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Home My WebLink AboutM2023-0012 - PermitskaeWPoRT City of Newport Beach o p Community Development Department- Building Division �y 100 Civic Center Drive, Newport Beach, CA 92660 S Permit Counter Phone: (949) 644-3288 1 Inspection Requests Phone: (949) 644-3255 c'�<rcoaN`P newponbeachca.gov/inspections II I I III I III Harbor Permit: M2023-0012 Plan Check No: PC2023-0436 Work Class : Other Issued Date : 04/11/2023 Inspection Area: 1 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 8:00 a.m, to 6:00 p.m. No work on Sundays or Holidays. Job Address: 3901 MARCUS AVE Description: SFR - R/R 2 PILES @ PLATFORM Owner: HAAG FAMILY TRUST Address : 3901 MARCUS AV NEWPORT BEACH, CA 92663 Phone: Applicant: SHELLMAKER INC Address: 837 W 17TH STREET COSTA MESA, CA 92627 Phone : (949) 548-5359 Code Edition : Type of Construction Occupancy Groups: Building Setbacks Flood Zone: Use Zone : Processed By: 2022 U Front: 4, Front: 20, Side: 3, Side: 3 AE, 8 FT; AO 1; X R-2 - Two -Unit Residential Legal Desc : ATR CANAL SECTION BLK 339 LOT 1 Contractor: SHELLMAKER INC Address : 837 W 17TH STREET COSTA MESA, CA 92627 Phone : (949) 548-5359 Con State Lie : 561434 Lie Expire : 03/31/2025 Bus Lie: BT00009706 Bus Lie Expire : 01/31/2024 The Longshore and Harbor Workers' Insurance Carrier: STATE COMPENSATION INSURANCE FUND Policy No : 9137487 Policy Expire : 7/11/2023 Fire Sprinklers : NO Fire Hazard Zone : NO SPECIAL CONDITIONS: LIQUEFACTION/HIGH-DENSITY ZONE Architect Address Phone: State Lie Engineer: PETROVPLAMEN Address : 28161 CASITAS CT LAGUNIA' NIGUEL, CA 92677 Phone : (714) 717-7542 Designer: Address Phone: Construction Valuation : $20,000.DO CONSTRUCTION NOSE ON THE WEEKEND I hereby affirm under penally of perjury that I am exempt from the Contractors' State License Law for resson(s) Indicate Section 7031.5. Business and Professions Code; Any city or county that requires a permit to construct, alter, Improve, demok to permit to file a signed statement that he or she Is licensed pursuant to the provisions of the Contractors' State License Lain rrofessions Code) or that he or she is exempt from licensors and the basis for the alleged exemption. Any violation of Section. at more then five hundred dollars ($500), 1 t, as owner of the property, or my employees with wages as their sale compensation, will do U ail of or U portions of the Iusiness and Professions Code: The Contractors' Stale License haw does not apply loan owner of property who, through aml nprovements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completl n roved for the purpose of sale). I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Bu iy to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pu _.. i am exempt from licensure under the Contractors' State License Law for the following reason: _ Iy my signature below i acknowledge that, except for my personal residence in which I must have resided for at least one yea ell a structure that I have built as an owner-builder'if It has not been constructed in itsentirety by licensed contractors. I undei Yofessions Code, is available upon request when this application is submitted or at the following Web site;WJlwww:teginfc.I 69nature of Property Owner or Authorized Agent ACENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7001)f D Ind effect. License Class License No Date. VORKERS' COMPENSATION DECLARATION LASHING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENAL TIN ASTOF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3703 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: 3 1 have and Wit maintain a certificate of consent to self -insure for workers' compensation, issued by the Director of In Zance of the work for which this permit is issued. Policy. No. a and Will mpintam workers' compensation insurance, as required by Section 3700 of the Labor Code:, for the peck isdrance aander and policy number are: Policy Number r�o of Agent _ certify that, in Of performance of the work for which this permit is issued, I shedl , it I sh'wid become s Iblegl: to t4g)workars' campensationprovisions of 1%eptigtl- of Appii,.Nrt _ .. below by the checkmark(s) I have placed next to the applicableitem(s) or repair any structure, poor to its issuance, also requires the applicant for Chapter 9 (commencing with Section 7000) of Division 3 of the Business and 331.5 by any applicant fora permit subjects the applicant to a civil penalty of i, and the structure is not intended proffered for sale (Section 7044, sea' or personal effort,builds or improves the property,. provided that the the Owner -Builder will have the burden of proving that if was not built or and Professions Code: The Contractors' State License Law does not tp the Contractors' State License Law), to completion of the improvements covered by this permit, I:cannot that a copy of the applicable law, Section 7044 of the Business and Date r'sion 3 of the Business and Profess! o Code my It nSO is in full force Contractor Signature ANO CIVIL FINES UP TO 071E HUNDRED THOUSAND DOLLARS IS100.000), IN ADDITION TO THE Relations as provided for by Section 3700 of the Labor Code, for of the work for which this permit is issued. My workers' Date Phone ff any person in any manner so s to become subject to the workers' compensation laws of California, and agre Labor Code, I shall forthwith c mply with those provisions. ^^�� hereby siflrm undenpenatty of perjury thatthere is a construction lending agenoyforthe performance of the. work for endprs lame Lender's Address y my signature below, I ,arffy to each of the following: din his property Owner or authorized to act on the property owner's. behalf. IQae read thus apoboation and the information t have root I agree to comply with all applicable oily and cau //1///��5rdinances and s_ laws relating to building construction, I authorize representatives of this city or county ter tt enti ' Cove -id property for inspection purposes. icnature of PmDertv Owner or Authorized Auent � A— Print Property Owner's ACTION I DATE i BY PERMIT EXpulED RfGOLATIONS PART fit OF TITLE 40 AND AQMD RULE I SUBMITTED PERMIT FINAL 1 6 ( L c, �Z t(� FIASSESTOS NOTIKATION IS CERTIFICATE Of PROPOSED DEM ITIO�_ OCCUPANCY ISSUED SIGNATURE; permit is issued (Section 3097, Civil. Code),. ONLY