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Home My WebLink AboutM2019-0048 - Permitstp City of NevuportSeasklmaBtsIiding Division Ilulllllllllllllllllllllllllllllllllllllllllllllllll II o 100 Civic Cgnter t*,rive, NpwaoJBJ9ch, ( 492660 E , Permit Coutiter Name"($49)%4°3W, a a° 0. oom ao ome m ec• • m oo.• 'm eao e' o a e o ••o. eee eek Job Address: 1704 BAY FRONT S Floor: Suite: Bldg: 0 Fire Inspection Fee: Description of Work: SFR REMOVE/REPLACE (E) FLOATING DOCK $0.00 Inspector Area: 2 $287.00 Fire Plan Check Fee: Legal Description: BALBOA ISLAND SEC 5 LOT 4 BLK 3(AND ELY 12.7 FT LOT 3 BILK 3 Owner: HURRAY PATRICIA L Contractor: SWIFT SLIP DOCK/PIER BUILDERS Address: 1704 BAY FRONT S Address: 6351 INDUSTRY WAY NEWPORT BEACH, CA 92662 $0.00 WESTMINSTER CA 92683 Phone Phone: 949-631-3121 State Lie: C-066947 Investigation Fee: Applicant: MARSIA/SWIFT SLIP_ Con State Lic:797052 Address: 6351 INDUSTRY WAY Lie Expire: 07/31/2019 WESTMINSTER CA 92683 Bus Lie: BT01122734 Phone: 949-631-3121 Lie Exp Date: 11/30/2019 Special Cond: Issued Date 06/13/2019 HARBOR Permit: M2019-0048 Project No : 1343-2019 Inspection Requests Phone (949)644-3255 ;I 'tt. d � [20.' �.''s✓ Engineer: PETROV PLAMEN Address: 28161 CASITAS CT LAGUNA NIGUEL CA 92677 Phone: 714-717-7642 Designer: Address: Phone: Longshoremen's and Harbor Workers' Compensation Declaration Carrier: AMERICAN LONGSHOR Policy No: ALMA01662-01 Valuation: $12,000.00 Fire Inspection Fee: $0.00 $0.00 Inspection Fee: $287.00 Fire Plan Check Fee: $0.00 Plan Dep - Counter Review: $0.00 Plan Check Fee $302.00 Records Mangement: $4.00 Plan Dep - Zoning Plan Check: $0.00 OT Plan Check Fee: $0.00 Harbor Plan Check Fee: $131.00 Plan Dep - OverTime Plan Check: $0.00 Investigation Fee: $0.00 Building Green Fee: $1.00 TOTAL FEE : $725.00 Plan Check Fee: $0.00 Fee Due at permit Issuance: $725.00 PROCESSED BY: HARBOR RESOURCES: PLAN CHECK BY: r5rl APPROVAL TO ISSUE: OTHER DEPARTMENTS: 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 b pthe cheakraarfl(s) 1 ilavejacet next to the applicable item(s) :tion 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair kyry tructore, pQor;o jtsfssyanry , 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 (cofhfndticfig with Section 3 of the Business am 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 (_) all of or U portions of the work, and the slmctur& is not kilendea bt oy4r#d for sale (Section 7044, iness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' o4personil effort, builds:)r irl1prpto She.Vroperty, provided that thI rovements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the O%#rX-B4tjger wilt4dve� he burden of prouing that it was not built o roved 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 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). J I am exempt from licensure under the Contractors' State License Law for the following reason: 3y 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 improvemegts covered by this permit, I cannot legall, cell 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 applica 1e law, Section 7044 of the Business ani Irofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. Signature of Property Owner or Authorized Agent D e -ICENSED CONTRACTOR'S DECLARATION /f `�y hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (comm ncingj h Se po/il7plf of Division 3 of the Busin(ss an rofessi s C a my lice e8 is in full foro Ind effect. License Class License No. Date /�(J {_ j Contractor Signature GSHOREMEN'S & HARBOR WORKERS' COMPENSATION DECLARATION VA T. FAILURE TO SECURE LONGSHOREMEN'S & HARBOR WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVI FINES UP TO NE HUNDRED THOUSAND DOLLARS $1 01, 1 DD ON TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 7706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm der pen of perjury one of the following Ie 8r 0 ave 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 ued. y workers' compensation insurance carrier and policy number are: rrier Policy Number Expiration Date J e of ant Phone # ] I certify that ' e ormance 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, an (gree that, if I sho d becom 'act to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. // 3ignatureof Pip In.'� 20 l Date: ��Y��Ylll//!//! l )ECLARATI N R )pen O STRUCTION LENDING AGENCY I hereby affirm ndey of perjury that there is a construction lending agency for the performance of the work forwhich this permit is issued (Section 3097, Civil Code). Lende s NLender'sAddress By my signature bel w,y to each of the following: I am the property owner or But rized to act on the property owners behalf. I have read this applica' 'nformation I have provided is correct. I agree to comply_wit all applic ble c and county ordinances and slate laws relating to building constru Ion. I authorize- presen tives oft s city or unty to enter the ab ov entified property for inspection purpos s. 'n signature: Print Name: ✓ U ' Y ' Date: '� ACTION DATE BY I)ECLARATIOAIOFCOMPLIAIVCEMIHCUDLUF FOROFRCEUSEDWY FEDERAL REGULATIONS PART 61 OFTITLE46AND PERMIT EXPIRED AQMDRULE 1403. f SUBMITTEDASBESTOS NODFICATION TO: PERMITCA.NC€LtED 0 EPA PERMITEXTENDED D AQMD ASBESTOS M077RCAIIOMIS NOT APPLICABLETO PERMIT FINAL PROPOSEDDEMOUTION. CERTIRCATE OF V if OCCUPANCYISSUED SIGNATURE