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Home My WebLink AboutM2018-0071 - Permits9City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIII9IIIIIIIIIIIIIIIIIII II HARBOR Permit M2018-0071 a 100 Civic Center Drive, Newport Beach, CA 92660 M 2 0 1 8 0 0 7 1 Project No: 2056-2018 ti Permit Counter Phone (949)644-3288 e'tl�nn�� Inspection Requests Phone (949)644-3255 Job Address: 941 VIA LIDO SOLID Floor: Suite: Bldg: 0 It, I Q, �n I C` � Description of Work: REINFORCE EXTG SEAWALL 50 LF F 2056-2018 Inspector Area: 1 Legal Description: N TR 907 LOT 323 Owner: GABRIELANDREW Contractor: SHELLMAKER INC Engineer: JAFARIMASOUD Address: 841 VIA LIDO SOUD Address: 837 W 17TH STREET Address: 23 ORCHARD #250 NEWPORT BEACH, CA 92663 COSTA MESA CA 92627 LAKE FOREST CA 92630 ..... ` Phone: 949-300-2850 Phone: 949-548-5359 Phone: 949-206-9929 State Lie: S-003812 Applicant: D'ARCY CHARLES Con State Lic:561434 Designer: Address: 18 TECHNOLOGY#158 Lie Expire: 0313112019 Address: IRVINE CA 92618 Bus Lie: BT00009706 Phone: 949-407-7760 Lie Exp Date: 01131/2019 Phone: Special Cond: Longshoremen's and Harbor Workers' Compensation Declla°rfat°ien - Carrier: LONGSHORE Issued Date 11/16/2018 Policy No: L&H-90494517 Expire : 07/11/2019 FEES Valuation: $200,000.00 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: $6.00 Plan Dep -Zoning Plan Check: $0.00 OT Plan Check Fee: $0.00 Harbor Plan Check Fee: $0.00 Plan Dep - OverTime Plan Check: $0.00 Investigation Fee: $0.00 Building Green Fee: $8.00 TOTAL FE : $330.50 ` Plan Check Fee : $0.00 Fee Due at permit Issuance: $330.50 PROCESSED BY: PLAN CHECK BY: HARBOR RESOURCES: L W APPR( OTHEF FINAL PERMIT EXPIRES 180 DAYS AFTER ISSUAA I hereby affirm under penally of perjury that I am exempt from the Contractors' State License Law for the reason(s) indicated below by the checkmark(s) 1 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 foi 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 of more than five hundred dollars ($500). 1, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, siness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the ,rovements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built oI ,roved for the purpose of sale). I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not ,ly to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors'. State -License Law). I am exempt from licensure under the Contractors' State License Law for the following reason: my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legally a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business anc fessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. nature of Pr$gejtY Owner or Authorized Agent Date IENLED CCtNTRQCTOR'S DECLARATION ,reb j affirm Uf16er•penalty of perjury that I am licensed under provisions of Chapter 9 (comm�cln 'ng with Section 7000) of Division 3 of the BusiQesy'�an rofessions Cod an y license is in full fours effect License Class License No. Date �X�J U— 14 - 18 Contractor Signature \L/1.42�1.i �fGa tn/ NSSHOREM*EN'S & HARBOR WORKERS' COMPENSATION DECLARATION ' I WING: FAILU4Tp•SIEDURE 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 D.Cpd), 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 cations: .... I have anal rvill 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 is I My . workers' compensation insurance carrier and policy number are: n�. :. • •: Policy Number Expiration Date ne bf AgerR Phone # �' • I certify:..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, yee that, if I shhoillb become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. )anatuneofPoolicant: _ 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. Print Name: L i n Date:: ACTION DATE BY DECLARATION OFCOMPLIANCEtMTHCODEOF FOR OFFICE USE ONLY " FEDERAL REGULATIONS PART 61 OFTIME40AND AQMO RULE 1403. PERMIT EXPIRED I SUBMITTEOASBESTOS NO-aFICATION TO: ❑ EPA 0 AQMD PERMITCANCELL€D PERMITEXTENDED )] ASBESTOS NORFICARONIS NOT APPLICABLE TO PROPOSED. DEMOLITION PERMITFINAL -3— 7�J DHS./l, CERTIFICATEOF DCCUPANCYISSUED SIGNATURE: