HomeMy WebLinkAboutX2019-1128 - Permitse�t1Ar`""%0% City of Newport Beach - Building Division *X2019-1128*
�4 100 Civic Center Drive, Newport Beach, CA 92660
r. Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255
Combination Type - MFP
COMB Permit: X2019-1128
Project No :
Issued Date : 04/1012019
Inspection Area : q
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" 12 SOS "CARPORTS'* p.,AJ'D '<'2--&- ��_-�J is \
Legal Desc.: TR 12309 LOT 2 FOR OF LOT tI
Owner: IRVINE APARTMENT Contractor: SUPERIOR ROOFING COMPANY Architect: i� a a,
Address: 550 NEWPORT CENTER DR Address: 520 EAST STUART AVENUE Address: m
NEWPORT BEACH, CA 92660 REDLANDS CA 92374
Phone: Phone: 800-761-6272 Phone: State Lic:
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
Bldg Sprinklers:
Construction Valuation:
$6,000.00
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 :
$1.001__�
TOTAL FIFE : $325.00
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Con State Lic: 284880
Lic Expire:
1213112019
Bus Lic:
BT30062662
Lic Exp Date:
0313112020
Worker's Compensation
Insurance
Carrier:
STARR INDEMNITY & LIA
Policy No:
WC1000002810
Expire:
06/01/2019
Building Setbacks Rear: I
Front: I
Left: I
Right: I
Use Zone: Parkinq Spa
Excise Tax:
Additional Fee:
Grading Bonds Fee:
Grading PC Consultant
Grading Permit Fee:
Grading PC Fee:
WQ Insp. Fee:
Electrical %:
Mechanical
Plumbing %:
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Plan Check Fee :
Engineer:
Address:
Phone:
Designer:
Address:
Phone:
State Lic:
Special Conditions: CARPORT # 567-570
Planning Department -
Plan check Fee
Fair Share
SJH Trans:
In -lieu Housing Fee:
Public Works Department -
Park Dedication :
$0.00
PAN Plan Check:
$0.00
San Dist:
$0.00
NMUSD Fee:
$0.00
$0.00
PUBLIC WORI
PLAN CHECK
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
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 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
ie 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 U 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
n roved for the purpose of sale).
1, 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
pply 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).
I am exempt from licensure under the Contractors' State License Law for the following reason:
Iy 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 legallf
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
'rofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi.
'signature of Property Owner or Authorized Agent Date
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of 1 isio ggf the Business and Pro essi ns C ,and ryy licen In full force
nd effect. License riass License No O D Contractor Signature
IIORKERS' CO�CPF.NSATION DECLARATION
'AILURETO SRCURE 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
JST OF COMPENSATIOI., DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES.
hLrebS affirm under penalty of perjury one of the following declarations:
have and will mairtain 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 thl
nIrc4Rarce of the wJirc for which this permit is issued. Policy No.
and will :r.zirtain 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 Pnd policy number are:
er Policy Number Expiration Date
of Agent Phone #
JI rertif,, 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 agree
.at, if I s;lould beue me jubj^ect to the s' ccoo_m/P��nsation oroWsions ction 3700 of the Labor Code, I shall forthwith comply with those provisions.
ignature of Applicant \ / / /� L� D�
DECLARATION REGA G CONSTRUCTION LENDING AGENCY
hereby affirm under pen Ity of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097
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 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 to enter t¢ 6ove-id_An Pied property for inspection purposes. .-. �—
mer's or Authorized AD
FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
PERMIT EXPIRED
U I SUBMITTED ASBESTOS NOTIFICATION TO
PERMIT CANCELLED
EPA
PERMIT EXTENDED
13AQMD
PERMITFINAL
OS/3O/I`I0
ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO
CERTIFICATE OF
PROPOSED DEMOLITION
OCCUPANCYISSUED
SIGNATURE:
Civil Code).
pepidez nar>e"I 41,