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HomeMy WebLinkAboutM2023-0013 - Permits04'. City of Newpoft Beach Community Development Department- Building DivisionHOCbOCPeCmIt:M2023-0013 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2023-0476 Permit Counter Phone: (949) 710-1888 Work Class : Alteration newportbeachca.gov/civic Issued Date : 0612012023 Inspection Area : 2 a � 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 : 2722 BAY SHORE DR Legal Desc : N TR 1014 BLKLOT 7 `. Description: SFR -REINFORCE EXIST'G SEAWALL. CONSTRUCT (N) STEM WALL ONTOP OF EXIST'G COPING Owner: 2722 BAYSHORE DRIVE LLC Contractor : SHELLMAKER INC Architect : CHILDS CYNTHIA ARCHITECT Address: 11661 SAN VICENTE BLVD STE510 LOS Address : 837 W 17TH. STREET COSTA MESA, CA Address : 2732 E COAST HWY #B CORONA DEL ANGELES, CA 90049 92627 MAR, CA 92625 Phone: Phone: (949)548-5359 '. Phone: (949)718-3528 Con: State Lie : 561434 State Lie : Applicant: PAT AUSTIN Lie Expire: 03/31/2025 Address : 2732 E. Coast Hwy, Suite B Corona Del Mar,,CA Bus Lie; BT00009706 Engineer: PETROV PLAMEN 92625 Phone: (949) 718-3528 Bus Lie Expire: 01/31/2024 Address : 28161 CASITAS CT LAGUNA NIGUEL, CA 92677 The Longshore and Harbor Workers' Insurance Phone: (714) 717-7542 Carrier: STATE COMPENSATION INSURANCE FUND Policy No: 9137487 Designer: Policy Expire : 7/11/2023 Address Phone: Code Edition : 2022 Fire Sprinklers : NO Construction Valuation : $95,000.00 Type of Construction : Fire Hazard Zone : NO Occupancy Groups : U Building Setbacks : Front: 10. Side: 3, Side: 3, Rear: 0 Flood Zone: AE, 8 FT; X Use Zone: R-1 - Single -Unit Residential NO CONSTRUCTION NOISE'. Processed By: �35 .• "� SPECIAL CONDITIONS: LIQUEFACTION; HIGH -DENSITY ON THE WEEKEND I hereby affirm under penally of perjury that I am exempt from the Contractors' Stale License Law for the reason(s) indicated below by the chackmark(s) I have placed next to the applicable item(s) (Section 7031.6, 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 for the permit to rile a signed statement that he or she is licensed pursuant to the provisions Of the Contractors' 51a19 License Low (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she Is exempt from licensors 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 not more than five hundred dollars ($500). I© I, as owner of the property, or my employees with wages as their sole compensation, Will do (_) all of or U portloos of the work, and the structure Is not Intended or offered for sale (Section 7044, (�Bustnass and Professions Code: The Contractors' Stale License Law does not apply to an owner of property who, 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 -Builder will have the burden of proving that It was not built or imj'roved for the purpose Of sale). Li I, asowner 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 apply 10 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). © f am exempt from Iicensure under the Contractors' State License Law for the following reason: By 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 legalll sell a structure that I have built as an owner-bulider if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 70" of the Business and Professions Code, Is available upon request when this application Is submitted or at the following Web site:http:ttwww.teginro.ce.gov/c low.html. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjurythat I am licensed under provisions of Chapter g (commencing with Section 7 0) Wbn 3. Business and Profess) Cod y Iieens s In full force and effect. License Class License No Date LJ ontraclor Signature WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE 18 UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS I100,000t, IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 1705 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm under penalty of perjury one of the following declarations: 111 have and will maintain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for Ih performance of the work for which this permit is issued. Policy No. have 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' componsatlol Trance carrier and policy number are: der Polley Number Expiration Data tie of Agent f Phone H certify that, in the perf Z rk 2whl�this permit to Issued, I shall not employ any person In any manner so as tD become subject to the workers'compe� laws of California, end agre t, it I should becomes r Batton provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applic ant Dale �. CLARATION REGARDIN1ON LENDING AGENCY Neby affirm under penalty of perjury thatthers Is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). Ider's Name Lender's Address my signature below, I certify to each of the following: I am the plaperty owner or authorized to acton the grrthe owner's behalf. I have read this application and the Information I h aed is act. I agree to comply with all applicable city and co oe, d ate laws relal(. to bUllding construction. I authorize re7resentntives of this city or coup to enlabo e- ntified proy for Inspection purposes. nature of Property Owner or Authorized Aeent Pdrd.Rronerty Owner's or Authorized A❑ent's Name A:TION I DATE I BY@ECIABGIl�l1lBFC-9rhPtiXdVLE4✓ITH CODE OF FEDERAL I FOR OFFICE USE ONLY REGULATIONS PART 61 Of TITLE 40 ANV AOMD RULE PEPMITrXPIRED _ UISURMIT7ED P'RMifANCELLED �P❑-EPA .F':'f.1:T;XTENpFFJ IJACUMD FZ;;IJ:T FINAL CSP.T1rICl'TEOF OCCUPANCY1SSUFb t l/ UASBESTOS NOTIFICATION 15 NOT APPLICABLE TO PROPOSED DEMOLITION