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Home My WebLink AboutM2023-0033 - PermitsO��EWPpRT City of Newport Beach @ Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 'e D Permit Counter Phone: (949) 718-1888 newportbeachca.gov/civic �qti co a��P IIII I I III III IIII IIII II II Harbor Permit : M2023-0033 WPlan Check lass : No: PC2023-1297 Issued Date : 05/30/2023 inspection Area : 2 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 : 23 HARBOR ISLAND Legal Desc : N TR 802 BLK LOT 23 TR 802 LOT 23 ALL -INC BET SAME 8, HIGH T IDE Description: SFR REINFORCE EXISTING SEAWALL AND BULKHEAD Owner: PICKUP TODD TR PICKUP LIVING TR Contractor: EKEDAL CONCRETE INC Address : 31 CAPE ANDOVER NEWPORT BEACH, CA Address: 19600 FAIRCHILD RD STE 123 IRVINE, 92663 CA 92612 Phone: Phone: (949)729-8082 Con State Lie : 487590 Applicant: JEFF WEST Lie Expire : 02/29/2024 Address: 1540 S COAST HWY STE 205 LAGUNA Bus Lie: BT00005971 BEACH, CA 92651 Phone: (949) 715-8916 Bus Lie Expire : 09/30/2023 Code Edition : Type of Construction Occupancy Groups: Building Setbacks Flood Zone: Use Zone : 2022 U Front: 15, Front: 15, Side: 4, Side: 4 X R-1 - Single -Unit Residential Processed By: SPECIAL CONDITIONS: The Longshore and Harbor Workers' Insurance Carrier: DEPT OF INDUSTRIAL RELATIONS Policy No: 4503036 Policy Expire : Fire Sprinklers : NO Fire Hazard Zone : NO Architect Address Phone: State Lie: Engineer: JAFARIMASOUD Address: 23 ORCHARD #250 LAKE FOREST, CA 92630 Phone: (949)206-9929 Designer: Address Phone: Construction Valuation : $60,000.00 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reasons) indicated below by the checkmark(s) I have placed next to the applicable Items) Section 7031.5. Business and Professions Code: Any city or county that requires a permit to construct. after, improve; demolish, or repair any structure, prior to its Issuance, also requires the applicant for he permit to file a signed statement that he or she is Ilconsed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and �rofesslons Code) or that he or she is exempt from licensure and the basis for the alleged exemption. Anyviolation of Section 7031.6 by any applicant for a permit subjects the applicant to a civil penalty of lot more than five hundred dollars ($500). I, as owner of the property, or my employees with wages as their sole compensation, *11 do U all of or L) portions of the work, and the structure Is not: intended or offered for sale (Section 7044, Business 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 mprovements 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 3 m roved for the purpose of sale). J 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 fpply 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 licensors under the Contractors' State License Law for the following reasom. 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 legall; Zell a structure that I have built as an owner -builder if it has not boon constructed In its entirety by licensed Contractors. I understand that copy of the applicable law, Section 7044 of the Business and Irofessions Code, is available upon request when this application is submitted or at the following Web site:http:/iwow✓.leginfo.ca..gov/calaw.htmi. signature of Property Owner or Authorized Agent Date -ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section0) of Devi ion 3of the Business and P. ssions Code a my been a is in full force and effect. License Class L€tense. No DEAN 0 Contractor Signatufqrs VORKERS' COMPENSATION DECLARATION IARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (6100,000). IN ADDITION TO THE DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706.OF THE LABOR CODE, INTEREST, Me ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: I I 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 th erformance 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 are: Policy Number of Agent Date certify that, in the performance of the work for which this 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, if) should become s bject to the workers' compensation provisions or Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applies Data e CLARA710N REG OI NS7 CCTON LENDING AGENCY Ireoy affirm under penalty of perury that there is a construction lending agency for the perfgrmance of the work For which fhis permit is issued (Section 3097, Civil odeJ. Ider's Name Lender's Address my signature. below, I certify to each of the following: 1 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 K gnter the a v -Identified property for inspection purposes. Iv A I , >I .nature OT FrOperty Uwner or Authorized Agent Print Property Owner's or Authorized A ACTION DATE. BY DECLATWTICN OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AOMD RULE PERMITEXPiRED U I SUBMITTED ASE FSTOS NOTIFICATION TO PERMITCANCELt£D EIEPA PERMIT EXTENOEQ —QAQ�Z PERMIT FINAL z'2� 1i D/:..)�� ASBESTOS e11PICATION,5r,OTAPPUCASL,` TC CERTIFICATE OF PROPOSER OLtTION OCCUPANCY ISSUED SIGNATURE