HomeMy WebLinkAboutX2019-1132 - Permits�yvrrrrak City of Newport Beach - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
++ x Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255
Combination Type - MFP
*X2019-1132*
COMB Permit: X2019-1132
Project No :
Issued Date: 04/1012019
Inspection Area: ' 41
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 i� F��-k''`^�'-�"
Legal Desc.: TR 12309 LOT 2 FOR 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: 0
Phone:
800-761-6272
Phone:
State Lic:
Applicant: MENDEZ RENE
Can State Lic: 284880
Engineer:
Address: 520 EAST STUART AVE
Lic Expire:
12/31/2019
Address:
REDLANDS CA 92374
Bus Lic:
BT30062662
Phone: 800-761-6272
Lic Exp Date:
0313112020
Phone:
State Lic:
>>
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:
06101/2019
Phone:
Added /New sq. ft. Garage: 0
No of Stories: 0
Building Setbacks
Rear: /
Special Conditions:
CARPORT # 527-530
No of Units : 0
Front /
Bldg Height: 0
Left: /
Bldg Sprinklers:
Right: I
Flood Zone:
Use Zone:
Parkin Spaces:
0 Fire Hazard Zone :
IN
Construction Valuation: Construction
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
P/W Plan Check : $0.00
Grading Bond:
$0.00
Hazardous Mat $0.00
Electrical %:
$0.00
San Dist: $0.00
Building Green Fee : $1.00
Mechanical %:
$0.00
NMUSD Fee: $0.00
$0.00
lumbing %:
$0.00
$0.00
TOTAL FE $325.00
Plan Check Fee :
$0.00 Fe t
Permit Issuance :
$325.00
PROCESSED BY:
PUBLIC WORKS PPROVAL:
ZONING APPROVAL:
PLAN CHECK BY.
GRADING APPROVAL:
APPROVAL TO ISSUE:
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that 1 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
im roved 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 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.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 ivi on 3 of the Business and Profe�sipns e, an lice I� II force
and effect. License Mess License No Date Contractor Signature
WORKERS' COVPENSATION DECLARATION
Wi.171` I C. -AILURE'0 :rcURE 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 37D6 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the following declarations:
;-l-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 IN
)Pp mance of the wulK for which this permit is issued. Policy No.
JI ha a and will -r.&Aain 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' compensatior
risura a carrier 2�-1 policy number are:
�dFrier Policy Number Expiration Date
4om-, of Agent Phone #
5 rertlf•, that, in the pdrformance 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 Daub a ct to th rkers' c pensation prov' ions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
signature of Applicant f7/ Datp'�, l
)ECLARATION REGARRING CONSTRUCTION LENDING AGENCY —
hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
-ender's Name Lender's 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. D /
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 ter th ova -id tified prop for inspection purposes.
signature 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 AQMD RULE
PERMIT EXPIRED
U I SUBMITTED ASBESTOS NOTIFICATION TO
PERMITCANCELLED
0EPA
PERMIT EMENDED
0AQIV1D
PERMITFINAL
(9
ASBESTOS NOTIFICATION IS NOT APPLICABLE TO
CERTIFICATE OF
PROPOSED DEMOLITION
OCCUPANCY ISSUED
7
SIGNATURE: