The URL can be used to link to this page

Home My WebLink AboutM2021-0080 - PermitsCity of Newport Beach - Building Division *M2021-0080' e T'� 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 v t � 1 Job Address: 630 VIA LIDO NORD Floor: Suite: Bldg: 0 Description of Work: SFR REINFORCING EXISTING SEAWALL Inspector Area: 2 Legal Description: N TR 907 LOT 61 Owner: FARWELL JANE E FARWEL Address: 630 VIA LIDO NORD NEWPORT BEACH, CA 92663 Phone: State Lie: Applicant: HARRISON [AN Address: 220 NEWPORT CENTER DR #11-342 NEWPORT BEACH, CA 92660 Phone: 949-887-9534 Special Cond: Issued Date 03123/2022 Contractor: EKEDAL CONCRETE INC Address: 19600 FAIRCHILD RD STE 123 IRVINE CA 92612 Phone: 949/729-8082 C-066947 Con State Lic:487590 Lie Expire: 02/29/2024 Bus Lie: BT00005971 Lie Exp Date: 10/31/2022 HARBOR Permit: M2021-0080 Project No : 2941-2021 Inspection Requests Phone (949)644-3255 Engineer: PETROV PLAMEN Address: 28161 CASITAS CT LAGUNA NIGUEL CA 92677 Phone: 714-717-7542 Designer: Address: Phone: „ .Z ;p;," m . of rn Z z v o U) Longshoremen's and Harbor Workers' Compensation Declaration - M Carrier: LONGSHOREMAN - ZURICH Policy No: WC380494701 Expire : 10101/2022 FEES Valuation: $45,000.00 Fire Inspection Fee: $0.00 $0.00 Inspection Fee: $314.00 Fire Plan Check Fee: $0.00 Plan Dep - Counter Review: $0.00 Plan Check Fee $329.00 Records Mangement: $6.00 Plan Dep - Zoning Plan Check: $0.00 OT Plan Check Fee: $0.00 Harbor Plan Check Fee: $61.00 Plan Dep - OverTime Plan Check: $0.00 Investigation Fee: $0.00 Building Green Fee : $2.00 TOTAL FEE : $712.00 Plan Check Fee: $390.00 Fee Due at permit Issuance: $322.00 PROCESSED BY: PLAN CHECK BY: PUBLIC WORKS: APPROVALTOISSUE: OTHER DEPARTMENTS: TEA 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 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 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 ane 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 far 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). I, as'Dwiier 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 )%mr r 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.ezempt from licensure under the Contractors' State License Law for the following reason: my signahire 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 fessionr Cafe, is available upon request when this application is submitted or at the following Web site:http://www.leginfo. ca.gov/calaw. html. i,ature of Property Owner or Authorized Agent Date IJENSED CONTRACTOR'S DECLARATION hereby affirm 'order penalty of perjury that I am licensed under provisions of Chapter 9 (coming with Section 7000) of Division 3 of the Business Professions and my license is in full force iJ enc effect. Linens=:Class License No. Date Contractor Signature Ot.'GSHCRFid5N'S & HARBOR WORKERS' COMPENSATION DECLARA O ^ T ARpING: FAILURE TO SECURE LONGSHOREMEN'S & HARBOR WORKERS' COMPENSATION COVERAGE 15 UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS 100,000), IN AdDIVONcTO 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 is My workers' compensation insurance carrier and policy number are: Policy Number Expiration Date Agent r11 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. Iture of Applicant: Y _�� - \,- I I NG CONSTT&Id'CTION 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 or county to enter the above -identified property for inspection purposes. " Signature: / <E; Print Name: ^ r'�41— �c rid—C G r Jr Date/--,c ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FOR OFFICE USE ONLY FEDERAL REGULATIONS PART 51 OF TITLE40 AND AQMD RULE 1403. PERMIT EXPIRED ❑ 1 SUBMITTED ASBESTOS NOTIFICATION TO: ❑ EPA .. ❑ AQMDASBESTOS PERMIT CANCELLED PERMIT EXTENDED N077RCA PROPOSED DEMOLITION. TIONIS NOT APPLICABLE TO PERMIT FINAL CERTIFICATE OF OCCUPANCYISSUED SIGNATURE