer: CHRISTIAN DALE Address: 1744 W KATELLA AVE #107 ORANGE CA 92667 Phone: 714-997-1145 State Lic:S-002705 Designer: Address: Phone: Special Conditions: CARPORT 4451-454 Hazard Zone : Planning Department - Plan check Fee Fair Share: SJH Trans: In -lieu Housing Fee Public Works Department - Park Dedication : $0.00 PM Plan Check : $0.00 San Dist: $0.00 NMUSD Fee: $0.00 Plan Check Fee : $0.00 Fire Department $0.00 Fire Inspection: $0.00 Fire Plan Rev $0.00 Demolition Fee $0.00 Building Dept Adm General Service Refund Deposit Grading Bond: $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Fee Due at Permit Issuance : $325.00 PUBLIC WORKS APPROVAL: tC' PLAN CHECK BY: APPROVAL TO ISSUE:"� +�oa 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) !ction 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 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 Ifessions 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 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 (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, siness 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 )rovements 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 )roved for the purpose of sale). I, as owner cf'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 ilv fo an owrer 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 frc7. licensure under the Contractors' State License Law for the following reason: 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 legally I L ..tructure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. 1 understand that a copy of the applicable law, Section 7044 of the Business and Aessions Code, iz a,. ailable upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. nature of Property Owner or Authorized Agent Date :F.NSED CONTIRACTOR'S DECLARATION =reby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7 0 gf Div}sio,0 3 of the Business and Prof as ode a�1 y lice in full force i effect. License Class License No Date G /%/ / /Y Contractor Signatur =r¢� COMPENSATION DECLARATION IARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUB, ECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS IS'100,0001, IN ADDITION TO THE (,SF Jr ,:OMPENSPT'ON, DAMAGES AS PROVIDED FOR IN SECTION 3106 OF THE LABOR CODE, INTEREST, AND AT7ORNEY'5 FEES. he,eoy affirm under penalty of perjury one of the following declarations: 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 thi erformance 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 ie of Agent ate certify that, in the pert rmance 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' c mpensation laws of California, and agre t, if I should become bject to workers' pensation pro ' ' s of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. / nature of Applicant Dat CLARATION REGenING CONSTRUCTION LENDING GENCY rreby affirm under alty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). Ider's Name Lender's Address 3y 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 county t ant the abov identified party for inspection purposes. Signature of Property Owner or Authorized A ent Print Property Owner's or Authorized Ag ACTION DATE BY DECLARATION OF COMPLIANa WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AOMD RULE PERMIT EXPIRED PERMITCANCELLED PERMIT EXTENDED PERMITFINAL CERTIFICATE OF OCCUPANCY ISSUED LJ I SUBMITTED ASBESTOS NOTIFICATION TO EPA 2dDAOMD P'ARESTOSPOTIFICATION IS NOTAPPLICABLE TO PROPOSEDBINSIGNATUR � f Name D sle,