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Home My WebLink AboutX2018-3760 - Permits�Swrry�� City of Newport Beach - Building Division o` 100 Civic Center Drive, Newport Beach, CA 92660 ' r Permit Counter Phone (949)644-3288 ti 'c Inspection Requests Phone (949)644-3255 Combination Type - SFP 111111111111111111111p1111111111111111111111111111111 COMB Permit: X2018-3760 Project No : 1903-2018 Issued Date : Inspection Area : 4 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: 21 BODEGA BAY DR NB Description: SFR *ADDITIONAL SCOPE)* REROOF DETACHED GARAGE T/O TILE AND REPLACE WI BORAL LIGHTWEIGHT TILE ESR# 1647 18 SQS REV18-2205 Legal Desc.: N TR 7844 LOT 11 Owner: SHOCKEY JOE & TERI Address: 21 BODEGA BAY DR CORONA DEL MAR, CA 92625 Phone: Applicant: ARMSTRONG SCOTT Address: 41870 KALMIA ST STE 138 MURRIETA CA 92562 Phone: 714-225-7056 Code Edit : 2016 Type of Construction: V-B Occupancy Group: R31U Added /New sq.ft. Bldg: Added /New sq. ft. Garage: No of Stories: 1 No of Units : 1 Bldg Height: 0 Bldg Sprinklers: Construction 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 TOTAL FEE: $325.00 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Contractor: M T R CONSTRUCTION INC Architect: Address: 10842 NOEL ST,STE 111 Address: LOS ALAMITOS CA 90720 Phone: 714-315-9114 Phone: Con State Lie: 929602 Engineer: Lie Expire: 03/3112019 Address: Bus Lie: BT30050473 Lie Exp Date: 03/3112019 Phone: Worker's Compensation Insurance Designer: Carrier: FALLS LAKE FIRE Address: Policy No: FLA000799 Expire: 08/05/2019 Phone: Building Setbacks Excise Tax: Additional Fee Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee : Electrical %: Mechanical %: Plumbing %: Rear: I Front: I Left: I Right: I State Lie ARMSTRONG SCOTT DANIEL 25068 VIA LAS LOMAS MURRIETA CA 92562 714-225.7056 State Lic:C-074715 Special Conditions: $0.00 Planning Department- Fire Department $0.00 Plan check Fee : $0.00 Fire Inspection: $0.0o $0.00 Fair Share : $0.00 Fire Plan Rev $0.00 $0.00 SJH Trans : $0.00 Demolition Fee $0.00 In -lieu Housing Fee : $0.00 Building Dept Adm $0.00 $0.00 Public Works Department - General Service $0.00 $0.00 Park Dedication : $0.00 Refund Deposit $0.00 PAN Plan Check : $0.00 Grading Bond: $0.00 $0.00 San Dist: $0.00 $0.00 NMUSD Fee: $0.00 $0.00 $0.00 $0.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $325.00 PUBLIC WORKS APPROVAL: PLAN CHECK BY: 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 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 ciyil 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 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 Ii-m-moved for the purpose of sale). LJ 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 signatwe Scliw 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 legalll 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 r'nfEs�ions Coue, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. Signature of Prcparty Owner or Authorized Agent Y Date LICENSED CONTRACTOR'S DECLARATION I heieoy affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70 0) of ivi ion 3 of the Business andXDRED sions Cg y license is in full force a..id e.fect. License Gass License No Date 1 Contractor Signa•� WOA7 ERS' roMPENSATION DECLARATION AA161HCf: FAILUI4r,TO9rCURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIM AL PENALTIES AND CIVIL FINES UP TO ONE HUHOUSAND DOLLARS ($100,000), IN ADDITION TO THE 10ST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 0706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hermhy affirm under penalty of perjury one of the following declarations: 1 have and'will ma'ntain 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 r'€r`otgience of the work for which this permit is issued. Policy No. and will rna,'.ntain 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: ie of Agent certify that, in the pi if I should become Policy Number Date ice 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 to the wockow.:,compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. f signature of Applicant IECLARATION REG DIN CONS CTION LENDING AGENCY hereby affirm under enalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 31 enders 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 pri I have read this application and the information I have I agree to comply with all applicable city and or county�p I authorize representatives of this city county to Vt ACTION PERMIT EXPIRED PERMIT CANCELLED PERMIT EXTENDED PERMIT FINAL CERTIFICATEOF OCCUPANCY ISSUED DATE I BY 101401 owner's behalf. led is correct. :es and state laws relating to building construction. o entified r any for inspection purposes. Print Prooertv Ownel OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY PART61OFTITLE40ANDA RULE APPLICABLE TO q h ij SC Civil Code). L9 C c O uU i � N O N C O U Y � u