HomeMy WebLinkAboutX2019-2285 - Permitsnatli_M4
City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII IICOMB Permit: X2019-2285
1D0 CIviC Center Drive, Newport Beach, CA 92660 X 2 0 1 9 2 2 8 5 Project ND
Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255
Combination Type - MFP Issued Date : 07/22/2019
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 CARPORT#69 (UNITS 297-300) REMOVEIREPLACE (E) 9 SQ OF B.U.R, CLASS'B'
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
Phone:
Phone:
800-761.6272
Phone:
State Lie:
Applicant: SUPERIOR ROOFING COMPANY
Con State Lie:
284880
Engineer:
Address: 160 SOUTH LINDEN
Lie Expire:
12/31/2019
Address:
RIALTO CA 92376
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: VB
Carrier:
EMPLOYEE SERVICE GRP
Address:
Occupancy Group: U
Policy No:
WC112579600
Added /New sq.ft. Bldg: 0
Expire:
1213112019
Phone:
Added /New sq. ft. Garage: 0
No of Stories: 1
Building Setbacks
Rear: /
Special Conditions:
No of Units : 0
Front: I
Bldg Height: 0
Left: I
Bldg Sprinklers:
Right: /
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:
Overtime Plan Ck: $0.00
Grading Bonds Fee:
$0.00
Fair Share :
$0.00
Fire Plan Rev
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
Energy Compliance: $0.00
Grading PC Fee:
$0.00
Public Works Department -
General Service
CA Seismic Safety : $0.00
WQ Insp.Fee:
$0.00
Park Dedication :
$0.00
Refund Deposit
Disabled Access : $0.00
PAN Plan Check:
$0.00
Grading Bond:
Hazardous Mat $0.00
Electrical %:
$0.00
San Dist :
$0.00
Building Green Fee : $1.00
Mechanical %:
$0.00
NMUSD Fee:
$0.00
'
Plumbing %:
$0.00
II TOTAL FEE: $325.00
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
$0.00
$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
ractors' State
cense Law
er 9 (commencing
)he m es olnsofile a signed Code) or that heto or isat he or she exempt fromlliicensure and the basis for pursuant to the he lsions allegedfexemption. tAny violation lof Section 7031.5tby any applicant forJa pith ermit mit subection ectts th0) ofe applicant toivision 3 of the a c8usiness and
1 penalty of
iot 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
mprovements 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
m 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
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. Date
Signature of Property Owner or Authorized Agent
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 0 of-Divisio 3 of the Business and Prof@s�ions , nd rrly li� is in fu �reE
and effect. License Class License No Date Contractor Signaturx DN
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 370a OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
I hereby affirm 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 the
!pe rmance of the work for which this permit is issued. Policy No.
have and will igtain 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' compensatiol
nsurance carrier a olicy number
Carrier 1, r Expiration Date
Name of Agent Phone #
❑I certify that, in the performance of the work for hich 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 subject to the work pensation ' ns of Section 3700 oft bor Code, 1 shall forthwith comply with those provisions.
DaN
Signature of Applicant / 1
DECLARATION REG RD G CONSTRUCTION LENDING AGENCY
hereby affirm under penalty of perjury that there is a construction lending agency forte performance of the work for which this permit is issued (Section 3 7, 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.
1 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 coun t an bove-id ' ied roperty f pection purposes.
Si nature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name
ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AOMD RULE
1403
PERMIT EXPIRED
PERMIT CANCELLED
I SUBMITTED ASBESTOS NOTIFICATION TO
PERMITFINAL NOTIFICATION 15 NOT APPLICABLE To
DEM ITIO
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ASBESTOS
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POSED
CERTIFICATE
OCCUPANCYISSUED
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SIGNATURE:
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