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Home My WebLink AboutX2018-3700 - PermitsCity of Newport Beach :Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII COMB Permit: X2018-3700 100 Civic Center Drive° iiewptyt BPacn, 494;a X 2 0 1 8 3 7 0 0 Project No :2565-2017 r#s. Permit Counter Phone 6443 '8 e o o )644-3205 "v at Inspection Requests P one r945) " y .'` Combination Type- BLDG Issued Date: 12/10/2018 g�j�.�c• m m m m m Inspection Area : 6 •m m m •m o e mm •mm m m m PaMIT9 EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. ConstruFv9n7(Qurs: X(1nd,W - Frid$y A00 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: 8 WATERFORD WAY NB Description: SFR - RE -ROOF EXISTING PORTION OF ROOF. TIO (E) STD WT TILE, RPLC Wl BORAL TILE (LIKE FOR LIKE) ESR 1647,39 SQ Legal Desc.: Owner: MORNING SPRING LLC Contractor: PACIFIC ROOF DESIGN Architect: Address: 10061 TALBERT AVE #325 Address:. P O BOX 915 Address: FOUTAIN VALLEY CA 92657 DANA POINT CA 92629 Phone: Phone: 849-201-0573 Phone: State Lie: Applicant: PACIFIC ROOF DESIGN Con State Lie: 577855 Engineer: Address: P O BOX 915 Lie Expire: 09130/2019 Address: DANA POINT CA 92629 Bus Lie:. BT30060138 Phone: 949-201-0573 Lie Exp Date: 12131/2019 Phone: .State Lie: Code Edit: 2016 Worker's Compensation Insurance Designer: Type of Construction: V -B Carrier: STATE COMP FUND Address: Occupancy Group: R31U Policy No: 1282931 Added /New sq.ft. Bldg: 0 Expire: 01/1412019 Phone: Added /New. sq. ft. Garage: 0 No of Stories: 2 Building Setbacks Rear: I Special Conditions: No of Units . 1 Front: 1Tu'i Bldg Height: 0 Left: I' Bldg Sprinklers. Right / Flood Zone: Use Zone: Parking Spaces: 0 Fire Hazard Zone : N Construction Valuation: 938,000.00 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 P/W Plan Check $0.00 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical W $0.00 San Dist: $0.00 Building Green Fee : $2.00 Mechanical %: $0.00 NMUSD Feer $0.00 $0.00 Plumbing %: $0.00 $0.00 TOTAL FEE : $326.00 Plan Check Fee; $0.00 Fee Due at Permit Issuance i $326.00 PROCESSED BY: PUBLIC WORKS APPROVAL: ZONING APPROVAL: PLAN CHECK BY: GRADING APPROVAL: APPROVAL TO ISSUE: OWNER -BUILDER DECLARATION , I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) indicated below KY tre c11QckQlajk(%)'I hayB placed next to the applicable item(s) (Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or rep%$n4 stttucl ure, pri orto,itsbssuence, 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 91100) 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). , , , 0 ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or U portions of the work, slid the s}rbct&ireCis rot i:1hngec{orbffered for sale (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employeesoor:3erebnal efPort•builds or improves;he 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 CWneoliillder wYlillava the bux4fli gfLoving that it was not built or improved 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 legall, 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 D e LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Pr f 'ons ode, and license is in full force and effect. License Class License No Dat O�--t — Contractor Signature WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED T LLARS ($100,000(, IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3708 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm under penalty of perjury one of the following declarations: Chave 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 th p rt rmance of the work for which this permit is issued. Policy No. 51 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' compensatiol ins ranee carrier and policy number are: rier Policy Number Expiration Date Name of Agent Phone # ❑1 certify that, in the pe anc he 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 that, if I should become su ct t workers' pensation visions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. 1 Signature of Applicant Dat DECLARATION RE&ARAKING CO UCTI LENDING AGENCY hereby affirm under POIally of perjury t there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). Lender's Name Z Lender's Address By my signature below, I certify to each of the following: I am the property owner or authorized to act on the props wner's behalf. I have read this application and the informatI I have Aded is correct. I agree to comply with all applicable city and c ty inances and state laws relating to building construction.�,�� I authorize representatives of this city or cou t ter the abo e -identified property for inspection purposes. G Signature of Property Owner or Authorized Age Print PropertyOwner's or Authorized Agent's Date 12-f'v`�O ACTION DATE BY I)ECLRNLTIOMF COMPDAMCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY JNGLULAUONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED I SUBMITTED ASBESTOS NOTIFICATION TO PERMITCANCELLED EPA PERMIT EXTENDED IQ QMD PERMIT FINAL /,!(. /�H ,� ASBESTO NOTIFI ON IS NOT APPLICABLE TO CERTIFICATEOF PROPOSED DE O N OCCUPANCYISSUED SIGNATOR .