HomeMy WebLinkAboutM2021-0045 - PermitsCity of Newport Beach -Building Division 1111111111111111111111111111111111 HE 111111111111111111
100 Civic Center Drive, Newport Beach, CA 92660
5 Permit Counter Phone (949)644-3288
Job Address: 3906 RIVER AVE Floor: Suite: Bldg: 0
Description of Work: SFR REINFORCING EXTENSION TO (E) SEAWALL 48' LF
Inspector Area: 1
Legal Description: CANAL SECTION BILK 239 LOT 4
Owner: ROSEN RICHARD
Address: 3906 RIVER AV
NEWPORT BEACH, CA 92663
Phone: 949-246-5215
State Lic:
Applicant:
GUIDERO BILL
Address:
425 30TH ST STE 23
NEWPORT BEACH CA 92663
Phone:
949-675-2626
Special CDnd:
Issued Date 09102/2021
Valuation:
$10,000.00
Inspection Fee:
$314.00
Plan Check Fee
$329.00
OT Plan Check Fee:
$0.00
Investigation Fee:
$0.00
Building Green Fee :
$1.00
TOTAL FEE: $713.00
PROCESSED BY:
PLAN CHECK BY: SF,c
Contractor:
EKEDAL CONCRETE INC
Address:
19600 FAIRCHILD RD STE 123
IRVINE CA 92612
Phone:
949/729-8082
C-066947
Con State Lic:487590
Lic Expire: 02/28/2022
Bus Lic: BT00005971
Lic Exp Date: 09/3012021
HARBOR Permit: M2021-0045
Project No : 1528-2021
Inspection Requests Phone (949)644-3255
V
Engineer:
PETROV PLAMEN
Address:
28161 CASITAS CT
-
LAGUNA NIGUEL CA 92677
Phone:
714-717-7542
-•-. •' -
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Designer:
Address:
Phone:
Longshoremen's and Harbor Workers' Compensation Declaration -
Carrier : LONGSHOREMAN - ZURICH
Policy No: WC380494701
CRPII C.
[Ulu I I LVC I
FEES
Fire Inspection Fee:
$0.00
$0.00
Fire Plan Check Fee:
$0.00
Plan Dep -
Counter Review:
$0.00
Records Mangement:
$B.00
Plan Dep -
Zoning Plan Check:
$0.00
Harbor Plan Check Fee:
$61.00
Plan Dep -
OverTime Plan Check:
$0.00
Plan Check Fee : $390.00
PUBLIC WORKS:
APPROVAL TO ISSUE:
Fee Due at permit Issuance: $323.00
OTHER DEPARTMENTS: A`
FINAL INSPECTION:
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION
WER-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)
,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 its issuance, also requires the applicant fo
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 am
fessions 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 o
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,
iness 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 IN
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 the burden of proving that it was not built o
roved 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
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, 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 lei
a structure that I hove 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
fessirns Code, is available upon request when this application is submitted or at the following Web site:http:/Iwww.leginfo.ca.gov/calaw. html.
narurH. of Pronerry Owner or Authorized Agent Date
ICENSED CONTRACTOR'S DECLARATION
nereny affirm under r•enalty of perjury that I am licensed under provisions of Chapter 9 (comme cin ith ection 7000) of Division 3 of the Business and ProfesCsio slCode, and my license is in full force
nd effect. License Class License No. Date Contractor Signature n
ONGSHOREMEN'S & HARBOR WORKERS' COMPENSATION DECLARA ION
FAILURE TO S_CURE 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
1n00nn1, IN ADDITION TO -I HE COST 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
My wolkers' compensation insurance carrier and policy number are:
_ _ _ _ Policy Number Expiration Date
Anent 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.
lure of Applicant: X—�
nare- /\ Z
TION REGARDING CONSTITUCTION 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 Lender'sAddress
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 county to enter the above -identified property for inspection purposes. I
signature: Print Name: K Qe^ Date:
ACTION
DATE
BY
DECLARA TION OF COMPLIANCE MI H CODE OF
FOR OFFICE USE ONLY
FEDERAL REGULATIONS PART 51 OF TITLE40 AND
AQMD RULE 1403,
PERMIT EXPIRED
❑ I SUBMITTED ASBESTOS M077FICATION TO:
❑ EPA
❑ AQMD
PERMIT CANCELLED
PERMIT EXTENDED
❑ ASBESTOS IVOBHCA710N IS NOTAPPLICABLE TO
'PROPOSED DEMOLITION.
PERMIT FINAL
"--to
CERTIFICATEOF
OCCUPANCYISSUED
SIGNATURE: