HomeMy WebLinkAboutX2019-1597 - Permits,awNroq� City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2019-1597
at *� 100 Civic Center Drive, Newport Beach, CA 92660 x 2 0 1 9 1 5 9 7 Project NO : 1130-2019
F Permit Counter Phone (949)644-3288
u� Inspection Requests Phone (949)644-3255
Issued Date
Combination Type - MFP
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
uuu r uuress: 2 MILANO DR NB
Description: MFR - TIO BUR, INST 1-LYR ROSIN & SOPREMA SOPRA-G (BASE SHEET & PLY MEMBRANE) CLASS "A" 16 SOS & REPLACE FRAMING -CARPORTS-
Legal Desc.: TR 12309 LOT 2 POR OF LOT
Owner:
IAC AT JAMBOREE LLC
Address:
PO BOX 2450
NEWPORT BEACH, CA 92657
Phone:
Applicant:
MENDEZ RENE
Address:
520 EAST STUART AVE
REDLANDS CA 92374
Phone:
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
Blda Sorinklers:
Contractor:
SUPERIOR ROOFING COMPANY
Address:
520 EAST STUART AVENUE
REDLANDS CA 92374
Phone:
800-761-6272
Con State Lic:
284880
Lic Expire:
12131/2019
Bus Lic:
BT30062662
Lic Exp Date:
03/31/2020
Worker's Compensation Insurance
Carrier: STARR INDEMNITY & LIA
Policy No: WC1000002810
Expire: 06/01/2019
Building Setbacks Rear: /
Front: /
Left: I
Right: I
Architect:
Address:
Phone:
Engineer:
Address:
Phone:
Designer:
Address:
Phone:
a,
s
a '
State Lic:
CHRISTIAN DALE
1744 W KATELLA AVE #107
ORANGE CA 92667
714.997-1145 State Lic:S-002705
Special Conditions: CARPORT #519-526
Flood Zone:
Use Zone:
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
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
$0.00
Investigation Fee:
$0.00
Grading PC Consultant:
$0.00
SJH Trans :
$0.00
Demolition Fee
Record Management :
$0.00
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
CA Seismic Safety :
$0.00
WQ Insp. Fee:
$0.00
Park Dedication :
$0.00
Refund Deposit
$0.00
Disabled Access :
$0.00
PAN Plan Check :
$0.00
Grading Bond:
$0.00
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
Plumbing %:
$0.00
$0.00
TOTAL FEE : $325.00
Plan Check Fee
: $0.00
Fee Due at Permit Issuance :
$325.00
PROCESSED BY: PUBLIC WORKS APPROVAL:
ZONING APPROVAL: PLAN CHECK BY: y v \
C
GRADING APPROVAL: 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 reasons) indicated below by the checkmark(s) I have placed next to the applicable items)
(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 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-Builderwill have the burden of proving that it was not built or
improved for the pt,l of sale).
U I, as owner o, t,ij property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not
p pply to: an own" 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 exel frog licensure under the Contractors' State License Law for the following reason:
By 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 legal
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 CoCe, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html.
I , t' de of Property Owner or Authorized Agent Date
LICENSED CONTIPACTOR'S DECLARATION
I, here.by'affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7 of L�tv1 on 3 of the Business and Pr essii Co d my nse is in full force
and effect. Licensa Class License No _ Date J_ /X? Contractor Signatu _(V _.
COMPENSATION DECLARATION
'ARNING: 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
OST OF rOMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES.
hereby affirm Li lPr 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 th
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
of Agent
Date
JI certify that, in the perfor ante 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 worke ' compensation laws of California, and agre
tat, if I should become su jact the workers' compensattip provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. / 2
ignature of Applicant D e� ! l/
IECLARATION REGA ING CONSTRUCTTON LENDIRS AGENCY
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 3 97, Civil Code).
ender's Name Lender's Address
'y my signature below, I certify to each of the following:
I am the property owner or authorized to act on the property owners behalf.
I have read this application and the information I have provided is correct.
I agree to comply with all applicable city and countyordinances and state laws relating to building construction.
I authorize representatives of this city or county tc)bnl above -identified property for inspection purposes. ` _ / - /77
DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
PERMIT EXPIRED
PERMIT EXTENDED
PERMIT FINAL
CERTIFICATE OF
OCCUPANCYISSUED
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FICATION IS NOT APPLICABLE TO
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