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HomeMy WebLinkAboutM2023-0068 - Permits0., City of Newport Beach Community Development Department - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 718-1888 newportbeachca.gov/civic Ili1"lil {{i i{I ��liiil" I'! !'il� ,Harbor Permit : M2023-0068 Plan Check No : PC2022.3180 Work Class : New Issued Date : 12/12/2023 l is pection Area :7 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 : 201 COAST HWY E Legal Desc : S TWP 27 RGE 6 SEC 1D SEC 26 T 6 R 10 POR SW1/4 Description : COMM EXTEND SEAWALL 20 LF @ NORTH SIDE Owner: IRVINE CO Address: 111 INNOVATION IRVINE, CA 92618 Phone : (949) 720-3100 Applicant; POWER ENGINEERING CONSTRUCTION CO Address : 1501 VIKING ST., #200 ALAMEDA, CA 94501 Phone: (510)337-3800 Code Edition : Type of Construction Occupancy Groups: Building Setbacks Flood Zone Use Zone: 2022 U Contractor: POWER ENGINEERING CONSTRUCTION Architect CO Address : 1501 VIKING ST., #200 ALAMEDA, CA Address 94501 Phone: (510)337-3800 Phone: Con State Lie : 488215 State Lie: Lie Expire : 03/31/2024 Bus Lie: BT30081098 Engineer: Bus Lie Expire : 03/31/2024 Address The Longshore and Harbor Workers' Insurance Carrier: INSURANCE COMPANY OF THE STATE OF Policy NoPENN&(lB &784THE) Policy Expire : 10/1/2024 Fire Sprinklers : NO Fire Hazard Zone : NO AE, 8 FT; X; X CM - Commercial Recreational and Marine Processed By: SPECIAL CONDITIONS: REV2023-1 72 Phone Designer: Address Phone: HOLCOMBJEREMIAH 4225E CONANT ST LONG 90808 (661)219-1446 Construction Valuation $150,000.00 BEACH, CA I hereby affirm under penalty of perjury that I amexempt front the Coorra''.toe" State ! ieese Law for the reasons) indicated ticam, by the checkmark(s) I have placednext to the applicable Item.(s) clion 7034,5, Business and Professions Code: Any city or county that rejui:es a ,rei.nit to vonsu uct. attcr, on: prove, demolish, or repair any structure, prior to Us issuance, also requires the appk ant. to perm Ito rile. a. signed staterrnnt that he or she Is liceirsed Torso ant to the r rOI'i1V7Ids of the 1;ontrrc Fur' State License Law (Ch aplerr9 (commencing with Section 7000) of Division 3 of the Business ant lessions. Good) or that he or She is exempt from I censure and the basis for the alleged exempton. Any Viola bon of Section 70-11..5 by any appHc ant fora permit subjects the appac ant to a cNiI penalty o more than five Minor ed dollars ($500) as owner or the property, or my employees with wages as their sure comnensattor. will '10 L) all or or I—) portions of the work. and the structure is not Intended or offered for sale (Section 7044,. . ness and Professions Code: The Contractors' State License Law doe.; not jppiy to Ln. owner of Drooeuy wou, through employees' or personal effort, builds or improves the, property, provided thattin rovements are not intended or offered for sale. If, however, the building or improvement is Feld within one ^ear of campletl on. the Owner -Builder will have the burden of proving that R was not built a roved for the purpose or sale). 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 rfy to an owner of property who bulbs orimproves Ulereon, and who contracts (orthe projects with a. licensed Contractor pursuant to the Contractors' State. License Law). ❑ I am exempt I rum hcensure under the Contractors State License Law for the following reason:. By my signature. below I aglow kedge that, except for my personal residence in which I must have resided for at least one War prior to completion of the. improvements COVE sell a structure that I have built as an owner -builder if R has not been constructed in IS entirety by licensed contractors. I understand that a copy of the applicable law, Professions Code, is available upon request when this application is submitted or at the fdiow ing Web site _http:IhvwwlegImo ca.govicataw _hint. Signature OLP roperty Owneror Authorized Agent Date Irm I cannot to of the Business LICENSED CONTRACTOR'S DECLARATION I hereby ainnin under penalty of perjury that 1 am licensed under provisions of Chapter (commencing wRh t7000) of Division 3 of the Business an scions Code, my license is in full forcE and effect License Gass License No Cateo,10 eolon Contractor Signature j0 i E LONGSHOREMEN'S R HARBOR WORKERS' COMPENSATION DECLARATON - �— WARNING: FAILURE TO SECURE LONGSOREN,E.N'S&H ARBOR wORKERS'COWENSATiON COVERAGE IS UN LPWFUL,MD SHALL SUBJECT AN ENIPLONER TO CRIARNAL PENALTIESAN.DCAIT EWES RP TOONE NUN DRED THOti54! DOLLAR$ (MG.00ru, IN ADDITION TO THE COST OF CO...N PENSATUN, DATES AS PROVIDED FUR IN MC UQN'. 3706 OF VrE LABOR CODE, INTEREST, AND AT ORNEY'S FEES. I hereby affirm under penalty Of perjury one of the to] lowing I have and will maintain Longshoremen's and Harbor Workers' compensation insurance, as required by Section 3700 of the La]Dr Code, for the perform ance at the work for which this permit is My workers:' cortgdensation insurance carrier and policy number are: - Policy Number Expiration Cate of Agent Phone# I certiry that, in theperformance of the work for which this penult is issued, I shall not em ploy any person In any manner sous to become sublec Itothe worriers' con pen sation laws of California,. that, d I sho become sub to the Workers' compensation provisions of Section 3700 of the Labor Code, I shall IOnhWIM comply with those prOVGIOn5. hurt: of AAA carte, natal /�7 12112/ Z Z I hereby affirm under penally of perjury thatlhere isa. construction. Fending agency fortheperformance of Lender's Name Lender's Address By my signature below, I. certityta 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 win all applicable city and county ordinances and state laws relating to building construction. I authorVe represenjall of this city or county to ententne above -identified property for inspection purposes. Signature: FkCTtON ERMIT f.YPfRED PERP✓rfT CA.NGELt E:: PERMIT E7C7fflDED PERMIT FINAL CERTIFICA.TEOF the wopr for which this permit IS Issued (Section 3097, Olvfl Code), Print Na Me c �St7 'tV�.Cc-u BM DECLARATION O. OMPLlANCE tM1?T COf}E OF FEDERAL REGOLA DONS PART SI OF TITLE'40 AND AQMD RULE Moo ❑ 1SUBMITfED ASBESTOS NO RFICATION TO. - El EPA ❑ AQMD ❑ ASBESTOS MODIFICATION IS NOT APPLICABLE TO PROPOSED DEMOLITION. SIGNATURE: Date: