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Home My WebLink AboutX2019-1133 - Permitsway City of Newport Beach - Building Division *X2019-1133" COMB Permit: X2019-1133 o u 100 Civic Center Drive, Newport Beach, CA 92660 Project No H w. Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Combination Type - MFP Issued Date : 04/1012019 i+v+'in Inspection Area : "/L 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" 12 SQS "CARPORTS" Legal Desc.: TR 12309 LOT 2 FOR OF LOT - Owner: IRVINE APARTMENT Address: FLOOR 3 NEWPORT BEACH, CA Phone: 0 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: Flood Zone: Valuation: $6,000.00 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 TOTALFEE: PROCESSED BY: ZONING APPROVAL: Contractor: SUPERIOR ROOFING COMPANY Architect: Address: 520 EAST STUART AVENUE Address: REDLANDS CA 92374 Phone: 800-761-6272 Phone: State Lie: Con State Lie: 284880 Engineer: Lie Expire: 12/3112019 Address: Bus Lie: BT30062662 Lie Exp Date: 03/3112020 Phone: State Lie: Worker's Compensation Insurance Carrier: STARR INDEMNITY & LIA Policy No: WC1000002810 Expire: 0610112019 Building Setbacks Zone: Excise Tax: Additional Fee Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: Electrical %: Mechanical W Plumbing %: Rear: I Front: I Left: I Right: I 3arkind Spaces $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Plan Check Fee Designer: Address: Phone: Special Conditions: CARPORT #531.536 Hazard Zone : N Planning Department - Plan check Fee Fair Share SJH Trans In -lieu Housing Fee Public Works Department - Park Dedication : $0.00 PNV Plan Check : $0.00 San Dist: $0.00 NMUSD Fee: $0.00 $0.00 PUBLIC WORKS / PLAN CHECK BY: 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: $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Fee Due at Permit Issuance : $325.00 GRADING APPROVAL: 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 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 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 (_) all of or (_) 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.html. 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��((7J�� f Div'(sion 3 of the Business and Prof ode, an lice in full force and effect. License r;lass License No Datrr?"�� Contractor Signature WORKERS' CbMPENSATION DECLARATION Z N,1CC:t'C.-AILURE Tr9 irCURE 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: ❑ 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 the pprrI rfKance of the wuiK for which this permit is issued. Policy No. and will.T.s;r.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 zi Flinty number are: Policy Number Date i3 of Agent -vnone s reHiA'that, in the pdrrormance 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 if I should b,e�cm�eubject to the�workers' corn nsatios of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. � Iature of ApplicantY// «� ° G' CLARATION REG#RDING CONSTRUCTION LENDING AGENCY ' :reby affirm under 3enatty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097 Ider'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 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. t I authorize representatives of this city or county to�efR�rbove-ide ified property for inspection purposes. nature of Property Owner or Authorized Agent_ //// 9_� _ ' Print Property Owner's or Authorized Agent's Name Civil Code). 14e"C laz ACTION DATE BY DECLARATION OF COMPLIANCE -WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND ACMD RULE 1403 PERMIT EXPIRED U I SUBMITTED ASBESTOS NOTI FICATION TO PERMIT CANCELLED LIEPA PERMIT EXTENDED qMD PERMITFINAL 05/30/19 0 ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO CERTIFICATEOF PROPOSED DEMOLITION 2 OCCUPANCYISSUED SIGNATURE: