HomeMy WebLinkAboutM2018-0043 - PermitsCity of Newport Beach - Building Division I��IIIIIIIIIIIHIIIIIIII��V���Ill���ll II
•100 @ivle Center Orive, Newport Beach, CA 92660
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Job Address: 1012 BAY AVE W Floor: Suite: Bldg: 0
Description of Work: SFR EXTEND/REINFORCE (E) SEAWALL 35 LF, ADD (3) CAISSONS
Inspector Area: 1
Legal Description: N TR 626 BILK 5 LOT 8
Owner: KABERNA KEVIN & STEPHANIE
Address: 1012 BAY AVE W
NEWPORT BEACH, CA 92661
Phone:
State Lic:
Applicant:
LINSDAY BRANDON
Address:
151 KALAMUS DR #G-1
COSTA MESA CA 92626
Phone:
714-754-4040
Special Cond:
Issued Date 10/02/2018
Contractor: PATTERSON CONSTRUCTION
Address: 15 CORPORATE PLAZA STEA50
NEWPORT BEACH CA 92660
Phone: 949-723-1800
C-066947
Con State Lic:802367
Lic Expire: 07/31/2020
Bus Lic: BT02110534
Lic Exp Date: 10/31/2019
HARBOR Permit: M2018-0043
Project No : 1357-2018
Inspection Requests Phone (949)644-3255
Engineer:
PETROV PLAMEN
Address:
28161 CASITAS CT
LAGUNA NIGUEL CA 92677
Phone:
714-717-7542
Designer: ` fy y 71 r
Address: a4 k r-
,,
--.ski
Phone:
Longshoremen's and Harbor Workers' Compensation Declaration -
Carrier : STATE COMP
Policy No: 90654062018
PROCESSED BY:
HARBOR RESOURCES:
PLAN CHECK BY: APPROVAL TO ISSUE:
OTHER DEPARTMENTS:
FINAL INSPECTION:
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION
FEES
Valuation:
$15,000.00
Fire Inspection Fee:
$0.00
$0.00
Inspection Fee:
$270.00
Fire Plan Check Fee:
$0.00
Plan Dep - Counter Review:
$0.00
Plan Check Fee
$283.00
Records Mangement:
$6.00
Plan Dep - Zoning Plan Check:
$0.00
OT Plan Check Fee:
$0.00
Harbor Plan Check Fee:
$123.00
Plan Dep - OverTime Plan Check:
$0.00
Investigation Fee:
$0.00
Building Green Fee:
$1.00
TOTAL FEE:
$683.00 I I
Plan Check Fee :
$283.00
Fee Due at per4it Issuance :
$400.00
PROCESSED BY:
HARBOR RESOURCES:
PLAN CHECK BY: APPROVAL TO ISSUE:
OTHER DEPARTMENTS:
FINAL INSPECTION:
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION
FNER-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 hayA blA84 nJxt:o lBQ a6plidalyl2''��1m(s)
:tion 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 itsis�rlanEg, ajsdre�Itires tllt?ap1licant fc
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 7V 0) oof1Division3 of the6usingss an,
fissions 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 sdb?ecte't11e applicant to a civitpenally c
more than five hundred dollars ($500).
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, and the structure is not intgnded.or offered for Sale (Section 7Q44,
iness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds dr improTas Lhe:prtlpEJty; prpvigeQ thQ 4h
rovements 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 th®smrdem of proving that -it wa' not bult c
roved for the purpose of sale). , ... ... . . .0..
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 no
ly 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 am exempt from licensure under the Contractors' State License Law for the following reason:
my signature below I acknowledge that, excegqt�for my personal residence in which I must have resided for at least one year prior to completion of the improvements covered by this
I a structure that I have built as an owner-bu)lder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 70,
Ifessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi.
nature of Property Owner or Authorized Agent Date
Irmit, I cannot lei,
of the Business
ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (comm i g ith S cti n 7000) of Division 3 of the Busin ss an r fessions ode, nd my ' znse is in full force
nd effect. License Class License No. Date Contractor Signatur 4mvuh 46
ONGSHOREMEN'S & HARBOR WORKERS' COMPENSATION DECLARA N
'ARNING: FAILURE TO SECURE LONGSHOREMEN'S & HARBOR 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 TOTHECOST OF 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
I have and will maintain Longshoremen's and Harbor workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is
My workers' compensation insurance carrier and policy number are:
Policy Number Expiration Date
Agent Phone #
I 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,
that, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
rtgreofAppillaant: 4 a,?, �— r`. % In f, h✓
LENDING AGENCY
I hereby affirm under penalty of perjury that 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 LendersAddress
By my signature below, 1 certify to each of the following:
I am the property owner or authorized to act on the property owners 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 authorizesrep/reesseytetl6Ves of this city or county to enter the above -identified property for inspection purposes. %�r
Signature: X �,�w Le1�Print Name: V 1�t31u1Y1 l te��`� Date: Q
PERMIT FINAL
C€RTtFICATEOF
OCCUPANCYISSUED
DATE BY 11
r�cr.�srrw rivn yr e.vmrua.c..n , �vu�..,
FEDERAL REGULATIONS PART 6 OFTITLE40AND
❑ I SUBMTTED ASBESTOS NOTIFICATION TO.
❑ EPA
AQI[MD
❑ ASBESTOS NOTfFICARONIS NOT APPLICABLE TO
PROPOSEDDEMOLITION
SIGNATURE
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