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HomeMy WebLinkAboutX2014-2027 - Permitsvrrr,� City of Newport Beach - Building Division 04 4 100 Civic Center Drive, Newport Beach, CA 92660 F Permit Counter Phone (949)644-3288 M Ci Combination Type - BLDG Job Address: 157 SHORECLIFF RD NB Description:SFR SHORING ONLY Inspector Area: 6 Legal Desc.: N TR 1116 LOT 109 Owner: WHELAN JOHN Contractor: Address: 228 HAZEL DR Address: CORONA DEL MAR CA 92625 Phone: 949-760-1885 Phone: Applicant: GUIDERO WILLIAM Address: 425 30TH ST #23 NEWPORT BEACH CA 92663 Phone: 949-676-2626 Code Edit : 2013 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: Construction Building Permit Fee: $1,261.00 Plan Check Fee: $907.92 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $10.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access : $0.00 Fee Increase: Fee: $0.00 Additional Fee : $0.00 Hazardous Mat: $0.00 Building Green Fee : $6.00 TOTAL FEE: $2,184.92 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: II ii►uii►ui0 I!u�4�u������►�u�0 ►►ui7 II SEACREST DEVELOPERS INC 755 W 17TH ST #A COSTA MESA CA 92627 949-499.1381 Con State Lic: 803634 Lic Expire: 01/31/2016 Bus Lic: BT30032302 Lic Exp Date: 06/30/2016 Worker's Compensation Insurance Carrier: STATE FUND Policy No: 9034365 Expire: 12/0112014 Building Setbacks Excise Tax: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: Electrical %: Mechanical %: Plumbing %: Rear: I Front: / Left: I Right: / $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 0 Architect: Address: Phone: Engineer: Address: Phone: Designer: Address: Phone: COMB Permit: X2014-2627 Project No : 1638-2014 Inspection Requests Phone (949)644-3255 Issued Date : 07/1612014 State Lic: PURKIS DAVID ALAN 32521 CARRETERRA DR SAN JUAN CAP CA 92675 949-661-6381 State Lic:C-042810 Special Conditions: Fire Hazard Zone : N Planning Department - Plan check Fee Fair Share : SJH Trans: In -lieu Housing Fee Public Works Department - Park Dedication : $0.00 PM Plan Check: $0.00 San Dist: $0.00 NMUSD Fee: $0.00 Fire Department $0.00 Fire Inspection: $0.00 Fire Plan Rev $0.00 Demolition Fee $0.00 Building Dept Adm General Service Refund Deposit $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $2,184.92 PUBLIr WORKS APPROVAL PLAN CHECK 9Y: APPROVAL TO ISSUE: PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. C,WNER-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 applicant for :he 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 'rofessions 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 iot more than five hundred dollars ($500). ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do U 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 'mproved 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 Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 0 ivision 3 of the Business and Profess' ode, and my license is in full force and effect. License Class License No Dat Contractor Signature WORKERS' COMPENSATION DECLARATION NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE 15 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 ATTORNEYS FEES. I hereby affirm under penalty of perjury one of the following declarations: ❑ I have 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 or n e work for which this permit is issued. Policy No. ❑,,he hav aG\relewill m Intain 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 insura a Cann and 0licy number er Expiration Date Name of A t Phone # ❑I certify that, in the performance of rk 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 sub' t wo rs' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Signature of Applicant _ Data, r / ereby affirm under peaany of perrjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). Jder'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 ow is behalf. I have read this application and the information I have provided correct. I agree to comply with all applicable city and count nd state laws relating to building construction. I authorize representatives of this city or coun r he ab -identified property for inspection purposes. mature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name �J A(r7?M1 DATF RY PFRIvIrT FYPIPFn PERMIT CAPICA2,1D PER04IT EXTEKDED - PrFmrRNAL I /., CERT;FFCATECF . P311' / J OCCJDANCY'3.5LffD FEDERAL REGULATIONS PORT G f OF TITLE40 AND 40MORILC 1463. []. 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