Loading...
HomeMy WebLinkAboutM2021-0027 - Permits�y6 W I'D* c• 'LLiYtiYa`.. 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 N s}kaEW, ,_ 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: ❑ BPw . _ ❑ A = PERMITCANCELLED PERMITEXTENDED ❑ ASBESTOS NOTIFICARONISNOT APPLICABLE TO PROPOSED DEMOLITION. PERMIT FINAL CERTIFICATE OF SIGNATURE: OCCUPANCYISSUED