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HomeMy WebLinkAboutM2019-0008 - PermitsCity of Newport Beach - Building Division II�IIIIIIIIIIIIIIIIII'IIIIIIIIIIIIIIIIIIII II cs. 1`00 Civic Center Drive, Newport Beach, CA 92660 2 0 1 9 0 0 0 8 Permit Counter Phone (949)644-3288 Job Address: 3902 CHANNEL PL Floor: Suite: Bldg: 0 Description of Work: SFR REINFORCE (E) SEAWALL, INSTALL TIE -BACKS & NEW CONCRETE DEADMAN Inspector Area: 1 Legal Description: Inspection Fee: Owner: 3900 CHANNEL PLACE #2 LLC Address; 15 PVRP©RATE PLAZA #150 m°..mm° NEWPORT BEACH CA 92660 Phone: Building Green Fee: :mm®mc StatdLic:m •memo Plan Dep - OverTime Plan Check: AppliFrntlf. LIPRSQAYBRANDON Addre, 6: 151 KAIUAMUS DR CWTA P4ESA CA 92626 Phonst:m m c 00 0 714`75414040 o ec om o m o S/@�dPEond: m Issued Date m 03/29h2019 Valuation: $30,000.00 Inspection Fee: $287.00 Plan Check Fee $302.00 OT Plan Check Fee: $0.00 Investigation Fee: $0.00 Building Green Fee: $2.00 Contractor: EKEDAL MASONRY & CONCRETE INC Address: 220 NEWPORT CENTER DR #11-288 Fire Plan Check Fee: NEWPORT BEACH CA 92660 Phone: 9491729-8082 C-066947 $10.00 Con State Lic:487590 Lic Expire: 0212812020 Bus Lic: BT00005971 Lic Exp Date: 09/30/2019 HARBOR Permit: M2019-0008 Project No : 0191-2019 Inspection Requests Phone (949)644-3255 Engineer: PETROV PLAMEN Address: 28161 CASITAS CT LAGUNA NIGUEL CA 92677 Phone: 714-717-7542 Designer: Address: Phone: n � v Longshoremen's and Harbor Workers' Compensation Declaration - ` Carrier: EMPLOYEE SERVICE GROUP Policy No: 2246 Fire Inspection Fee: $0.00 $0.00 Fire Plan Check Fee: $0.00 Plan Dep - Counter Review: $0.00 Records Mangement: $10.00 Plan Dep - Zoning Plan Check: $0.00 Harbor Plan Check Fee: $0.00 Plan Dep - OverTime Plan Check: $0.00 TOTAL FEE: $601.00 Plan Check Fee : $302.00 Fee Due at permit Issuance: $299.00 PROCESSED BY: +II HARBOR RESOURCES: PLAN CHECK BY: �C1 ` APPROVAL TO ISSUE: OTHER DEPARTMENTS: IY1T N FINAL INSPECTION: _ PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION INER-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) ction 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 fc 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 ani 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 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 (_) 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 c 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 nol 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 Is 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 Ifessions 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 (com a cing with Section 7000) of Division 3 of the Bu'n ss and,Er dons Codle,a .nd Vy, Itc.nse is 0 full fon,, rid effect. License Class License No. Dated'3 --27—/-Contractor SignahlLsJ9':'i//!� V —_. •.•• ONGSHOREMEN'S & HARBOR WORKERS' COMPENSATION DECLA I N/- RNING: FAILURE TO SECURE LONGSHOREMEN'S 8 HARBOR WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSANV 196LCGH3 10 , 0), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3700 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm under penalty of perjury One of the fCIITNIRc sclar ions: • • 00000 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•%� which this permit is sue My workers' compensation insurance carrier and policy number are: ; .00. • o r' r Policy Number Expiration Date ••�,�_„ e of Agent Phone # . • ° ° 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' compensati8ry Ialvspf Califprmia, ao 3ree hat, if I should become subject to t orkers' compensatio rov' ions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. .... ° 1 ture of Applicant: i ECLARATION REGARDING CONSTR TIN G 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. �/� Signature: �_� Print Name/_'/PDate: AC770N DATE BY D CL.RATI CO ANCE4Y/ N CODE Of FOROFFICEUSEONLY FEDERAL REGULATIONS PART 61 OF TITLE40.AND AQMDRULE 1403. - PERMITEXPfREO ❑ I SUBMfTfEDASBESTOS NO77F1CATION TO: EPA ❑ AQMD _ PERMITCANCELLED PERMIT EXTENDED ,° OPOSEDDEMO TIOACASBESTOS RON75 P74T APPLICABLE TO PERMIT RIVAL / — --00 CERTIRCATEOF OCCUPANCYISSUED SIGNATURE.