HomeMy WebLinkAboutM2020-0034 - PermitsaEWP0,4T City of Newport Beach IIII I I II I I II II IIII IIII
Community Development Department- Building Division HarborPermit: MZOZO0034
y 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : 0949.2020
Permit Counter Phone: (949) 644-3288 Work Class : Repair
ter,. Inspection Requests Phone: (949) 644-3255 Issued Date : 12/14/2022
newportbeachca.gov/inspections ,.- -.. .-_ -- Inspection Area : 1
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION.
Construction Hours: Monday - Friday 7:00 a.m. to 6:30 p.m. and Saturday 8:00 a.m. to 6:00 p.m. No work on Sundays or Holidays.
Job Address : 619 36TH ST Legal Desc : ATR CANAL SECTION BLK 636LOT 10
Description: REINFORCE SEAWALL BY UTILIZING TIE -BACKS, CONNECT THE EXISTING SEAWALL TO. NEW CONCRETE DEADMAN
Owner:
JEFF THEDERS
Contractor : SHELLMAKER INC
Architect
Address :
11216 RESERVOIR SANTA ANA, CA 92705
Address : 837 W 17TH STREET COSTA MESA, CA
Address
92627
Phone:
(949)922-1833
Phone: (949)548-5359
Phone:
Con State Lie : 561434
State Lie
Applicant:
VICTOR ROGEL
Lie Expire : 03/31/2023
Address :
1401 QUAIL ST, 120 NEWPORT BEACH, CA
Bus Lie: BT00009706
Engineer:
Phone:
(949) 851-8345
Bus Lie Expire : 01/31/2023
Address
The -� The Longshore and Harbor Workers' Insurance
Phone:
Carrier: STATE COMPENSATION INSURANCE FUND
Policy No: 9137487
Designer
Policy Expire i 7/11/2023
Address
Phone:
Code Edition :
Type of Construction
Occupancy Groups :
Building Setbacks
Flood Zone
Use Zone :
Processed By:
PETROV PLAMEN
28161 CASITAS CT LAGUNA NIGUEL, CA
92677
(714)717-7542
2019 Fire Sprinklers NO -Construction Valuation
Fire Hazard Zone NO
U
Front: 5, Front: 25, Side: 3, Side: 3
AE,8FT: X
R-2-Two-Unit Residential
S
SPECIAL CONDITIONS: HIGH DENSITY ZONE
$150,003.00,
NO CONSTRUCTION NOISE
ON THE WEEKEND
I hereby affirm under penally of perjury that I am exempt from the Contractors' Slate License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable item (s)_
(Section 7031.5, Business and Professions Cade: Any city or county that requires a, permit. to construct, alter, improve, demolish. or repair any structure, prior to Its issuance, also regulres the applicant for
the permit to fife 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
Professions Code) or that he or she is exempt from licansure andthe basls forthe alleged exemption. Any violation of Section 7031.5 by any applicant for a. permit subjects the applicant to a civil penalty of
not more than five hundred dollars ($500).
❑ t as owner of the property,or my employees with wages as their sale earn pars will do (_) all of or U portions of the work, and In structure is not intendedor offered for sale (Section 7044,
.Business and Professions Code: The Contractors' State License Law does not apply to an owner of pmpertywho, through employees' or personal effort, builds or improves the property, provided that the
improvements are not Intended or offered for sale. If, however, the building or improvement is sold within one year of Completion, the Owner-Bullder will have the burden of proving that it was not built or
Improved for the purpose of sale).
171 I, as owner of the properly, am exclusively contracting with Vlcensed Contractors to construct the project (Section 7044, Business and Professlons Code: The Contractors' State License Law does not
apply 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 Lew for the following reason:
By my signature below f 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 iegall�
sell a structure that I have built as an owner-bulider III[ has not been constructed In its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and
Professions Code, isavailable upon request when this application issubmitted or at the following Web sitefittp!/www.leglnfo.ca.govlcataw.htmi.
'Signature of Property Owner or Authorized Agent D
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penally of perjury that.I am licensed under provisions of Chapter 9 (commencing with Section TOLD) o Dlvfs' n 3 of the Business and Profes io s C a IT y t ense is In full forte
and effect. License Class License No Date Detractor Signature
WORKERS' COMPENSATION DECLARATION
WARNING: FAILURETO SECURE WORKERS" COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS IS100,090L 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 declarations:
I have and will maintain a certificate of Consent to self -insure for workers' compensation, Lssued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for th
peke of the work for which this permit is issued. Policy No.
and will maintain workers compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is Issued. My workers'
carrier and policy number Bra:
16 of Agent
certify lhar, In me as rmrce of
1, 1 should becom subite I to the
ialure of At p'ican
Policy Number Expiration Date
permit Is Issued„ I shall notemploy any person in any manner so as to become subject to the workers' compensation laws of California, and agre
i provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. /
Date l (
�reby affirm under pens. onstructlon lending agencyfor the performance of the work forwhich this permit Is issued (Section 3097, Civil Code).
.der's Nam, Lenders Address
my signature below, t certify to each of the following:
I am the property owner or authorized to act on the property owner's behalf
I have read ll.I, application and the information I have proms corracL
I agree to comply with all appltcable city and count r6}}' antes and state la r Sting to bull Ing construction.
. authoriz^ representatives of this city or county f en 4r t e abav Id ntlfle f pro arty for msp plan purposes. r� . �(
nature of PrnpLev Owner al -Authorized Agent. _ Int Prnoortv Owner's or Authorized Ange's Name L_C v Zi l —
PEfibAT EMENDED
CERTIFICATEOF G'7j1'Z�j
OCCUPANCYISSUED fill
BY i DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
j REGULATIONS PART fit OF TITLE 40 AND AQMO RULE
TO
IS NOT APPLICABLE