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HomeMy WebLinkAboutM2019-0027 - Permits,� City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII HARBOR Permit: M2019-0027 a +t 100 Civic Center Drive, Newport Beach, CA 92660 M 2 0 1 9 0 0 2 7 p Project No :0742-2019 a, Permit Counter Phone (949)644-3288 9r'.r�}yypm Inspection Requests Phone (949)644-3255 Job Address: 1713 ' BAY AVE E Floor: Suite: Bldg: 0 _ Description of Work: REINFORCEMENT OF EXISTING 30' LONG SEAWALL Inspector Area: 1 Plan Check Fee Legal Description: BALBOA TR EAST SIDE ADD LOT 7 BILK 26 ALL -INC S112ABAN ST ADJ ON Owner: B DESCENDANTS Contractor: SWIFT SLIP DOCKIPIER BUILDERS Address: 1525 ORLANDO RD Address: 6351 INDUSTRY WAY PASADENA, CA 91106 WESTMINSTER CA 92683 Phone: Phone: 949-631-3121 State Lic: C-066947 Applicant: MCDANIEL RYAN G Address: 151 KALMUS DR STE G-1 Plan Check Fee COSTA MESA CA 92626 Phone: 714-754-4040 Special Cord: Issued Date 10/16/2019 Valuation: $65,000.00 Inspection Fee: $287.00 Plan Check Fee $302.00 OT Plan Check Fee: $0.00 Investigation Fee: $0.00 Building Green Fee: $3.00 TOTAL FEE: $723.00 PROCESSED BY: PLAN CHECK BY: Con State Lic:797052 Lic Expire:.. 07/31/2021 Bus Lic: BT01122734 Lic Exp Date: 11/30/2019 NO CONSTRUCTION NOISE Engineer: PETROV PLAMEN Address: 28161 CAIIT{AS CT Phone: ®hL.NKSNO 1 1 '5��4KK2 Designer: Address: Phone: I I\�� � 0 Longshoremen's and Harbor Workers' Compensation Declaration Carrier: AMERICAN LONGSHOR Policy No: ALMA01662-01 Expire: 12/31/2019 Fire Inspection Fee: $0.00 $0.00 Fire Plan Check Fee: $0.00 Plan Dep - Counter Review: $0.00 Records Mangement: $0.00 Plan Dep - Zoning Plan Check: $0.00 Harbor Plan Check Fee: $131.00 Plan Dep- OverTime Plan Check: $0.00 Plan Check Fee : $433.00 Fee Due at permit Issuance: $290.00 PUBLIC WORKS: Lw o ° o APPVOVAL TO ISSUE: �r OTHER DEPARTMENTS: IN©,L>INSPECTION : ° ° ` ° ° °• °e c PEl(vliYEXPqoES°2800ASSAF°T�,R 155iYANCE OR LAST VALID INSPECTION 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 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 and 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 (_) all of or U 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 o 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). J I am exempt from licensure under the Contractors' State License Law for the following reason: y 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 all a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. Iunderstand that a copy of the applicable law, Section 7044 of the Business rofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. ignature of Property Owner or Authorized Agent Date JCENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing w'th Se tion 7000) of Division 3 of the Bu es and i e io ode, mens ' in ll. i nd effect. License Class License No. Date (CD Contractor Signatu mens ONGSHOREMEN'S & HARBOR WORKERS' COMPENSATION DECLARAN, 'ARNING: FAILURE TO SECURE LONGSHOREMEN'S & HARBOR WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLL 100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3705 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. 1 hereby affirm under penalty of perjury one of the follm 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 Ancef Phone # I certify that, in the performance of the work for which this qGlynit 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 sub'e to the workers' compensatioions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. tture of Applicant: nn/'\ n pr wsI N / ., I ii . f is TION LENDI 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 repr tives of this city or co o enter the above -identified property for inspection purposes.. signature: Print Name: V r,ora l -a Date: ACTION DATE BY DECLARATION OF C©MPUA CE WITH CODEOF FOR OFFICE USE ONLY FEDERAL REGULATIONS PART 01 OFTITLE40AND AQMD RULE 1403. I SUSMIJTERASBE5rDS fJD]fFICA-IbN Tt$. . • . • ; ••• ••. 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