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Home My WebLink AboutX2019-1593 - Permitsr U41".""', City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIICOMB Permit: X2019-1593 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 1 9 1 5 9 3 Project No : 1130-2019 Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255Issued Date Combination Type - MFP Inspection Area 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" 16 SQS & REPLACE FRAMING **CARPORTS** ,.., Legal Desc.: TR 12309 LOT 2 POR OF LOT Owner: IAC AT JAMBOREE LLC Address: PO BOX 2450 NEWPORT BEACH, CA 92657 Phone: 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 Building Permit Fee: $324.00 Plan Check Fee: $166.00 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: $480.00 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Contractor: SUPERIOR ROOFING COMPANY Address: 520 EAST STUART AVENUE REDLANDS CA 92374 Phone: 800-761.6272 Con State Lic: 284880 Lic Expire: 12/31/2019 Bus Lic: BT30062662 Lic Exp Date: 03131/2020 Worker's Compensation Insurance Carrier: STARR INDEMNITY & LIA Policy No: WC1000002810 Expire: 06101/2019 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: / 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 Architect:`:,^° Address: Phone: State Lic- Engineer: CHRISTIAN DALE Address: 1744 W KATELLA AVE #107 •' ORANGE CA 92667 Phone: 714-997-1145 State Lic:S-002705 Designer: +� Address: Phone: Special Conditions: CARPORT #475-482 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 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: Plan Check Fee : $0.00 Fee Due at Permit Issuance PUBLIC WORKS APPROVAL: $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $480.00 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) Rection 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 1e 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 (_) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, Iusiness 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 pi, pose of sale). I, as owner 0. Lhe property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not '.c an owrE, 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 fra,r, licensure under the Contractors' State License Law for the following reason: lymy 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 legall) ell a structure that I hove 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 ', ofessions COUP,. is available upon request when this application is submitted or at the following Web site:http://v .leginfo.ca.gov/calaw,htmi. ;ign,.t ire of Property Owner or Authorized Agent Date .ICHISED CONTP-T,CTOR'S DECLARATION 9 herphy affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70 Divi '0 3 of the Business and *sCode e y lice in full force nd effect. License Class License No Date Contractor Signat JGRK�iRS' COVIDE-NSATION DECLARATION IARNIN , FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIM AL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS 15100,000), IN ADDITION TO THE DST OF r,OMPENSF.T:JN, EAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNETS FEES. hereby affirm under Penalty of perjury one of the following declarations: 7 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, for thI erformance of the work for which this permit is issued. Policy No. have and 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' rance carrier and policy number are: Policy Number of Agent Date certify that, in the pal rmance 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 t, if I should become bject the work. s' ccmpens n provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. natu re of Applicant Dot Slzrl��- CLARATION REG DING CONSTRUCTION LENDING AGENCY treby affirm under Bratty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 309 , Civil Code). lder's Name Lender's Address my signature below, I certify to each of the following: I am the property owner or authorized to act on the property owners behalf. I have read this application and the information I h e provided is correct. I agree to comply with all applicable city and tour ordinances and state laws relating to building construction. I authorize representatives of this city or county t ter the alt a-iden " &property for inspection purposes. ,,//�� /� nature of Property Owner or Authorized Agent l� , Print Property Owner's or Authorized Agent's Nam/ /4ewd eZ Dato, / DATE BY / DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AC MD RULE PERMIT EXPIRED I SUBMITTED ASBESTOS NOTI FICATION TO PERMIT CANCELLED EPA PERMIT EXTENDED i_ DMD PERMITFINALCERTIFICATE OOS/30/!9 /�i'� A`58F`OSN TIFICATIONI NOTAPPLICABLE TO OCCUPANCYISF PROPOSED : OLIT OCCUPANCY ISSUED /">G'� SIGNATURE: Ale"