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Home My WebLink AboutM2019-0010 - Permitso mi r City of Newport Beach -Building Division IIIIIIIIIIIIIIIIIIIIIIII�IIIIIIIIIIIIIIIIIIIII II 100 Civic Center Drive, Newport Beach, CA 92660 P F *^ Permit Counter Phone (949)644-3288 Job Address: 3900 CHANNEL PL Floor: Suite: Bldg: 0 Description of Work: SFR REINFORCE (E) SEAWALL, INSTALL TIE -BACKS & NEW CONCRETE DEADMAN Inspector Area: 7 Legal Description: CANAL SECTION LOT 1 BILK 539 ALL -INC BET SAME & HIGH TIDE LINE -(AND Owner: 3900 CHANNEL PLACE #1, LLC Address: 15 CORPORATE PLAZA #150 °C°f Valuation: ° ° ° ° ° ° NEWPORT BEACH, CA 92618 Phone: $287.00 Plan Check Fee Statgo o i AaplfcwnlY: LINSDAY'BRANDON Aodrpss� 154 o vALAMUS DR #G-1 Building Green Fee: COSTA MESA CA 92626 Ph®11e:� ° 714-- 54-4040 00 ...°° °°°o ° Speciab�ond:.°°° m ° ° Issveddate 03%27/2019 Phone: °C°f Valuation: ° ° ° ° ° ° $30,000.00 Inspection Fee: $287.00 Plan Check Fee $302.00 OT Plan Check Fee: $0.00 Investigation Fee: $0.00 Building Green Fee: $2.00 TOTAL FEE: $601.00 PROCESSED BY: Contractor: EKEDAL MASONRY & CONCRETE INC Address: 220 NEWPORT CENTER DR #11-288 Address Plan Check Fee : $302.00 HARBOR RESOURCES: HARBOR Permit: M2019-0010 Project No : 0194-2019 Inspection Requests Phone (949)644-3255 Engineer: PETROV PLAMEN 26161 CASITAS CT LAGUNA NIGUEL CA 92677 714-717-7542 Longshoremen's and Harbor Workers' Compensation Declaration - Carrier : EMPLOYEE SERVICE GROUP Policy No: 2246 $0.00 Plan Dep - Counter Review: $0.00 Plan Dep -Zoning Plan Check: $0.00 Plan Dep - OverTime Plan Check: $0.00 Fee Due at permit Issuance : $299.00 PLAN CHECK BY: Ir` APPROVAL TO ISSUE: OTHER DEPARTMENTS: 1 �� " FINAL INSPECTION: PERMIT EXPIRES 280 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION NEWPORT BEACH CA 92660 Fire Inspection Fee: Phone: 949/729-8082 Phone: C-066947 $10.00 Harbor Plan Check Fee: Con State Lic:487590 Designer: Lic Expire: 02/28/2020 Address: Bus Lic: BT00005971 Lic Exp Date: 09/30/2019 Phone: Plan Check Fee : $302.00 HARBOR RESOURCES: HARBOR Permit: M2019-0010 Project No : 0194-2019 Inspection Requests Phone (949)644-3255 Engineer: PETROV PLAMEN 26161 CASITAS CT LAGUNA NIGUEL CA 92677 714-717-7542 Longshoremen's and Harbor Workers' Compensation Declaration - Carrier : EMPLOYEE SERVICE GROUP Policy No: 2246 $0.00 Plan Dep - Counter Review: $0.00 Plan Dep -Zoning Plan Check: $0.00 Plan Dep - OverTime Plan Check: $0.00 Fee Due at permit Issuance : $299.00 PLAN CHECK BY: Ir` APPROVAL TO ISSUE: OTHER DEPARTMENTS: 1 �� " FINAL INSPECTION: PERMIT EXPIRES 280 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION FEES Fire Inspection Fee: $0.00 Fire Plan Check Fee: $0.00 Records Mangement: $10.00 Harbor Plan Check Fee: $0.00 Plan Check Fee : $302.00 HARBOR RESOURCES: HARBOR Permit: M2019-0010 Project No : 0194-2019 Inspection Requests Phone (949)644-3255 Engineer: PETROV PLAMEN 26161 CASITAS CT LAGUNA NIGUEL CA 92677 714-717-7542 Longshoremen's and Harbor Workers' Compensation Declaration - Carrier : EMPLOYEE SERVICE GROUP Policy No: 2246 $0.00 Plan Dep - Counter Review: $0.00 Plan Dep -Zoning Plan Check: $0.00 Plan Dep - OverTime Plan Check: $0.00 Fee Due at permit Issuance : $299.00 PLAN CHECK BY: Ir` APPROVAL TO ISSUE: OTHER DEPARTMENTS: 1 �� " FINAL INSPECTION: PERMIT EXPIRES 280 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION 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 fessions 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 U 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 o. 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 Iy 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://www.leginfo.ca.gov/calaw. html. _ nature 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 (com enci . ng with Section 7000) of Division 3 of the BUST sand Prof ns Cod Ty'li ense is in full force nd effect. License Class License No. Date — Contractor Signatu 'SHOREMEN'S & HARBOR WORKERS' COMPENSATION DECLAR N G: FAILURE TO SECURE LONGSHOREMEN'S a HARBOR WORKERS' COMPENSATION COVERAGE IS UNLAWF L, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENAL IES AND CIVIL FINES UP TO ONE HUNDR964HOUSAND DOLLARS .100,0 I, IN ADDITION To THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3708 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm under penalty of peorygVof the j011bVirtg eclar ions: •OO°°° 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 wort �fbf1NQiCh this Perm it D (sued. My workers' compensation insurance carrier and policy number are: ...... :arrier Policy Number Expiration Date hsaaeof Anent Phone # 00 0 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 Califorpla° gR( that, if I should become subject to the workers' compensation prov sio of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. .. rture of Applicant) . . I hereb affirm under enalt 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 ..0060. Y P Y P 1 rY 9 9 Y P P ( ) 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 phis city or cnty4o e9tter the above -identified property for inspection purposes. signature Print Na Date: - / ACTION 4WE BY aECLARATIUAAQFCOMPLIANCEMTHCODEOF FOR OFFICE USE ONLY FEDERAL REGULATIONS PART 61OFTITLE40AND AQMDRULE1403. . PERMITEXPIR€D ❑ iSUBMITTEDASSESTOSNO77FIC4TIONTOr ❑ EPA ❑ AQMD PERMITCANCELLED PERMIT EXTENDED �OPOSEDOEMOLIT ASBESTOS TiONISNOTAPPLfCABL.ETO PERMITFINAL 1--1(0 —Zo /Ltd CERTIFICATE OF OCCUPANCYISSUED SIGNATURE: