HomeMy WebLinkAboutX2019-1131 - Permitsrx�lY,�r City of Newport Beach - Building Division
$ 100 Civic Center Drive, Newport Beach, CA 92660
F
Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255
"X2019-1131"
COMB Permit: X2019-1131
Project No :
Issued Date :
Combination Type - MIFF Inspection Area: y
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" 9 SQS "CARPORTS" A. .J D v Lv1
Legal Desc.: TR 12309 LOT 2 POR OF LOT
Owner: IRVINE APARTMENT
Contractor:
SUPERIOR ROOFING COMPANY Architect:
Address: FLOOR 3
Address:
520 EAST STUART AVENUE Address:
NEWPORT BEACH, CA
REDLANDS CA
92374
Phone:
State Lic:.
Phone: 0
Phone:
800-761.6272
Applicant: MENDEZ RENE
Con State Lic:
284880
Engineer:
Address:
Address: 520 EAST STUART AVE
Lic Expire:
1213112019
REDLANDS CA 92374
Bus Lic:
Lic Exp Date:
BT30062662
03/31/2020
Phone:
State Lic:
Phone: 800-761-6272
Code Edit : 2016
Worker's Compensation Insurance
Designer:
Type of Construction:
Carrier:
STARR INDEMNITY & LIA Address:
Occupancy Group: U
Policy No:
WC1000002810
Phone:
-
Added /New sq.ft. Bldg: 0
Expire:
0610112019
Added /New sq. ft. Garage: 0
Building Setbacks
Rear: I
Special Conditions:
CARPORT #541-544
.,
No of Stories: 0
Front: I
s=
No of Units: 0
Left: I
Bldg Height: 0
Right: I
-,
Bldg Sprinklers:
Use Zone: Parkin S aces:
0 Fire Hazard Zone
: N
Flood Zone:
Construction Valuation: $4 500.00
Building Permit Fee: $324.00
Excise Tax:
$0.00
Planning Department -
Plan Fee : $0.00
Fire Department
Fire Inspection:
$0.00
Plan Check Fee: $0.00
Additional Fee:
$0.00
$0.00
check
Fair Share : $0.00
Fire Plan Rev
$0.00
Overtime Plan Ck: $0.00
Grading Bonds Fee:
Grading PC Consultant :
$0.00
SJH Trans : $0.00
Demolition Fee
Investigation Fee: $0.00
Record Management: $0.00
Grading Permit Fee:
$0.00
In -lieu Housing Fee : $0.00
Building Dept Adm
General Service
$0.00
$0.00
Energy Compliance: $0.00
Grading PC Fee:
$0.00
Public Works Department -
Park Dedication : $0.00
Refund Deposit
$0.00
CA Seismic Safety: $0.00
WQ Insp. Fee:
$0.00
P/W Plan Check: $0.00
Grading Bond:
$0.00
Disabled Access : $0.00
Hazardous Mat $0.00
Electrical %:
$0.00
San Dist: $0.00
$0.00
Building Green Fee : $1.00
Mechanical %:
$0.00
NMUSD Fee: $0.00
$0.00
Plumbing %:
$0.00
Plan Check Fee :
$0.00 Fee Due at
Permit Issuance :
$325.00
TOTA FEE: $325.00
PUBLIC WORKS APPRO AL:
PROCESSED BY:
PLAN CHECK BY:
ZONING APPROVAL:
-
APPROVAL TO ISSUE:
GRADING APPROVAL:
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 iterrl(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
ffim 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 legalil
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:hftp://www.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 0 is n 3 of the Business and P as ' in , e„gyd my 1' as is in full force
and effect. License r;!ass License No Date Contractor Signature
i✓^�
WORKERS' cd-MFENSATION DECLARATION
NWAIr.C.-AILURE•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.
hereby affirm under penalty of perjury one of the following declarations:
I have and wi!: mairtain 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 thf
r? r¢Lnce Of the wOIK for which this permit is issued. Policy No.
and will,n.ail,tain 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'
carrier End, policy number are:
Policy Number Expiration Date
of Agent
1' er't, 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
Iaf, if I snould beuume subject t0 orkers' compensatio rovisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. // ignature of Applicant Dat _/`�J/ j
DECLARATION REGA DIN CONSTRUCTION-LENDINGAGENCY
hereby affirm under p4nalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 097, Civil Code).
ender's Name Lender's Address
y 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 cou �ty Rt ent above-identif roperty for inspection purposes. //,^, 01g
ignature of Property Owner or Authorized Agent Y✓ � Print Property Owner's or Authorized Aqent's Name >Ot�C=i [_. A�i L ci �� note
ACTION
PERMIT EXPIRED
PERMITEXTENDED
PERMIT FINAL
CERTIFICATEOF
OCCUPANCY ISSUED
DATE BY I DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
I SUBMITTED
TO
30/101 I Ag; %<� I UASBESTOS NOTIFICATION IS NOTAPPLICABLE TO
PROPOSED DEMOLITION
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