HomeMy WebLinkAboutM2018-0067 - PermitsCity of Newport Beach - Puildinq U14sicn II�IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II
"-R0 Civic Center Drive, Newport 2a3ch, GA �2C30 - 2 0 1 8 0 0 6 7
t~ Permit Counter Phone (949)644-3288
s�
eausuxr�' , ,
Job Address: 1220 BAY AVE W Floor: Suite: Bldg: 0
Description of Work: SFR REINFORCE (E) SEAWALL W/NEW COPING & TIE -BACKS
Inspector Area: 1
Legal Description: TR 626 LOT 8 BILK 3(AND SELY 30 FT LOT 7 BILK 3
Owner: ELIAS SABO JR. Contractor: SHELLMAKER INC
Address: 1220 W BAY AVE Address: 837 W 17TH STREET
NEWPPORT BEACHCA 92661 COSTA MESA CA 92627
Phone: Phone: 949-548-5359
State Lic: S-003812
Applicant:
MULTAMEY KEITH
Address:
1278 GLENNEYRE ST#412
LAGUNA BEACH CA 92651
Phone:
949-395-8252
Special Cond:
Issued Date 03/18/2019
Valuation:
$100,000.00
Inspection Fee:
$287.00
Plan Check Fee
$302.00
OT Plan Check Fee:
$0.00
Investigation Fee:
$0.00
Building Green Fee:
$4.00
TOTAL FEE : $728.00
PROCESSED BY:
PLAN CHECK BY:
Con State Lic:561434
Lic Expire: 0313112019
Bus Lic: BT00009706
Lic Exp Date: 01/31/2020
Fire Inspection Fee:
Fire Plan Check Fee:
Records Mangement:
Harbor Plan Check Fee:
Plan Check Fee
HARBOR Permit: M2018-0067
Project No:2661-2018
Inspection Requests Phone (949)644-3255
Engineer:
JAFARI MASOUD
Address:
23 ORCHARD #250
LAKE FOREST CA 92630
Phone:
949-206-9929
Designer:
Address:
Phone:a_ e„ 1
Longshoremen's and Harbor Workers' Compensation Declaration -
Carrier : LONGSHORE
Policy No: L&H-90494517
FEES
$0.00
$0.00
$0.00
Plan Dep - Counter Review:
$0.00
$4.00
Plan Dep -Zoning Plan Check:
$0.00
$131.00
Plan Dep - OverTime Plan Check:
$0.00
$302.00 Fee Due at permit Issuance : $426.00
HARBOR RESOURCES: L IJ
APPROVAL TO ISSUE: " (/-V V J
OTHER DEPARTMENTS:
FINAL INSPECTION:
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION
INER-BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reasonrs) indivatec Wow by tre .hec6mark(s) I have placed next to the applicable item(:
ction 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve. demolis;l, Dr repair any structure, prior to its issuance, also reiuires the applicant
permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State Licens2 Law (Chapter 9 (commencing with Section 7000) of Division 3 of the "Business a
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
more than five hundred dollars ($500).
1, as owner of the property, or my employees with wages as their sole compensation, will do U all of or (_) portions of: line work, and 'he strccture !s rot intended or offered for sale (Section 704-
iness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' cr personal eff3rt, builds or improves the property, provided that t
rovements are not intended or offered for sale. If, however, the building or improvement is sold within one year of-cpmpletibn, the Owner -Builder will have the burden of proving that it was not built
roved for the purpose of sale).
I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does n
ly to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).
I am exempt from licensure under the Contractors' State License Law for the following reason:
my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot Is
a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business
�fessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.govlcalaw.html.
nature of Property Owner or Authorized Agent Date
ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (com encing with Section 7000) of Division 3 of the Business anti Professions Code, and m$ license is in full force
nd effect. License Class License No. DaContractor S" nature .
.ONGSHOREMEN'S & HARBOR WORKERS' COMPENSATION DECLA &ION J
ING: 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
I100, 0); 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 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
` My workers' compensation insurance carrier and policy number are:
Policy Number Expiration Date
of Aqent 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.
ature 9f Applicant: a
CONSTRUCTION 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
7or county to enter the above -identified property for inspection purposes. signature: / /JrL�G �t7� � Print NamI d4 e: �� r PAC, r 0 D 3 —Ifs I CJ
AC'RON
DATE
BY
DECL4RAT1OF COMPLIANCE WITH CODE OF
FOR OFFICE USE ONLY
FEDERAL REGULATIONS PART 61 OFTITLE40AND
AQMD RULE 1403.
PERMIT EXPIRED
-
❑ I SUBMITTED ASBESTOS NOTIFICATION TO:
❑ EPA
❑ AQMD
PERMITCANCELLED
PERMITEXTENDED
`
❑ ASBESTOS NOTIFICA770NIS NOT APPLICABLE TO
PROPOSED DEMOLITION.
PERMIT FINAL
—mil..-L
CERRFICATE OF
SIGNATURE:
OCCUPANCYISSUED
(n
W N d
z
D, ^
a o
C
O S q
N O M O
�p O N w p
d W
m
om
za�
o n n co
��
m 0
N
N N 0 Wo
m, m
_�
n
N n
S O
A
S
60 G 00 � S
S O N O J
Q N
x
O
o
D
o 0
m m O ro
[oQ 3 m o m
n
coo m�cD m
D
fq
SOH.�G�lF9Fo
n ,�p+7�
_ co O m
y
�9
o
�Ni'HS'Na��2o
833P11`���i
m
m
m
❑
❑
❑
❑
'D ❑
❑
p
i
O
Z
O
m
S
@m
m
my
o=
O
y
o
_
o c,
m o
y
m
O I
'm
m
2
v
c) o-
Q' o_-I
-n
to c
[7
m
3
o m
cn m
p i
0
0
N
0>
Z
m c
m
m
y
Q
O
m
❑
❑
❑
0 r
m
O
3
3 00
n
m
m
O
cn
C)
N I
v m
cny
N
o=
m
G
s 0
z
O
m
m
9
O
N
dm
m
m
o A
w
D
❑
❑
❑
❑
-I
z
n
O
O
K
O
cn
o
��o0��
m
M
x
m
m
'c
m
m
C
N
M
�
m
n
p
o
0
❑
❑
❑
❑
z
O
3
n
m
o
=D
o
0
n
o
o 2
m
N
O
m
Ay
oo
t7
�
N
N
0
0
❑
V�
c
0
n
n
r
(n m
m
O
m
n
1
(/�
O
N
c
mD
o�
m
Z
0
O
N
o
>
z
n
D
p
O
a
m
`
O
mY
m
m
om
D �
n ;tl
m
m
z
1
D
z
Q
0
z
z
m
n
0
Z
cn
0
W
on
m
m
S
m
n
x
m
a
a 0
N
q
m
v
K
N
O
'Z m
70 9L
N �
o
�
n
�I C
c
CP
i
Om
V
z
�
�[
m�mlD
O
O
2 v
�`
<
m
L
cn
O
m
m
rPm
N
o�
�D
�O
N
D
p
Q
a
^
n
�
m
,1,
y
i°
O
O
z
-4) m
y
w
a
�
�
m
!vim
u
s
o
m
�
m
c
1�
o
z
z
r
m
m
Goa
N
m
�
m
s
�
v%
C
n
rr
w=
W
a
U)
CD
CD
13
O
M.
\
/
/
2
f
r
E
/
51
n
\
§
/