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Home My WebLink AboutX2019-1129 - Permits�Swt+n*r City of Newport Beach - Building Division *X2019-1129* COMB Permit: X2019-1129 04 100 Civic Center Drive, Newport Beach, CA 92660 Project No: "" Permit Counter Phone (949)644-3288 w I coon Re nests Phone (949)644-3255 U @ nspe q �a > Combination Type - MFP Issued Date : /1012019 Area <Ig1,4� 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 - T/O BUR, INST 1-LYR ROSIN & SOPREMA SOPRA-G (BASE SHEET & PLY MEMBRANE) CLASS "A" 12 8QS "CARPORTS"* yclu7 FrZJt+.hi,tJCll Legal Desc.: TR 12309 LOT 2 POR OF LOT p ~� Owner: IRVINE APARTMENT Contractor: SUPERIOR ROOFING COMPANY Architect: " Address: FLOOR 3 Address: 520 EAST STUART AVENUE Address: NEWPORT BEACH, CA REDLANDS CA 92374 `+ •• Phone: 0 Phone: 800-761-6272 Phone: State Lie: Applicant: MENDEZ RENE Con State Lie: 284880 Engineer: Address: 520 EAST STUART AVE Lie Expire: 12/31/2019 Address: REDLANDS CA 92374 Bus Lie: BT30062662 Phone: 800.761-6272 Lie Exp Date: 03131/2020 Phone: State Lie: > > > > Code Edit : 2016 Worker's Compensation Insurance Designer: Type of Construction: Carrier: STARR INDEMNITY & LIA Address: Occupancy Group: U Policy No: WC1000002810 Added /New sq.ft. Bldg: 0 Expire: 0610112019 Phone: Added /New sq. ft. Garage: 0 No of Stories: 0 Building Setbacks Rear: I Special Conditions: CARPORT # 553-558 .. No of Units : 0 Front: I Bldg Height: 0 Left: I Bldg Sprinklers: Right: I . Flood Zone: Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: $6 000.00 - 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 $0.00 Building Green Fee Mechanical %: $0.00 NMUSD Fee: $0.00 Plumbing °/a: $0.00 $0.00 T Plan Check Fee : $0.00 Fee D Permit ance : $325.00 t$1.o PROCESSED BY: WORKSAPP OVAL: ZONING APPROVAL: 77PUBLIC PLAN CHECK BY: GRADING APPROVA 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 items) (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 applicaRt 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 improved for the purpose of sale). 111, 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 Rcensure 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 legall,, sell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. 1 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.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 Secti �qf Ivi ion 3 of the Business and Profff��SSS11��¢ns and y licens full force and effect. LicenFe Class License No 'D Y 1 Contractor Signature�J WORKERS' COMPENSATION DECLARATION / N,1m,,rc.1AILURE Tn SFCURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS I$100,000I, IN ADDITION TO THE COST OF CJMPENSATION, 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: ❑ 1 have and will 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 th 3erroTrance of the wuiK forwhich this permit is issued. Policy No. and will -r E:rtain 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 and Policy number are: der Policy Number Expiration Date lom3 of Agent Phone # AI certify that, in the pelformance 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 ,,at, if I slould beur me :,u ct to tthhhee�cers'ccyrppensation pro . ions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. signature of Applicant 2 / T D [ECLARATION REGAPDING CONSTRUCTION LENDING AGEN -Y hereby affirm under p6nalty of perjury that there is a construction lending agency forthe performance of the work for which this permit is issued (Section 097, Civil Code). Ender's Name Lender's Address ly 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 enter the ove-ide tified party for inspection purposes. signature of Property Owner or Authorized Agent Print Property Owner's or Authorized Aqent's Name �,0 Data! d'7f < DATE PART 61 OF TITLE 40 AND AQMD RULE PERMITCANCELLED UEPA PERMIT EXTENDED OAQMD PERMITFINAL 05/30/19 U ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO CERTIFICATE OF .` PROPOSED DEMOLITION OCCUPANCY ISSUED �� SIGNATURE: FOR OFFICE USE ONLY