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Home My WebLink AboutM2019-0034 - Permitswno City of Newport Beach - Building Division 111111111111111111111111111111111111111111111111111111 11111 tits 100 Civic Center Drive, Newport Beach, CA 92660 M 2 0 1 9 0 0 3 4 rs Permit Counter Phone (949)644-3288 V w 4t �'�rfi9YiR��g.. HARBOR Permit: M2019-0034 Project No: 0194-2019 Inspection Requests Phone (949)644-3255 Job Address: 3900 CHANNEL PL Floor: Suite: Bldg: 0 Description of Work: DELTA 1/ADD'L SCOPE -REVISE SEAWALL TO ADD 28' OF RETURN WALL & ADD'L TIEBACKS (REV19-0761) Inspector Area: 1 LINSDAY BRANDON Address: 151 KALAMUS DR #G-1 Legal Description: CANAL SECTION LOT 1 BILK 539 ALL -INC BET SAME & HIGH TIDE LINE -(AND Phone: Owner: 3900 CHANNEL PLACE #1, LLC Contractor: EKEDAL MASONRY & CONCRETE INC Engineer: PETROV PLAMEN Address: 15 CORPORATE PLAZA #150 Address: 220 NEWPORT CENTER DR #11-288 Address: 28161 CASITAS CT NEWPORT BEACH, CA 92618 NEWPORT BEACH CA 92660 LAGUNA NIGUEL CA 92677 Phone: Phone: 949/729-8082 Phone: 714-717-7542 State Lie: C-066947 $0.00 Records Mangement: Applicant: LINSDAY BRANDON Address: 151 KALAMUS DR #G-1 Expire : 01101/2020 COSTA MESA CA 92626 Phone: 714-754.4040 Special Cond: Issued Date 06/14/2019 Con State Lic:487590 Lie Expire: 05/26/2020 Bus Lie: BT00005971 Lie Exp Date: 09/30/2020 Designer: Address: Phone: Longshoremen's and Harbor Workers' Compensation Declaration - Carrier : CYPRESS INS CO Policy No: EKWC011991 PROCESSED BY: PLAN CHECK BY: PUBLIC WORKS: APPROVAL TO ISSUE: OTHER DEPARTMENTS: FINAL INSPECTION: _ PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION Expire : 01101/2020 FEES Valuation: $20,000.00 Fire Inspection Fee: $0.00 $0.00 Inspection Fee: $287.00 Fire Plan Check Fee: $0.00 Plan Dep - Counter Review: $0.00 Plan Check Fee $0.00 Records Mangement: $0.00 Plan Dep - Zoning Plan Check: $0.00 OT Plan Check Fee: $0.00 Harbor Plan Check Fee: $131.00 Plan Dep- OverTime Plan Check: $0.00 Investigation Fee: $0.00 Building Green Fee: $1.00 TOTAL FEE : $419.00 Plan Check Fee: $419.00 Fee Due at permit Issuance : $0.00 PROCESSED BY: PLAN CHECK BY: PUBLIC WORKS: APPROVAL TO ISSUE: OTHER DEPARTMENTS: 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 anc 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). 1, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or L) 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 the 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 of 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 le I 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 )fessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. nature of Property Owner or Authorized Agent Date ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force nd effect. License Class License No. Date Contractor Signature ONGSHOREMEN'S & HARBOR WORKERS' COMPENSATION DECLARATION ARMING: FAILURE TO SECURE LONGSHOREMEN'S & HARBOR WORKERS' COMPENSATION COVERAGE 15 UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS 100,0001, 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 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 workers' compensation insurance carrier and policy number are: Policy Number Expiration Date Aaent __._ 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. Pture of Applicant: TION REGARDING CONSTRUCTION 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) Lenders 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. IJY.NWiL }1L'i� I PERMIT CANCELLED I I I I PERMIT EXTENDED I I I OCCUPANCY/SSUED Print Name: Date: ❑ f SUBMITTED ASBESTOS A1077FICATtON TO: ❑ EPA ❑ AOMD ❑ ASBESTOS M07IRCA77ONIS NOT APPLICABLE TO PROPOSEDDEMOLIT/OAL SIGNATURE.,