HomeMy WebLinkAboutM2022-0017 - Permits(9)
City of Newport Beach - Building Division 11pil111111111111111111111111111111111111111111Ip 11
100 Civic Center Drive, Newport Beach, CA 92660 M 2 0 2 2 0 0 1 7
Permit Counter Phone (949)644-3288
Job Address: 74 LINDA ISLE Floor: Suite: Bldg: 0
Description of Work: SFR REINFORCE (E) SEAWALL, REPLACE DEAD MEN & TIE BACKS *CHANGE OF CONTRACTOR*
Inspector Area: 2 �\R�
Legal Description: N TR 4003 LOT 74
Owner: MUMMAJULIE
Address: 513 DRAGON GATE COURT
HENDERSON, NV 89012
Phone: 559-269-1500
State Lic:
Applicant: RITNER RON
Address: 503 32ND ST STE 130
NEWPORT BEACH, CA 92663
Phone: 949-999-3255
Contractor: SHEL11I INC
Addr--- 8 THSTREET
A 92
Phoy C"` 99 8 5359Con C,(�
State Lic:5
Lic Expire:,,.,, / 1/ 20223
Bus Lic: VT00009706
Lic Exp Date: 01/31/2023
HARBOR Permit: M2022-0017
Project No : 0349-2021
Inspection Requests Phone (949)644-3255
Engineer:
JAFARI MASOUD
Address:
23 ORCHARD #250
LAKE FOREST CA 92630
Phone:
949-206-9929
Designer:
Address:
Phone:
Special Cond: LIQUEFACTION
Issued Date 05/OOD ZONE
nn Declaration -
Longshoremen's and Harbor Workers' Compensation
PolicyrNo:O&H ' ��.." r
Expire: 07/11/ �22
FEES
Valuation:
$0.00
Fire Inspection Fee:
$0.00
$0.00
Inspection Fee:
$0.00
Fire Plan Check Fee:
$0.00
Plan Dep - Counter Review: $0.00
Plan Check Fee
$0.00
Records Mangement:
$0.00
Plan Dep - Zoning Plan Check: $0.00
OT Plan Check Fee:
$0.00
Harbor Plan Check Fee:
$0.00
Plan Dep - OverTime Plan Check: $0.00
Investigation Fee:
$0.00
Building Green Fee :
$0.00
TOTAL FEE : $38.00
Plan Check Fee :
$38.00
Fee Due at permit Issuance : $0.00
PROCESSED BY:
—_
PUBLIC WORKS:
PLAN CHECK BY:
APPROVALTOISSUE:
OTHER DEPARTMENTS:
FINAL INSPECTION: _
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION
rNER-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)
,tion 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 anc
'essions 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).
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 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 oI
roved for the purpose of sale).
1, 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
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).
I am exempt from licensure 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 Is
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
fessions Code, is available upon request when this application is submitted or at the following Web site:http://w .leginfo.ca.gov/calaw. html.
nature of Property Owner or Authorized Agent Date
ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of erjury that I am licensed and rov' i of hapter 9 (commencln w'th Sects n 7000) of Division 3 of the Busine and rofes 'ISn Code, and y ense s
nd effect. License Class License No. Date f2 Q�2� Contractor Signatur
ONGSHOREMEN'S && HAFMOR COMPENSATI N DECLARATI�
'ARMING: FAILURE TO SECURE LONGSHOREMEN'S & HARBOR WORKERS' COMPENSATION COVERAGE Is UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENA TIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND
110 V, O), 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
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 is
My ker �cnsation insurance carrier and policy number are:
� % Policy Number Expiration Date
Anent _ Phone #
I I certify that, in the performance of the work for which this permit is issued, I shall not
ree that, if I should beco a subjec to thew ers' compensation provisions of Section 37
gnature of Applicaryt k / A
LENDING
person in any manner so as to become subject to the workers' compensation laws of California,
r Code, I shall forthwith comply with those provisions.
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 behal . !
I have read this application and the information I have provided is correct.
agree to comply with all applicable city and county ordinances and state la ` to buildifig construction.
I authorize repress ntat' s of thi .sty-ecs a above -identified property for inspection purposes.
signature: Print 4t :
,ATIGN
DR IT
BY
DECLA IO OF COMPLIANCE AgTH CODE OF
FOR OFFICE USE ONLY
FEDERAL REG LATIONS PART 64 OF TITLE40ANO
AQMD RULE 1403.
PERMIT EXPfR€D
❑ 1 SUBMITTED ASBESTOS N077FICATION T7:
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PERMITCANCELLED
❑ AQMD
PERMfT EXTENDED
ASBESTOSO
P❑RROPOSEDDEMLI AOCC�TIONIS N07 APPLfG1BLE �u
PERMIT FINAL
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SIGNATURE:
OCCUPANCYISSUED
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