Loading...
HomeMy WebLinkAboutM2022-0052 - Permits�EWPp @ Community Development Department - Building Division II II I I II II I II II II I I I II Harbor Permit M2022 0052 o` s RT City of Newport Beach �y 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2022-2744 = Permit Counter Phone: (949) 718-1888 fie. newportbeachca.gov/civic Work Class : Other cy�iFoaN�r Issued Date : Area : 6/2D23 Inspection Area : 7 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. Construction Hours: Monday - Friday 7:00 a.m. to 6:30 p.m. and Saturday 8:00 a.m. to 6:00 p.m. No work on Sundays or Holidays. Job Address : 3333 COAST HWY W Description: COMM -SEAWALL REPAIR Legal Desc : A TR IRVINE SUB BLK 2 IRVINE SUB LOT BLK 2 POR OF BLK Owner: GOLDEN HILLS TOWERS LLC Contractor : SHELLMAKER INC Architect : Address : 233 S BEAUDRY AVE STE1100 LOS Address : 837 W 17TH STREET COSTA MESA, CA Address: ANGELES, CA 90012 92627 Phone: Applicant: CHANDLER CLARK Address : 2250 NEWPORT BLVD, BEACH, CA 92663 Phone: (714)818-8034 Code Edition : Type of Construction : Occupancy Groups: Building Setbacks : Flood Zone : Use Zone : 2019 U Phone : (949) 548-5359 Phone : Con State Lic : 561434 State Lic : Lic Expire : 03/3112025 101 NEWPORT Bus Lic: BT00009706 Engineer: JAFARI MASOUD AE, 8 FT; X; X MU-W1 - Mixed -Use Water Processed By: SPECIAL CONDITIONS: Bus Lic Expire : 01/31/2024 The Longshore and Harbor Workers' Insurance Carrier: STATE COMPENSATION INSURANCE FUND Policy No: 9137487 Policy Expire : 7/11/2023 Fire Sprinklers : NO Fire Hazard Zone : NO Address: 23 ORCHARD #250 LAKE FOREST, CA 92630 Phone: (949)206-9929 Designer: Address : Phone: Construction Valuation : $50,000.00 OWNER -BUILDER DECLARATION I hereby affirm under penally 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 Items) effort 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 for permit to file a signed statement thathe 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 and fessions Code) or that he or she is exempt from licensure and the basis for the alleged exemption. Anyvlolation of Section 7031.5 by any applicant for a permit subjects the applfcantto a civil penalty of more than five hundred dollars ($500). i, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or U portions of the � Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through emp improvements are not intended or offered for sale, if, however, the building or improvement is sold within one year of cornpletic improved for the purpose of sale). ❑ 1, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, But apply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor put 1 am Exempt from licensure under the Contractors' State License Law for the following reason By my signature below, I acknowledge that, except for my personal residence in which I must have resided for at least one year sell a structure that I have built asan owner -builder if it has not been constructed in Its entirety by licensed contractors. I Unden Professions Code, is available upon request when this application is submitted or at the following Web site:hdp:#www.ieginfo.c Signature of Property Owner or Authorized Agent LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of parju ihat I am licensed under provisions of Cter 9, (core Seeing with Section 0 and effect. License Class License No 7� L 3-( Date WORKERS' COMPENSATION DECLARATION NARNING: FAILURE TO SECURE WORKERS' COMPENSATION'. COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES COST OF COMPENSATION, DAMAGESAS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'$FEES, hereby affirm under penalty of perjury one of the following declarations: © 1 have and will maintain a certificate of consent to self -insure for workers' compensation, issued by the Director of Im p rforma:,,nd e of the work for which this permit is. issued. Policy No.. have will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the perfol insu arrier and policy number are: Carrier.... _. — Policy Number Agent ify that, inthe performanc the vier r which t is permit is issued. I shall not employ any person in any manner so if I should becorrrp���\'$I ❑bleat t. he worker ' ompen Lion provisions of Section 3700' of the Labor Code, Ishall forthwith c ature of Apelicai T. _. rreby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which Ider's Name Lender's Address my signature bjloan I carl.ify to each of the following: I am the prop / cwner or authorized to act on the property owner's behalf. I hi,v^ read thil npiAcatlon and the information I have pro' Is Dort I agree to campry e'ith.. all applicable city and cc ty nanee nd state ws relating to building construction. I authorize representatives of this city er coul�ty�o eI r the eQdentif property for Inspection purposes. K, and the structure Is not intended or offered for sale (Section'7044, Des' or personal effort, builds or improves theproperty, provided that the the Owner -Builder will have the burden of proving that It was not built or and Professions Code: The Contractors' State License Law does not to the Contractors' State License Law), to completion of the improvements cover, that a copy of the applicable law, Sectlon Icataw.htmt. Date he Business and Contractor Siena this permit, I cannot of the Business and my license is in full force CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (S1n0300i, IN ADDITION TO THE let Relations as provided for by Section 3700 of the Labor Code, for IT of the work for which this permit is issued. My workers` Date to become subject to the workers' compensation laws of California, and agre Iply with those provisions. j Data J / Lie permit is issued (Section 3097, Cim Code). iner's or Authorized AG DATE BY V�CLARATION OF COMPLIANCE WITH CODE OF FEDERAL { FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE. {il 1403 P�nn.11i EXPIRED 1 1 1I__I I SUBMMTTED ASBESTOS NOTI FICATION TO _._..___..—__ __ __ _ RERrN1T EXTENDED :LJAQMD KRMiTFIVAL ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO CERTIFICATE OF G.��J C/yr PROPOSED DEMOLITION OCCUPANCYISSUED SIGNATURE: