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Home My WebLink AboutX2019-1130 - Permits¢wI*rt City of Newport Beach - Building Division *X2019-1130* �` aA COMB Permit: X2019-1130 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 Project No r ' : Inspection Requests Phone (949)644-3255 Combination Type - MFP Issued Date : 04/10/2019 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" 16 SOS **CARPORTS** AN p pQ p�a..�=� (yt Legal Desc.: TR 12309 LOT 2 POR OF LOT Owner: IRVINE APARTMENT Contractor: SUPERIOR ROOFING COMPANY Architect: ?' s Address: FLOOR 3 Address: 520 EAST STUART AVENUE Address: NEWPORT BEACH, CA REDLANDS CA 92374 + A a '- Phone: 0 Phone: 800-761-6272 Phone: State Lie: Applicant: MENDEZ RENE Con State Lie: 284880 Engineer: Address: 520 EAST STUART AVE Lie Expire: 1213112019 Address: REDLANDS CA 92374 Bus Lie: BT30062662 Phone: 800-761-6272 Lie Exp Date: 03/31/2020 Phone: State Lie: 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: 0610112019 Phone: ' Added /New sq. ft. Garage: 0 No of Stories: 0 Building Setbacks Rear: / Special Conditions: CARPORT # 545.552 No of Units : 0 Front: / Bldg Height: 0 Left: I . Bldg Sprinklers: Right: / 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 WO 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 Building Green Fee : $1.00 Mechanical %: $0.00 NMUSD Fee: $0.00 $0.00 Plumbing %: $0.00 $0.00 TOTAL FE : $325.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance: $325.00 PROCESSED BY: PUBLIC WORKS APPR AL: ZONING APPROVAL: PLAN CHECK BY: 1__� 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 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). o (_) all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, ❑ I, as owner of the property, or my employees with wages as their Sole compensation, will dimproves the iBusiness and Professions mprovements are not intended eor offered for sae. : The Contractors' State however, the the bue Law ilding ng or ioes not mprovement sly to an nsold er fwithin one year of completion, the Owner-Builderproperty who, through employees' or personal fwill have the rburden of pro ingthat itpwasnott builttorr improved for the purpose of sale). ❑ I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). ❑ 1 am exempt from 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 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 Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. Date Signature of Property Owner or Authorized Agent LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that 1 am licensed under provisions of Chapter 9 (commencing with Section ivis'17 3 of the Business and Prpfq�ipns de, my se is in full force and effect. License Clsss License No Date 14 Contractor Signat WORKERS' CO?CPENSATION DECLARATION WIF:rc CJMPENSA ION WORKERS' COMPENSATION As PRONGED FOR IN SECTION COVERAGE ISUNLAWFUL, AND F THE LABOR CODE, INTEREST, AND ATTORN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HONORED THOUSAND DOLLARS tE100,0001, IN ADDITION TO THE CUST OF I hereby affirm under penalty of perjury one of the following declarations: I have and wil' maictain 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 IN �mapce of the wulK for which this permit is issued. Policy No. 101' hoe and will Y.s:rtain 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' compensatior insur cc, carrier znd policy number are: crier Policy Number Expiration Date Phone # NJm3 of Agent I rertif,, that, in the performance of a 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 ogre that, if I should becomVNG 'workers mpensation ons of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. loll? Signature of Applican Date DECLARATION REGRUCTION LENDIN AGENCYI hereby affirm under ry that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). Lender's Name Lender's Address By 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 county ordinances and state laws relating to building construction. I authorize representatives of this city or coxtyre e "-dentifie e rty for inspection purposes. �,e��{�, Da / 7U/ - ..�....:-.ea ,. .,vim nh..,e Signature of Property Owner or Authorized A enr .d — ••••• • •- ---- - -- - ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE PERMIT EXPIRED PERMIT CANCELLED PERMIT EXTENDED PER MIT FINAL I)5/jQ/19 CERTIFICATE OF OCCUPANCYISSUED ❑ I SUBMITTED ASBESTOS NOTIFICATION TO EPA QMD ASBESTOS NOTIFICATION IS NOT APPLICABLE TC PROPOSED DEMOLITION SIGNATURE: