HomeMy WebLinkAboutX2019-2009 - Permits0 , .r,%%3 City of Newport Beach - Building Division III IIII I IIII II I IIIII IIIII II IIII II
X 2 0 1 9 2 0 0 9 100 Civic Center Drive, Newport Beach, CA 92660
I n Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255
Combination Type - MFP
COMB Permit: X2019-2009
Project No : 1130-2019
Issued Date : 0612612019
Inspection Area 4
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
"CARPORT
" REMOVE/REPLACE (E)
12 SQ B.U.R, REPLACE DAMAGED PLYWOOD OR RAFTERS AS NEEDED, CLASS'B' MIN.
Description:
MFR 77 (UNITS 141-146)
Legal Desc.:
TR 12309 LOT 2 FOR 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:
MENDEZ RENEE
Con State Lie:
284880 Engineer: CHRISTIAN DALE
Address:
160 SOUTH LINDEN
Lie Expire:
12/3112019 Address: 1744 W KATELLA AVE #107
RIALTO CA 92376
Bus Lie:
ST30062662 ORANGE CA 92667
Phone:
800-761-6272
Lie Exp Date:
03/31/2020 Phone: 714-997-1145 State Lic:S-002705
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:
Flood Zone: X
Valuation:
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:
Worker's Compensation Insurance
Carrier: EMPLOYEE SERVICE GRP
Policy No: WC112579600
Expire: 1213112019
Building Setbacks
Excise Tax:
Additional Fee
Grading Bonds Fee:
Grading PC Consultant
Grading Permit Fee:
Grading PC Fee:
WQ Insp. Fee:
Electrical %:
Mechanical %:
Plumbing %:
Rear: I
Front: I
Left: I
Right: I
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Designer:
Address:
Phone:
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
AI
Fire Department
$0.00
Fire Inspection:
$0.00
$0.00
Fire Plan Rev
$0.00
$0.00
Demolition Fee
$0.00
Building Dept Adm
$0.00
General Service
$0.00
Refund Deposit
$0.00
Grading Bond:
$0.00
$0.00
$0.00
Plan Check Fee : $0.00 Fee Due at Permit Issuance : $325.00
PUHLIC WORKS APPROVAL:
PLAN CHECK BY:
GRADING APPROVAL: APPROVAL TO ISSUE:
4_"
OWNER -BUILDER DECLARATION
1 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 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
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 legalh
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://wgvw.leginfo.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 Section 00 istni of the Business and Pr ssi de, my ce
and effect. License Class License No Da Contractor Signatu -
_ e is in full for
WORKERS' COMPENSATION DECLARATION
NARNING: 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 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
I hereby affirm under penalty of perjury one of the following declarations:
J I ave 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 th
)e rmance of the work for which this permit is issued. Policy No.
I have and wI m tain workers' c pensation 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 carries p licy number ar
;arrierA. y r Expiration Date
flame of Agent ` Phone #
:1I 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 agree
hat, if I should becosub . tt/p�wor 2 ke ' compensatio provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
signature of Applicawrr���Ptt�.-./ ate
)ECLARATION REGARDING CONSTRUCTION LENDI NCY
hereby affirm under penalty of perjury that there Ise construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
_ender's Name Lenders 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 ordinan es and state laws relating to building construction. /
I authorize representatives of this city or coun to a abo - ntified rty for inspection purposes.
Signature of Property Owner or Authorized A en Print Property Owner's or Authorized Agent's Namev'LQ, 1`r�eV1.`GZ
ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
1403
PERMIT EXPIRED U I SUBMITTED ASBESTOS NOTIFICATICN TO 1
PERMIT CANCELLED EPA
PERMIT EXTENDED A QM D
PERMITFINAL owoo/19 A ESTOS N TIFICATION IS NOT APPLICABLE TO
CERTIFICATE OF PR D O N
OCCUPANCY ISSUED - i
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