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Home My WebLink AboutX2009-1700 - PermitsU_10�0 City of Newport Beach Building Department PO Box 1768 Newport Beach, California 92658-8915 Permit Counter Telephone (949)644-3288 Combination Type - BLDG/ / / / Job Address: 157 SHORECLIFF RD NB Description:120 LF TEMP SHORING 8' AVERAGE HEIGHT Inspector Area: 6 Owner: WHELAN JOHN Address: 226 HAZEL DR CORONA DEL MAR CA 92625 Phone: 949-760-1885 Applicant: GUIDERO WILLIAM Address: 425 30TH ST #23 NEWPORT BEACH CA 92663 Phone: 949-675-2626 Code Edit: 2007 Type of Construction: V-B Occupancy Group: R3/U Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 0 No of Units : 1 Bldg Height: 0 Bldg Sprinklers: Y Flood Zone: Issued Date: 09/09/2010 Legal Desc.: N TR 1116 LOT 109 Contractor: OWNER/BLDR Address: WHELAN JOHN Phone: Con State Lie: O/B Lie Expire: Bus Lie: Lie Exp Date: Worker's Compensation Insurance Carrier: Policy No: Expire: Building Setbacks Rear: / Front: / Left: / Right: I Use Zone: Construction Valuation: $46,000.00 Building Permit Fee: $620.00 Solar System PC: Plan Check Fee: $446.40 Excise Tax: Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $1.00 Grading Permit Fee: Energy Compliance: $0.00 Grading PC Fee: CA Seismic Safety: $0.00 WQ Insp. Fee: Disabled Access: $0.00 Fee Increase: Fee: $18.51 Electrical %: Additional Fee: $0.00 Mechanical %: Hazardous Mat: $0.00 Plumbing %: Building Green Fee: $2.00 TOTAL FEE: $1,087.91 PROCESSED BY: ZONING APPROVAL:' - GRADING APPROVAL: 0 Architect Address: COMB Permit No: X2009-1700 Project Number: 1366.2009 Inspection Requests/Telephone (949)644-3255 Phone: State Lie Engineer: DAILEYTIMOTHY Address: 9332 WINTERWOOD CIR HUNTINGTON BEACH CA 92626 Phone: 714-962.6903 State Lic:C-039489 Designer: GUIDERO WILLIAM Address: 425 30TH ST #23 NEWPORT BEACH CA 92663 Phone: 949.675.2626 Special Conditions Hazard Zone : N $0.00 Planning Department- $0.00 Plan check Fee Fair Share SJH Trans $0.00 In -Lieu Housing Fee $0.00 Public Works Department - $0.00 Park Dedication : $0.00 P/W Plan Check: $0.00 $0.00 San Dist : $0.00 $0.00 NMUSD Fee: $0.00 $0.00 Plan Check Fee : $446.40 Fire Department $0.00 Fire Inspection: $0.00 $0.00 Fire Plan Rev $0.00 $0.00 Demolition Fee $0.00 Building Dept Adm $0.00 General Service $0.00 Refund Deposit $0.00 $0.00 $0.00 Fee Due at Permit issuance : $641.51 PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: CTS E),PLaE 184 PAYS AFTER ISSUANCE OR LAST VALID INS, P,-INoI OWNER -BUILDER UECLAHAIIU14 I hereby affirm under penalty of erjury that I am exempt from the Contractors' State License Law for the reasons siness and PrriPERMIT EXPIRED indicated below by the checkmark(s) I have placed next to the applicable items) (Section 7031.5, prior to is Code: Any city or county thatppppregwres a permit to construct, alter, improve, demolish, or repair any structure, to the Isrovrsions of the Cgoniractom a5tate L censehLaw (Chapterl9 (commencing witheSection 7000) of Division 3softhe Business and Professions Code) or that he or she is exempt from licensure and the basis for the alleged exemption. Any violation of Section PERMIT CANCELLED 7031.6 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). ❑I, as owner of the property, or my employees with wages as their sole compensation, will do (� all of or ( 1 portions of the work, and the structure Is not Intended or offered for sale (Section 7044, Business and Professions Code: The Contractors' S a License Law does not apply to an owner of property who, through employVees' or personal effort, builds or improves the PERMIT EXTENDED op y, rovided that the improvements are not intended or offered for sale. lf, however, the building or improvement Is sold uilt or improved for the wI h a year of completion, the Owner -Builder will have the burden of proving that It was not bPERMIT FINAL p of sale). I, s owner of the propert am exclusively contracting with licensed Contractors to construct the project (Section builds or usine and Professions Code: The Contracttors' State License Law does not apply to an owner of property who builds or CERTIFICATE OF impro s thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors State License OCCUPANCY ISSUED ❑ I am exempt from licensure under the Contractors' State License Law for the following reason. By myy, signaturebelow I acknowleage trial. excePL 1.1 i -ry pcompletion of the improvements covered by this f buildrior to er if it has not been constructed in is entirety byIII i Section 7044 of the Business and Professions Code, s following Web site:http://www.leginfo.ca.gov/calaw, tm Signature of Property Owner or Authorized Agen LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am lice of Division 3 of the Business and Professions Code, and I License Class License No. Date Contractor c residence in which I must have resided for at least one cannot legally self structure that I have built as an ov :ontractors. I undQr$tan��l that a copy of the applica e r upon request w n t s application is submitted o a11 under provisions of Chapter 9 (commencing with Section 7000) anse is in full force and effect. WORKERS' COMPENSATION DECLARATION AGE IS CRIMIINAL PENALTIES ANDCURE CIVIL FNESE ATION UP TO COVER ESHUNDRED THOUSAND DOLLLARSL(S1A0o00),AN ADDITION TO THE LL SUBJECT AN L COST On 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: yy Industrial Re and will provided for by Secfionf consent 700 of the LaborCode, Code for for the perfor mance of the work for which this permit the Director of issued. Policy No. ❑ 1 have and will maintain workers' compensation insurance, as requiredinsurance Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensation carrier and policy number are: Carrier Policy Number Expiration Date Phone # Name of Agent ❑1 certify that, in the performance 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 that if I should become subject to the workers' compensation provisions of Section 3 00 of the Labor Code, I shall forthwith comply with Date hose provisions. Signature of Applicant DECLARATION REGARDING CONSTRUCTION LENDING AGENCY which this permit is issued (Section of 9erICIviI Code) re is a construction lending agency for the performance of the work for Lender's Name 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 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. I authorize representatives of this city or coun to enter Jk identified d� y for inspection purpo as C� ' _ D Signature of Property Owner or Authorized Agent ^ ` Print Property Owner's or Authorized Agent's Nambr I CSG DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL REGULATIONS PART 61 OF TITLE 40 AND AOMD RULE 1403. ❑ I SUBMITTED ASBESTOS NOTIFICATION TO: 0 ❑ EPA ❑ AOMD ❑ ASBESTOS NOTIFICATION IS NOT APPLICABLE TO PROPOSED DEMOLITION. SIGNATURE: FOR OFFICE USE ONLY 0110112009