HomeMy WebLinkAboutM2023-0049 - Permits�agWPoRT City of Newport Beach
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I b Community Development Department- Building Division
F )� •��" 100 Civic Center Drive, Newport Beach, CA 82880
n Permit Counter Phone: (949) 718-1888
u tea« newportbeachca.gov/civic
II II II II Harbor Permit : M2023-0049
Plan Check No : 2938-2016
Work Class : Other
Issued Date : 0810312023
Inspection Area : 2
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 : 410 VIA LIDO NORD Legal Desc : N TR 907 BILK LOT 478 TR 907 LOT 478 SELY 15 FT AND
Description: SFR INSTL GLASS GAURD ON TOP TO EXISTING SEAWALL 21 LF X 3' 5" H (NO WORK IN THE WATER)
Owner: 410 VIACON LLC
Address : 410 VIA LIDO NORD NEWPORT BEACH, CA
92663
Phone : 714 - 1-10 — 7c/7 p
Applicant: WALT BUSHMAN
Address: 2480 SANTA ANA AVE COSTA MESA,
92627
Phone: (949)642-3468
Contractor:
CP MC CLARY CONSTRUCTION INC
Address :
1013 LINDEN PLACE COSTA MESA, CA
92627
Phone:
(714)271-1055
Con State Lie
: 513053
Lie Expire :
10/31/2023
CA Bus Lie:
BT00004228
Bus Lie Expire : 08/31/2023
The Longshore and Harbor Workers' Insurance
Carrier: STATE FUND
Policy No: 1300846
Policy Expire : 8/15/2023
Code Edition : 2019 Fire Sprinklers : NO
Type of Construction : Fire Hazard Zone: NO
Occupancy Groups: U
Building Setbacks : Front: 0, Front: 4
Flood Zone : X
Use Zone : RM - Multiple Residential
Processed By:
SPECIAL CONDITIONS:
Architect
Address
Phone:
State Lie
Engineer: XIAOQIANG
Address : 1520 BROOKHOLLOW
ANA, CA 92705
Phone: (714)662-0510
DR #45SANTA
Designer:
WALT BUSHMAN
Address:
2480 SANTA ANA AVE COSTA MESA, CA
92627
Phone:
(949)642-3468
Construction Valuation : $8,000.00
R DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the resson(s) indicated below by the checkmark(s) I have placed next to the applicable item(s)
(Section 7031.5. Business and Professions Cods: Any city or county trial requires a permit to construct, after, improve, demolish, or repair any structure, prior to 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' Stale 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 lieensure 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 of
not more than five hundred dollars ($500).
❑ I, as owner of the property, or my employees with wegas 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,
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
—m�lproved for the purpose of sale).
�LI 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
apply 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).
IEI I am exempt from Ncensure under the Contractors' State License Law for the fallowing 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-bulldar it R has not been constructed in its entirety by licensed Contractors. I 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 VVeb site:http:iiwww.leginfo.ca.gov)calaw.html,
S'Ignal ire of Property Owner or Authorized Agent Date
LICENSED CONTRACTOR'S DECLARATION
I hereby affirmunder penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 0 of Di i of the Business and Prof f sCodia, and y Geen is in full force
and effect. License Class License No Date % 3Contractor Signature /
NORKERS' COMPENSATION DECLARATION
N'ANNING: FAILURE TO SECURE WORMERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRE THOUSAND DOLLARS ( i0q,9o0j, IN AC MON TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FORM SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S 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 Industrial Relations as provided for by Section 3700 of the Labor Code, for thi
)ojTormance of the work for whichthis permit is. issued. Policy No.
and will maintain workerscompensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers'
carrier and policy number are:
Policy Number
ie of Agent _
Date
JI certify that, in the performance of the vrork for which this permit is =sued. I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agrp
tat, If I should aecornt 5V6ject to the workers compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
:ignalure of Applicant � r _�Ty.,, L Cat
IECLARATION t2EGA DjkNSTRDGYtON LE NGNG AAG CY (/j�/m���-
hereby affirm under penalty of perjury that there is a construction lending agency far the performance of the work for which this permit is issued (Section 3097, Ivil Code).
enders Name Lender's Address
ly my signature below, I certify to each of the following: T
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.
agree to Comply withall applicable city and county ordinances and state laws Ming to building construction.
I authorize representatives of this city or ccy'}�ny tooArNer tthhealogyp miff properly for Inspection purposes.
'icoature of Property Owner or Authorized AneI VF/'l Print Prooertv Owner's or Authorized Anent a Name /���t� VVicN ya eta
ACTION I DATE I BY
PERMIT CANCELLED
PERMIT EXTENDED
PERMIT FINAL
CERTIFICATE OF
OCCUPANCYISSUEO
RE.CLARATION OF COMPLIANCE VOTH CODE OF FEDERAL q FOR OFFICE USE ONLY
RFGIA ATIONS PART El OF TITLE 40 AND AOMD RULE I
15,'e^AITTF'1 ASBFST05NOTIFICATION TO
LJ ASBESTOS NOTIFICATION IS NOT APPLICABLE TO
PROP05ED DEMOLITION