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Home My WebLink AboutX2019-2111 - Permitsrwrokh City of Newport Beach - Building Division of t 100 Civic Center Drive, Newport Beach, CA 92660 H Permit Counter Phone (949)644-3288 D Inspection Requests Phone (949)644-3255 Combination Type - MFP IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: X2019-2111 Project No : 1130-2019 Issued Date : 07/08/2019 Inspection Area , it PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. r 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 13 (UNITS 89-92) * REMOVE/REPLACE (E) 9 SQS B.U.R, REPLACE DAMAGED PLYWOOD OR RAFTERS AS NEEDED, CLASS'B' MIN. Legal Desc.: TR 12309 LOT 2 POR OF LOT Owner: IAC AT JAMBOREE LLC Contractor: SUPERIOR ROOFING COMPANY Architect: ^ °"' Address: PO BOX 2450 Address: 160 SOUTH LINDEN Address: ' �� NEWPORT BEACH, CA 92658 RIALTO CA 92376 ``J Phone: Phone: 800-761-6272 Phone: State Lic: Applicant: MENDEZ RENEE Con State Lie: 284880 Engineer: CHRISTIAN DALE Address: 160 SOUTH LINDEN Lie Expire: 12131/2019 Address: 1744 W KATELLA AVE 4107 RIALTO CA 92376 Bus Lie, BT30062662 ORANGE CA 92667 Phone: 800-761-6272 Lie Exp Date: 03/3112020 Phone: 714-997-1145 State Lic:S-002705 Code Edit: 2016 Worker's Compensation Insurance Designer: Type of Construction: VB Carrier: EMPLOYEE SERVICE GRP Address: Occupancy Group: U Policy No: WC112679600 Added /New sq.ft. Bldg: 0 Expire: 12/3112019 Phone: ' Added /New sq. ft. Garage: 0 No of Stories: 1 Building Setbacks Rear: I Special Conditions: LIQUEFACTION AREA No of Units : 0 Front: I - Bldg Height: 0 Left: I . . Bldg Sprinklers: Right: I Flood Zone: X Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $4,500.00 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 Building Green Fee : $1.00 Mechanical %: $0.00 NMUSD Fee: $0.00 $0.00 Plumbing %: $0.00 $0.00 TOTAL FEE : $325.0 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $325.00 PROCESSED BY: PUBLIC WORKS APPROVAL: ZONING APPROVAL: PLAN CHECK BY: 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 :he 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 Drofessions 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 lot 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 -Builder will have the burden of proving that it was not built or 'mproved 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 legally 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. 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 wit S Io 000 of ivision 3 of the B 1 and Profes 1 ode, a d my lic in full force and effect. License Class License No Date Can ra or Si aturer�J� WORKERS' COMPENSATION DECLARATION WARNING: 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 COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3705 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: C 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, forth rmance of the work for which this permit is issued. Policy No. nd 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' compensation I, ura carrier and policy number are: arner Policy Number Expiration Date ,14dme of Agent Phone # ❑1 certify 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 agre that, if I should become subje a workers' c ensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. �3,gnardre of Applica - D DECLAR^TI RDING�CTION-LENDING Y I, herLbv affirm under penalty of perjurythat there is a construction lending agency for the performance of the work for which this permit is issued (Se 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 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 en the above-identifie roperty for inspection purposes. Signature of Property O tzeQAgenf Print Property Owner's or Authorize is Name-- Ae., D ZG ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE US LY REGULATIONS PART fit OF TITLE 40 AND AQMD RULE PERMIT EXPIRED LJ I SUBMITTED ASBESTOS NOTIFICATION TO PERMITCANCELLED LJEPA PERMIT EMENDED --"QMD PERMIT FINAL 05�29�'G' STOS NOTIFICATION 15 NOT APPLICABLE TO CERTIFICATE P POSED DE ION OCCUPANCYISF OCCUPANCY ISSUED