HomeMy WebLinkAboutM2022-0058 - Permits�aEWPO?T City of Newport Beach
o p Community Development Department- Building Division
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone: (949) 644-3288
ems+ Inspection Requests Phone:(949) 644-3255
newportbeachca.gov/inspections
III �II I) I II I II II (I I I II Harbor Permit : M2O22-0058
Plan Check
No : PC2022-3083
Work C
Issued Date: 04/11/2023
Inspection Area: 2
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 : 748 VIA LIDO NORD
Description : SFR REINFORCE (E) SEAWALL
Owner: GATES TRUST
Address : 1144 N EASLEY CANYON RD GLENDORA, CA
91741
Phone: (626)695-2556
Applicant: SHELLMAKERINC
Address: 837 W 17TH STREET COSTA MESA, CA 92627
Phone: (949)548-5359
Legal Desc : N TR 907 BLK LOT 40
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
Architect: CHRIS BRANDON
Address: 151 KALMUS DR, G-1 COSTA MESA, CA
92626
Phone:
(714)754-4040
State Lie :
Engineer:
PETROVPLAMEN
Address :
28161 CASITAS CT LACUNA NIGUEL, CA
92677 --
Phone :
(714) 717-7542
Designer:
Address
Phone:
Code Edition : 2019 Fire Sprinklers : NO €ugtiorl 0
2yh .D,O
Type of Construction : Fire Hazard Zone : NO -
Occupancy Groups: U
Building Setbacks : Front:4, Front: 10, Side: 3, Side: 3�������4
Flood Zone: AE, 8 FT; X
Use Zone: R-1 - Single -Unit Residential
Processed By:
SPECIAL CONDITIONS: HIGH DENSITY ZONE'''
AE8 FLOOD ZONE; LIQUEFACTION
OWNER -BUILDER DECLARATION
I hereby affirm under penally of perjury that I am exempt from the Contractors' Stale License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable ttem(s)
(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 rile 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 U all of or (—) 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 properly, 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 bull( or
improved for the purpose of sale).
❑ 1, as Owner of the properly, 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' Stale License Law).
❑ I am exempt from Ilcensure 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, I.Cannot legally
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:htip://www.leglnfo.ca.govlcalaw.html.
Signature of Property Owner or Authorized Agent _ Data
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70, ) f D}}'visi 3 of the Business and Profession e. my titan a Is in full force
and effect. License Class License No Date ( Contractor Signature
WORKERS' COMPENSATION DECLARATION
WARNING: FAILURE TO SECURE WORKERS' COMPENSATWN COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND GO 000), IN ADDITION TO THE
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 declarations:
I have and will maintain 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
'once of the work for which this permit is issued. Policy No.
have and will,mairll'ain workers' compensation insurance, as required by Section 3700 of the Labor Code. for the performance of the work for which this permit is issued. My workers' Compensa
Trance carrier and po;icy number are:
,e of Agent
cerUfy that, in the performance of
, If I rhould benmmv, 5^bjecl to the
Iature of Apolicnni I
Policy. Number
Date
this per Issued. I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre
alion provis)s of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ( n
-- ------- Date_
r. zS; affirm under penalty of perjury that -there is a cons ru the performance of the work for which this pernil is issued (Section 3097
ldPrs Name Lenders Address
my sigi ature be,ow. , ..erlify to each of the following:
I am the prepeny owner or authorized to act on the property owners behalf.
I have read the app;ioatinn and the information I have provida I
1 agree to con,ply .4:h all applicable city and county ordin es and slate ws relating to Uulltling. construction.
I authorize representatives of this city or county to ente he abLy�Fldentifte property for Inspection purposes. p r
ACTION
PERMIT EXPIRED
PERMITCANCELLED
PERMIT EXTENDED
PERMIT FINAL
CERTIFICATE OF
OCCUPANCY ISSUED
DATE I BY DECLARATION OF -COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
TO
ASBESTOS NOII FICATION IS NO CABLE TO
PROPOSED DEMOLITICKAl
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