HomeMy WebLinkAboutM2023-0014 - Permits04,
City of Newport Beach
Community Development Department- Building Division
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone: (949) 644-3288
Inspection Requests Phone: (949) 644-3255
newportbeachca.gov/inspections
IIII I I II I III II II III I II II Harbor Permit : M2023-0014
Plan
Class Other
PC2023-0502
P
Issued Date : 03/14/2023
Inspection Area: 1
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 : 2286 CHANNEL RD Legal Desc : N TR 518 BILK P LOT 4 TR 518 LOT 4 BILK P ALL -INC POR OF LOT M ADJ-
Description : SFR SEAWALL REPAIR, INSTALL 5 TIE BACKS & NEW DEADMAN
Owner: 2018 SMITH FAMILY REVOCABLE TRUST
Address : 2286 CHANNEL RD NEWPORT BEACH, CA
92661
Phone:
Applicant: SHELLMAKER INC
Address: 837 W 17TH STREET COSTA MESA, CA 92627
Phone: (949)548-5359
Code Edition :
Type of Construction
Occupancy Groups:
Building Setbacks
Flood Zone:
Use Zone:
Processed By:
2022
U
Front: 1D, Side: 3, Side: 3, Rear: 0
AE, 8 FT; X
R-1 - Single -Unit Residential
SPECIAL CONDITIONS:
Contractor : SHELLMAKER INC
Address : 837 W 17TH STREET COSTA MESA, CA
92627
Phone:
(949)548-5359
Con State Lic
: 561434
Lic Expire:
03/31/2023
Bus Lic :
BT00009706
Bus Lic Expire : 01/31/2024
The Longshore and Harbor Workers' Insurance
Carrier: STATE COMPENSATION INSURANCE FUND
Policy No: 9137487
Policy Expire : 3/15/2023
Fire Sprinklers : NO
Fire Hazard Zone : NO
Architect
Address
Phone:
State Lic
Engineer: JAFARIMASOUD
Address : 23 ORCHARD #250 LAKE FOREST, CA,
92630
Phone: (949)206-9929
Designer
Address
Phone:
Construction Valuation : $18,000.00
NO CONSTRUCTION NOISE
ON THE WEEKEND
r `,q % 31 IL_ %,j
OWNER -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 Items)
(Section 7031.5. Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, priorto its issuance, also requires the applicant for
the 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 and
Professions Code) or that he or she is exempt from licensure and the basis for the alleged exemption. Any violation of Section 7031.6 by any applicant for a permit subjects the applicant to a civil penalty of
not more than five hundred dollars ($500)..
Ell, as owner of the property, or my employees with wages as their sole compensation, *11 do L) all of or L) portions of the work, and the structure Is notintended anoffered for sale (Section 7044,
Business 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
improvements 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 or
improved for the purpose of sale).
❑ I, as owner of the properly, 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).
LI I am exempt from licensure under the Contractors' Stale 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 [east one year prior to completion of the improvements covered by this permit, I.cannot legally
sell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed Contractors. 1 understand that a copy of the applicable law, Section 7044 of the Business and
Professions Code, Is available upon request when this application is submitted or at the following Web sits:http:/fwww.leginfo.ca..govlcalaw.html.
Signature of Property Owner or Authorized Agent Date
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7 ) o ' isw&ft the Business and Professions se is in full force
and effect License Class License. No Date Contractor Signature
WORKERS' COMPENSATION DECLARATION
NANNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SMALL SUadECT 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 07H OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES.
I hereby affirm under penalty of perjury one of the fallowing declarations:
and w4l maintain a certificate of consent to sefi-insure for workers' compensation, issued by the Dirsclor of Industrial Relations as provided for by Section 3700 of the Labor Code, for
:e of the work for which this permit is issued. Policy No.
)ave, and will 1.a;ntain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the Work for which this permit is issued. My workers'
aouc carrier and policy number are:
er Policy Number Expiration Date
of Agent
certify that. in the performance of the
i" should become subject to the ylr
nature of ApplicaiA C
Lc: cty affirm under penalty of perjury
onderF Name
I,, my signature Jclow—, Tcertify to eacl
I In, the pn�perty owner or authorized to act on t
I have read this oppIcation and the informal
I agree to comply with all appimable city and u
I authorize representatives of this city or coup i
DATE I Ry
PERMIT kXWRfD
Phone #
this pee is issued. I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre
anon pr 'tl ions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
NG Date T4 4.-
Z7
tctl rdIng gency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
Lenders Address _
\ I
laws relating to building construction.
ad property for inspection purposes.
OF COMPLIANCE WITH CODEOF FEDERAL FOR OFFICE USE ONLY
PART 61 OF TITLE 40 AND AQMD RULE
ASHFSTCS NOTIFICATION
PERMITFINAL R—Z2—LS _ y� fJ/1tCeE5T05 NOTIFI I N PLICA TO
CERTIFICATE Or VIA [t�PRq.P_OSfD AEMOl1Tl
OCCUPANCY ISSUED I SIGNATURE: