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Home My WebLink AboutX2019-2109 - PermitsCity of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIII� II COMB Permit: X2019-2109 e� 4 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 1 9 2 1 0 9 Project No: 1130-2019 ti r Permit Counter Phone (949)644-3288 " Inspection Requests Phone (949)644-3255 Issued Date : 07I081 2019 Combination Type - MFP I Inspection Area PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECIIUN. 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 "CARPORT 14 (UNITS 81-88) " REMOVEIREPLACE (E) 16 SQ B.U.R, REPLACE DAMAGED PLYWOOD OR RAFTERS AS NEEDED, CLASS W MIN. Legal Desc.: TR 12309 LOT 2 POR OF LOT Owner: IAC AT JAMBOREE LLC Contractor: SUPERIOR ROOFING COMPANY Architect: IN�� Address: PO BOX 2450 Address: 160 SOUTH LINDEN Address: NEWPORT BEACH, CA 92658 Phone Applicant: MENDEZ RENEE Address: 160 SOUTH LINDEN RIALTO CA 92376 Phone: 800-761-6272 Code Edit : 2016 Type of Construction: VB Occupancy Group: U Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 1 No of Units : 0 Bldg Height: 0 Bldg Sprinklers: Construction Valuation: _ 9 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: RIALTO CA 92376 Phone: 800-761-6272 Phone: Con State Lic: 284880 Engineer: Lic Expire: 12/31/2019 Address: Bus Lic: BT30062662 Lic Exp Date: 03/3112020 Phone: Worker's Compensation Insurance Designer: Carrier: EMPLOYEE SERVICE GRP Address: Policy No: WC1I12579600 Expire: 12131/2019 Phone: Building Setbacks Excise Tax: Additional Fee Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: Electrical W Mechanical %: Plumbing %: Rear: / Front: I Left: / Right: / king Spa $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 0 State Lic: CHRISTIAN DALE 1744 W KATELLA AVE #107 ORANGE CA 92667 714-997-1145 State Lic:S-002705 Special Conditions: LIQUEFACTION AREA 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 Zone : N 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: $woo $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Plan Check Fee: $0.00 Fee Due at Permit Issuance : $325.00 PUBLIC WORKS APPROVAL: PLAN CHECK BY: 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 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 L) 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 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). IJ I am exempt fronn'licensure q.pder 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 legall3 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.[eginfo.ca.gov/calaw.htmi. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Se000 sibn 3 of the 8usar Profess" ode, a my lic full force and effect. License Class License No a Contractor lures INORKERS' COiOPENSATION DECLARATION NARNING: FAILI A. i U SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FIN ES O ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST,OF COMPENSP T'^-N, DAMAGES AS PROVIDED FOR IN SECTION 3700 OF THE LABOR CODE, INTEREST, AND ATTORNEY'$ FEES. hereby affin,n under penalty of perjury one of the following declarations: 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 Tryance of t`Ic,vork for which this permit is issued. Policy No. and wiil 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' JuarrrieT a,ld policy number are: Policy Number of Agent Date certify that; to :h.e performance of the work forwhich 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 if I should become subject t3-thq%worin provisions ion 3700 of the Labor Code, I shall forthwith comply with those pro ns. hereby 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'3097, Civil Code). .ender'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 to r the above -identified erty for inspection purposes. / Signature of Property Ow uthonze gent Print Property Owner's or Authorized AgenTs Na Cvl�� < ACTION BY DECLARATION OF OMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE PERMIT EXPIRED PERMIT CANCELLED PERMIT EMENDED PERMIT FINAL CERTIFIC4TEOF OCCUPANCYISSUED 1QKa_ Aj7_4A I SUBMITTED ASBESTOS NOTIFICATION TO NOTIFICATION IS NOT APPLICABLE, TO