HomeMy WebLinkAboutM2019-0056 - PermitsCity of Newport Beach - Building Division p1111111l11p11111111111111111p111p1p11111111 100 Civic Center Drive, Newport Beach, CA 92660 III M 2 0 1 9 0 0 5 6 II
Permit Counter Phone (949)644-3288
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Job Address: 1601 BAY AVE E Floor: Suite: Bldg: 0
Description of Work: R/R EXISTING WOOD SEAWALL FOR NEW CONCRETE SEAWALL
Inspector Area: 1
Legal Description: BALBOA TR EAST SIDE ADD LOT 1 BILK 25 ALL -INC S112ABAN ST ADJ ON
Owner: CO ARGENT
Address: 522 W OCEANFRONT
NEWPORT BEACH CA 92661
Phone:
State Lic:
Applicant:
CHUNG JACQUELYN
Address:
4010 CHANNEL PL
NEWPORT BEACH, CA 92663
Phone:
949-274-4214
Special Cond:
Issued Date 12/1012019
Valuation:
$300,000.00
Inspection Fee:
$297.00
Plan Check Fee
$312.00
OT Plan Check Fee:
$0.00
Investigation Fee:
$0.00
Building Green Fee:
$12.00
TOTAL FEE : $849.00
PROCESSED BY:
PLAN CHECK BY:
Contractor:
SHELLMAKER INC
Address:
837 W 17TH STREET
COSTA MESA CA 92627
Phone:
949-548-5369
S-003812
Con State Lic:561434
Lic Expire: 03/31/2021
Bus Lic: BT00009706
Lic Exp Date: 01/31/2020
HARBOR Permit: M2019-0056
Project No: 1805-2019
Inspection Requests Phone (949)644-3255
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Engineer: JAFARI MASOUD
Address: 23 ORCHARD #250 • ......
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P one: 949-206-9929 e • ®°'m°°
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Phone:
Longshoremen's and Harbor Workers' Compensation Declaration -
Carrier : LONGSHORE
Policy No: L&H-90494517
Expire : 07/11/2020
FEES
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: $83.00
Harbor Plan Check Fee:
$135.00
Plan Dep - OverTime Plan Check: $0.00
Plan Check Fee : $433.00
Fee Due at permit Issuance: $416.00
PUBLIC WORKS: Iq
APPROVALTOISSUE:
OTHER DEPARTMENTS:
FINAL INSPECTION:
PERMIT EXPIRES 180 DAYSAFTER ISSUANCE OR LAST VALID INSPECTION
/NER-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 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 an(
Fessions Code) or that he or she is exempt from Iicensure 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).
I, 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 th(
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 Ipt property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License LPdoes not
ly to an owrfer of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).
12m exempt ilbrrj Iicensure 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 legall,
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 am
fesgions Cooj,.is.auailable upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw. html.
%%ture of Property Owner or Authorized Agent Date
IMSED CBALTMCTOR'S DECLARATION
0 'by affirm under penalty of perjury that I am licensed under provisions of Chapter 9 mencing with Section 7000) of Div s of the Busines nd Professi s Code, and my license is in full fore
•efket. License Cla;s License No. a t1— lv- tQ Contr r Signature _irs.,�e�
NG4HOREMENmA & HARBOR WORKERS' COMPENSATION DECLA TION
IDlWg-.FAILURE TO SECURE LONGSHOREMEN'S & HARBOR WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOY T CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS
P3� ND) -IN ADDII18R 10 :HE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATT RN Y'S FEES. I hereby affirm under penalty of perjury one of the followlnC
lafaions: ••••
�5 1 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 is
led. My workers' compensation insurance carrier and policy number are:
rier Policy Number Expiration Date
__ .w A,.e.,, 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 beconnersubject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
Iture of Applic t: "43.
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
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 owners 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 represert atives of this city or county to enter the above -identified property for inspection purposes.
Civil Code).
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ACTION
DATE
BY
DECLA 1O. F COMPLIANCE WITH CODE OF
FOR OFFICE USE ONtY
FEDERALREG LATIONSPART61OFTITLE40AND
AQMD RULE 1403.
PERMIT €XPIRED
❑ 1SUBMITTED ASBESTOS NOTIRCATIONTO:
❑ EPA
❑ AQMD
SBESTOS MOIIRACATIONIS NOT APPLICABLE TO
PROPOSEDDEMOLITION.
PERMITCANC€LLED
PERMIT EXTENDED
PERMIT FINAL 47,74 Z'L
-
CERTrFJCATEOF
SIGNATURE:
OCCUPANCYISSUED