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Home My WebLink AboutX2019-1094 - PermitsCity of Newport Beach - Building Division *X2019-1094* COMB Permit: X2019-1094 100 Civic Center Drive, Newport Beach, CA 92660 Project No : 1471-2018 p •, Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 grtax�s* Combination Type - BLDG Issued Date: 0410512019 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 Mor Holidays Job Address: 1715 PORT SHEFFIELD PL NB,"r Description: SHORING WALL @ THE SOUTH SIDE OF PROPERTY W1112 CAISSONS 5 1h I Legal Desc.: N TR 6621 LOT 13 Owner: PALAZZOLA JOHN Contractor: Address: 1715 PORT SHEFFIELD PIL Address: NEWPORT BEACH, CA 92660 Phone: 818-371-7790 Phone: Applicant: EDMONDSON PHILIP LEE Con State Lie: Address: 2600 NEWPORT BLVD #114 Lie Expire: NEWPORT BEACH CA 92663 Bus Lie: Phone: 949-675-9468 Lie Exp Date: 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: Building Permit Fee: $914.00 Plan Check Fee: $917.00 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 : $2.00 TOTAL FEE: $1,833.00 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: CLARKE GREG CONSTRUCTION INC Architect: P O BOX 8181 Address: NEWPORT BEACH CA 92658 714-904-0692 Phone: 819840 Engineer:. 09/30/2020 Address: BT30018564 02/28/2020 Phone: Worker's Compensation Insurance Carrier: WIC EXEMPT Policy No: (NO EMPLOYEES) Expire: Building Setbacks Use Zone: Excise Tax: Additional Fee: Grading Bonds Fee: Grading PC Consultant: Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: Electrical %: Mechanical %: Plumbing %: Rear: /ta Front: /zo Left: / S Right: / S Designer: Address: Phone: EDMONDSON PHILIP LEE 2600 NEWPORT BLVD #114 NEWPORT BEACH CA 92663 949-675-9468 State Lic:C018423 MANSHADI FARHAD wo°• 1800 E 16TH ST UNIT B •.•w°°° SANTA ANA CA 92701 714-835-2800 State Li¢C-036840 : • • ° •ceo • 000• w •a°o • wo• a w Special Conditions: w w $0.00 Planning Department- $0.00 Plan check Fee $0.00 Fair Share $0.00 SJH Trans $0.00 In -lieu Housing Fee: $0.00 Public Works Department - $0.00 Park Dedication : $0.00 PAN Plan Check : $0.00 $0.00 San Dist: $0.00 $0.00 NMUSD Fee: $0.00 $0.00 0 0 Zone,N w ow 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 Grading Bond: $0.00 $0.00 $0.00 Plan Check Fee: $0.00 Fee Due at Permit Issuance : $1,833.00 PUBLIC WORKS APPROVAL: PLAN CHECK BY: / APPROVAL TO ISSUE: U o ®woo:• a • w• . • o + owo oow•• 0 „www• 000eo• 0 0 0 m • owawe• • 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 @em(s) j(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 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 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), I❑ 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, 1 cannot legalh 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:hftp://w .leginfo.ca.govlcalaw.htmi. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I herebyaffirm under �analt of perjury that I am licensed under provisions of Chapter 9 (commencing with Se on 7 I of the Busi ess and Profess' n de, a is in full force P Y P O rY P P ( 9 c�I �0) Qf'D �o p and effect. Liceds@Class License No ��CDate�� Contra�(or Signature WORKERS' C'5ftENSATION DECLARATION WARNING: FAILURE TO SErCURE 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.Qf tOMPENSAMN, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I tpreby affirm undee penalty of perjury one of the following declarations: I.have and w'IIT mRaintain 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 anionvance of;MJw6rk for which this permit is issued. Policy No. 3P MAve and will mamtain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. smence carrier 9nd policy number are: :arrier: .:... : Policy Number Expiration Date Agent that' jp tlP, performance g9he work ould become subiect toffe workers! of My workers' 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 I provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. i f Date /: U / CLARATION REGARDING CONSfiRUCTION LENDING AGENCY Ireby affirm under penalty of per' ry that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). 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 theXped/s is behalf. I have read this application and the information I horect. I agree to comply with all applicable city and counstate laws relating to building construction. I authorize representatives of this city or county to -identified property for inspection purposes. 1 (,— , , _/-�— (- .1 DAT'f r BY DECLARATION OF REGULATIONS PART061 OF IITLE 40 AND QMD RULECE WITH CODE OF FOR OFFICE USE ONLY PERMITEXPIRED - I I I L.I I SUBMITTED PERMITEXTENDED de I UAQMD PERMIT FINAL Z Li ASBESTOS NOTIFICATION IS NOTAPPLICABLE TO CERTIFICATEOF PROPOSED DEMOLITION OCCUPANCYISSUED SIGNATURE: