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Home My WebLink AboutM2018-0008 - PermitsCity of Newport Beach - Building Division 11111111111111111111111111111111111111111111111111111 11111 ems •e, • • • mem ms 100 Civic Center Drive, Newport Bekch,oCFg92660 M 2 0 1 8 0 0 0 8 E , Permit Counter Aene r949)641-488 e m j. _ • e e e ••e a e o • oom • e omm mm �'�GIKit�}p • eee m• e e m m m • m oe • o s •• m m • o m m Job Address: 501 VIA LIDO SOUD Floor: Suite: Bldg: 0 Description of Work: REINFORCE EXTG SEAWALL Plan Check Fee $283.00 Inspector Area: 1 $0.00 Investigation Fee: Legal Description: TR 907 LOTS 456 AND 457 Building Green Fee: $1.00 Owner: GUIDAS JOHN Contractor: WINKLE CUSTOM HOMES Address: 501 VIA LIDO SOLID Address: 416 1/2 ORCHID AVE NEWPORT BEACH, CA 92663 CORONA DEL MAR CA 92625 Phone: Phone: 949-873-3125 State Lid: C-066947 Applicant: PETROV PLAMEN Con State Lic:992007 Address: 28161 CASITAS CT Lid Expire: 03/31/2020 LAGUNA NIGUEL CA 92677 Bus Lia BT30055137 Phone: 714-717-7542 Lic Exp Date: 05/31/2019 Special Cond: *NO WORK TO BE DONE IN THE WATER* Workers' Compensation Declaration - Issued Date 07/26/2018 Valuation: $25,000.00 Inspection Fee: $270.00 Plan Check Fee $283.00 OT Plan Check Fee: $0.00 Investigation Fee: $0.00 Building Green Fee: $1.00 TOTAL FEE: $775.50 PROCESSED BY: PLAN CHECK BY: W v5 Plan Check Fee : $443.50 HARBOR Permit: M2018-0008 Project No : 0110-2018 Inspection Requests Phone (949)644-3255 Engineer: PETROV PLAMEN Address: 28161 CASITAS CT LAGUNA NIGUEL CA 92677 Phone: 714-717-7542 Designer: }� Address: 4j. Phone: Longshoremen's and Harbor Carrier: STATE FUND Policy No: 9122282 CXDIre : U7/1UIZU IV $0.00 Plan Dep - Counter Review: $0.00 Plan Dep - Zoning Plan Check: $37.50 Plan Dep - OverTime Plan Check: $0.00 Fee Due at permit Issuance: $332.00 HARBOR RESOURCES: LW APPROVAL TO ISSUE: OTHER DEPARTMENTS: FINAL INSPECTION: PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION FEES Fire Inspection Fee: $0.00 Fire Plan Check Fee: $0.00 Records Mangement: $4.00 Harbor Plan Check Fee: $123.00 Plan Check Fee : $443.50 HARBOR Permit: M2018-0008 Project No : 0110-2018 Inspection Requests Phone (949)644-3255 Engineer: PETROV PLAMEN Address: 28161 CASITAS CT LAGUNA NIGUEL CA 92677 Phone: 714-717-7542 Designer: }� Address: 4j. Phone: Longshoremen's and Harbor Carrier: STATE FUND Policy No: 9122282 CXDIre : U7/1UIZU IV $0.00 Plan Dep - Counter Review: $0.00 Plan Dep - Zoning Plan Check: $37.50 Plan Dep - OverTime Plan Check: $0.00 Fee Due at permit Issuance: $332.00 HARBOR RESOURCES: LW APPROVAL TO ISSUE: 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 bydlia c9ec1m1r4s)6I%av9 %ac€d Aext 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 ady 4trucf4e„prC)r idits iistuancp, also requires the applicant fc permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (cdrgr?ier) ting with Sectond0p0) of Division 3 of the Business ani '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 fora permit subjects° fhle applicant to a civil penalty c more than five hundred dollars ($500). 1, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) portions of the work, and.the structure.is not iptendecL4roffe4ed 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 PgrtoneC bffgrt, tjydldC ol•in)prdve s tie property, provided that thi 'ovements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the OwpeRBuilfler will -have the burden of proving that it was not built o • 'oved for the purpose of 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 due* nol y 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 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 70, (essions Code, is available upon request when this application is submitted or at the following Web site:htp://www.leginfo.ca.gov/calaw.htmi. nature of Property Owner or Authorized Agent Date of the Business ICENSED CONTRACTOR'S DECLARATION hereby affirm 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 fo nd effect. License Class License No. Date Contractor Signature ONGSHOREMEN'S & HARBOR WORKERS' COMPENSATION DECLARATION ARNING: FAILURE TO SECURE LONGSHOREMEN'S 6 HARBOR WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND OCLLA 100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR INS 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm under penalty of perjury one of the follow) sylarations, 51-ttTC FWM0 #k 1122282 X✓1't iJ I have and will maintain compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit sued. My workers' compensation insurance carrier and policy number are: ander; Policy Number Expiration Date ameof Agent INCL- R-- ML&(r_?HLA 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. iture of ADolicant: _ LENDING AGENCY 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 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 to enter the above -identified property for inspection purposes. iignature�% Print Nam i � INGL 1Ly>✓ �W("L+4 Date:X 7hckut? AeRON DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FOR OFFICE SE ONLY FEDERAL REGULATIONS PART 61 OF TITLE 40AND AQMDRULE 1403. PERM/TEXPIRED I SUBMITTEDASBESTOS NO71F1CATIONTO: ❑ EPA ❑ AQMD PERMITCANCELL€D P£RMITEXTENDED ❑ ASBESTOS NORFICADOHIS NOT APPLICABLE TO PERNIiT FINAL ( PROPOSEDDEMOLITION, CERDFICATEOF OCCUPANCYISSUED. SIGNATURE: