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Home My WebLink AboutM2016-0063 - PermitsCity of Newport Beach - Building Division IIIIIIIIIII�IIIIIIIIIIIIIIIIIIIIIIIIII 100 Civic Center Drive, Newport Beach, CA 92660 ti ti. Permit Counter Phone (949)644-3288 u 4lp1YY� M 2 0 1 6 0 0 6 3 IIHARBOR Permit: M2016-0063 Project No: 2570-2016 ) Inspection Requests Phone (949)644-3255 yg momm e m ✓�I �� ,a� � •oem o e• Lo Job Address: 700 BAY AVE W Floor: Suite: Bldg: 0 Description of Work: REINFORCE EXISTING SEAWALL UTILIZING NEW TIE -BACKS AND DEADMAN, NEW CANTILEVERED CONCRETE DECK. e e mmm. 0 InspectorArea: 1 o m e mmm m e Legal Description: TR NO 710 LOT 1 AND T6S RI OW SEC 34 FOR OF E1/2 Owner: WARMINGTON JIM Contractor: OWNER/BLDR Engineer: JAFARIMASOUD me®mmm Address: 37 CAPE ANDOVER Address: Address: 23 ORCHARD #250 m NEWPORT BEACH, CA 92660 LAKE FOREST CA 92630 0 0 o e •em Phone: 714-434-4436 Phone: Phone: 949-206-9929 State Lic: S-003812 Applicant: WARMINdTON JIM Con State Lic:O/B Designer: Address: 37 CAPE ANDOVER Lic Expire: Address: NEWPORT BEACH, CA 92660 Bus Lic: Phone: 714.434-4436 \ Lic Exp Date: Phone: Special Cond: Longshoremen's and Harbor Workers' Compensation Declaration - Carrier : Issued Date 02/15/2017 Policy No: Expire FEES Valuation: $25,000.00 Fire Inspection Fee: $0.00 $0.00 Inspection Fee: $270.00 Fire Plan Check Fee: $0.00 Plan Dep - Counter Review: $0.00 Plan Check Fee $283.00 Records Mangement: $4.00 Plan Dep - Zoning Plan Check: $0.00 OT Plan Check Fee: $0.00 Harbor Plan Check Fee: $123.00 Plan Dep - OverTime Plan Check: $0.00 Investigation Fee: $0.00 Building Green Fee : $1.00 TOTAL FEE : $681.00 Plan Check Fee: $406.00 Fee Due at permit Issuance: $275.00 PROCESSED BY: PLAN CHECK BY: HARBOR RESOURCES: V� APPROVA6Ws& "A6: �M�1 OTHER DEPARTMENTS: FINAL INSPECTION: PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION o e 00000v 0 e ora o< c 0 • rc •e� c e ococe ooc�� m m mocr<c m orCr 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) (Section 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 foi the 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 Professions 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 of not more than five hundred dollars ($500). 13 t,•as•gMner of the property, or my employees with wages as their sole compensation, will do U all of or U 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 improvemem stare 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 • improveU•for the purpose of sale). A owner of the property, am exclusively contracting with licensed Contractors to construct the protect (Section 7044, Business and Professions Code The Contractors' State License Law does anPy4)er of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). ,n"emmpt from licensure under the Contractors' State License Law for the following reason: By cignatuAre 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 legal) ' • as a strupture that I have built as an owner -builder if it ha not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business anc �• ProfessiPns Cpde, is available upon re uest when this I' n is submitte or at the following Web site: htt ://www.le info.ca. ov/calaw.htm 1. P q P 9 P 9 9 ignatureoi IPpoperty Owner or Authorized AgerAf - D& ?_— • • LICEItSFBVONTRACTOR'S DECLARATION I herebyeffirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. License Class License No. Date. Contractor Signature LONGSHOREMEN'S 8 HARBOR WORKERS' COMPENSATION DECLARATION ARNING: FAILURE TO SECURE LONGSHOREMEN'S S HARBOR WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($ 100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 0705 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm under penalty of perjury one of the following 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 workers' compensation insurance carrier and policy number are: Policy Number .Expiration Date Agent Phone # ,"' I certify that, in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, that, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. itureofApplicant: J /% ) 2Z— TION REGARDING I hereby affirm under penally 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 behalf. I have read this application and the information I have provided is correct. I agree to comply all licable city and county ordinances and state laws relating to building construction. I authorize r1pr, an I s f this cit or count enter the above -identified ro Ins ection u ses. P / �y P P P P 9 iinnnfnre�I /`q:`� /// 1 nn} oma• ♦ r)^ /aty'+-n 4..t v Data%f A61ON D_AIE BY DSGMRATION OF COMPLIANCE tMTH CODE OF FOR OFFICE USEONLY FEDERAL REGULATIONS PART 61 OF IIILE40 AND AOMDRULE 1403. PERMITEXPIRED ❑ i SUBW TEDASBESTOS NOIIFICATiON TO: ❑ EPA ❑ AOMD _ PERMITCANCELLED PERMITEXTENDED PROPOSED OS N07I CAIIONIS NOT APPLICABLE TO N. PERMIT FINAL— a -I % CERTIFICATEOF OCCUPANCY.ISSUED SIGNATURE: