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City of Newport Beach - Building Division 111111III 11111p111111111111111111p111p11111111Ip 11
100 Civic Center Drive, Newport Beach, CA 92660 M 2 0 2 1 0 0 2 7
Permit Counter Phone (949)644-3288
HARBOR Permit: M2021-0027
Project No : 2185-2020
Inspection Requests Phone (949)644-3255
Job Address: 502 VIA LIDO NORD Floor: Suite: Bldg: 0
Description of Work: RAISE EXISTING SEAWALL WI(N) CONCRETE STEM WALL; REINFORCE (E) SEAWALL BY UTILIZING TIE -BACKS
Inspector Area: 2
Legal Description: TR 907 LOT 493 ALL
-EX NWLY 40 FT -
Owner: SNELL MARK & TERI
Contractor:
EKEDAL MASONRY & CONCRETE INC
Engineer: MANSHADI FARHAD
Address: 2865 S RABBIT BRUSH LN
Address:
19600 FAIRCHILD RD STE 123 Address:
1800 E 16TH ST UNIT B
JACKSON WY 83001
IRVINE CA 92612
SANTA ANA CA 92701
Phone:
Phone:
9491729-8082 Phone:
714-835-2800
State Lic:
C-036840
Applicant:
HANNA ELIZABETH
Address:
151 KALMUS DR #G-1
COSTA MESA CA 92626
Phone:
714-754-4040
Special Cond:
Issued Date 04/27/2021
Valuation:
$50,000.00
Inspection Fee:
$308.00
Plan Check Fee
$322.00
OT Plan Check Fee:
$0.00
Investigation Fee:
$0.00
Building Green Fee :
$2.00
TOTAL FEE: $632.00
PROCESSED BY:
PLAN CHECK BY:
Con State Lic:487590 Designer:
Lic Expire: 02/28/2022 Address:
Bus Lic: BT00005971
Lic Exp Date: 09/30/2021 Phone,
(lnoN NOS
��� Longshoremen's and Harbor Workers' Compensation Declaration -
�� Carrier: ZURICH AMERICAN INS CO
,q Policy No: WC380494700
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Fire Inspection Fee: $0.00 $0.00
Fire Plan Check Fee: $0.00 Plan Dep - Counter Review: $0.00
Records Mangement: $0.00 Plan Dep - Zoning Plan Check: $0.00
Harbor Plan Check Fee: $0.00 Plan Dep - OverTime Plan Check: $0.00
Plan Check Fee : $0.00 Fee Due at permit Issuance: $632.00
PUBLIC WORKS:
APPROVAL TO ISSUE:
OTHER DEPARTMENTS:
FINAL INSPECTION:
PEF ML'EXPIvE548 DAYrAFJ'CN15.�1,1,NCE OR LAST VALID INSPECTION
INER-BUILDER DECLARATION
1 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)
ction 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 fog
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 6
more than five hundred dollars ($500).
I, 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 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 of
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 not
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 le
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 (commencin with action 7000) of Division 3 of the Business and Professions Code, and my license is in full force
nd effect. License Class License No. Da Contractor Signaturee��—?�
ONGSHOREMEN'S & HARBOR WORKERS' COMPENSATION DECLARATION'
'ARNING: FAILURE TO SECURE LONGSHOREMEN'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 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 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.
rture of Applicants , .. /
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 owners 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.
Mgnatul(r _; Print Name: 2rM d�—\ rC_c, - Date: Z 7 z /
ACTION
DATE
BY
DECLARATION Zr C MPLIANCE INITH CODE OF
FOR OFHCE USE ONLY
FEDERAL REGULATIONS PART 51 OF TITLE40 AND
AQMDRUL_E'1403. -
PERMITEXIDWED
❑ ISUBA4ITi EIr)A-iBFSTOS NJTIFICATION TO:
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❑ A =
PERMITCANCELLED
PERMITEXTENDED
❑ ASBESTOS NOTIFICARONISNOT APPLICABLE TO
PROPOSED DEMOLITION.
PERMIT FINAL
CERTIFICATE OF
SIGNATURE:
OCCUPANCYISSUED