HomeMy WebLinkAboutM2021-0028 - PermitsCity of Newport Beach - Building Division 11111111111111 ill11111111111111p111p11111p1111Jill
!� 100 Civic Center Drive, Newport Beach, CA 92660 M 2 0 2 1 0 0 2 8
Permit Counter Phone (949)644-3288
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HARBOR Permit: M2021-0028
Project No : 0859-2021
Inspection Requests Phone (949)644-3255
Job Address: 508 VIA LIDO NORD Floor: Suite: Bldg: 0
BY UTILIZING DYIDAG TIE -BACKS CONNECTED TO NEW CONCRETE DEADMAN„REPLACE STEM WALL WITH
Description of Work: SFR REINFORCE EXISTING
SEAWALL
1reaCONCRETE STEM WALL
Inspector
VPETROV
Legal Description: 7 LOT 495
Owner: DEVIR JOHN
Contractor: ASSOCIATED PACIFIC CONSTAO Engineer: PL�
Address: 508 VIA LIDO NORD
Address: 495 EMBARCADERO Address: 281
NEWPORT BEACH CA 92663
Phone:
MORRO BAY CA 93442 �IGUEL CA 92677
Phone: 805-772-7472 PpgxA ` 14-717-7542
State Lie:
C-066947
Applicant: OAKES BRITTANY
Con State Lic:394886 Designer:
Address: 151 KALMUS DR #G-1
Lie Expire: 11/30/2022 Address:
COSTA MESA CA 92626
Bus Lie: BT30047194
Phone: 714-754-4040
Lie Exp Date: 0513112022 Phone:
INSPECT II
Special Cond: HIGH DENSITY, AE-8, LIQUEFACTION
Declaration -
Issued Date 0912212021
Longshoremen's and Harbor Workers' Compensation
Carrier : AMERICAN LONGSHORE MUTUAL
Policy No: ALMA00765-071 USLB
Expire : 10101/2021
FEES
Valuation:
$61,860.00
Fire Inspection Fee:
$0.00
$0.00
$0.00
Inspection Fee:
$314.00
Fire Plan Check Fee:
$0.00
Plan Dep - Counter Review:
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 :
$3.00
TOTAL FEE :
$713.00
Plan Check Fee
: $444.00
Fee Due at permit Issuance :
$269.00
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PROCESSED BY:
:
- PJUBLIC WORKS:
PLAN CHECK BY:
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APPROVALTOISSUE:
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OTHER DEPARTMENTS:
FINAL INSPECTION:
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION
UILDER 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, prior to its issuance, also requires the applicant fc
he 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 an
'rofessions 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 c
iot 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 for sale (Section 7044,
3usiness 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 th
mprovements 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 c
mproved 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 nol
Ipply 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).
1 am exempt from licensure under the Contractors' State License Law for the following reason:
Sy 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 lega11',
ell 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 an,
'rofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html.
signature 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 (commencing 't Secti A 70 ) of Division 3 of the Business nd P f ssi Is wPy license is in full fora
nd effect. License Class License No, Date Contractor Signature
.ONGSHOREMEN'S & HARBOR WORKERS' COMPENSATION DECLARATf?i
'ARNING: FAILURE TO SECURE LONGSHOREMEN'S 8 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 afflfm Under penalty Of perjury One Of the following
e orations:
- 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
su d. My workers' compensation insurance carrier and policy number are:
rollcy Ivumoer Expiration Date
of Agent Phone #
I certify that, in the performanc o 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 t e worker comp do g� visions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
rture of Applicant: ) /' / /Y '
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 tfn and the information I have provided is correct.
I agree to coapplicable ci a ounty ordinances and state laws relating to building construction.
I authorize reo is c" ty to enter the above -identified property for inspection puu ses.
Signature: rint Name: /L 1 J7(�!"��/ t lute: 7 .
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ACTION
DATE
BY
DECLARATION OFCOMPIJANCE WTM ICOGS OF _
FEDERAL REGULARC VS-PAAT 61 OF, ITLE4/' A"ID
AQMD RULE 1403. - -
❑ I SUBMITTED ASBESTOS NOTIFICATION TO:
❑ EPA
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El ASBESTOS NOAFICATIC'N IS-NOT,16PLIC: ,3Lr= TO
PROPOSED DEMOLITION.
SIGNATURE: - -
FOR OFFICE USE ONLY
PERMITEXPIRED
PERMIT CA
PERMITEXTENDED
PERMIT FINAL
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CERTIFLCATEOf
OCCUPANCYISSUED