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Home My WebLink AboutM2020-0026 - PermitsVI Cityof Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIII�IIIIIIIIIIIIIII II HARBOR Permit: M2020-0026 v� P 100 Civic Center Drive, Newport Beach, CA 92660 M 2 0 2 0 0 0 2 6 Project No: 0811-2020 tom. Permit Counter Phone (949)644-3288 n Qz4vNar Inspection Requests Phone (949)644-3255 Job Address: 3902 CHANNEL PL Floor: Suite: Bldg: 0 Description of Work: INSTIL NEW FLOATING DOCK, GANGWAY, AND (2) 14' PILE Inspector Area: 1 MORALES MARISSA Address: Legal Description: CANAL SECTION LOT 1 BILK 539 ALL -INC BET SAME & HIGH TIDE LINE -(AND Owner: EDWARDS BERNICE EVELYN Contractor: SWIFT SLIP DOCKIPIER BUILDERS Address: PO BOX 9888 Address: 6351 INDUSTRY WAY NEWPORT BEACH, CA 92658 $1.00 WESTMINSTER CA 92683 Phone: Phone: 949-631-3121 State Lie: C-066947 Phone: 714-717-7542 Applicant: MORALES MARISSA Address: 6351 INDUSTRY WAY Plan Check Fee WESTMINSTER CA 92660 Phone: 949-631-3121 Special Cord: Issued Date 05/20/2020 Valuation: $25,000.00 Inspection Fee: $297.00 Plan Check Fee $312.00 OT Plan Check Fee: $0.00 Investigation Fee: $0.00 Building Green Fee: $1.00 TOTAL FEE : $1,198.00 PROCESSED BY: PLAN CHECK BY: Con State Lic:797052 Lie Expire: 07/31/2021 Bus Lie: BT01122734 Lie Exp Date: 11/30/2020 NO CONSTRUCTION ;NICARF; ®rv� ON SATURDAYS FEES Fire Inspection Fee: m $0.00 Fire Plan Check Fee: e emee Plan Dep - Counter Review: $0.00 Engineer: PETROVPLAMEN °°° 0"o c _••°�° Address: 28161 CASITAS CT °° Plan Dep - OverTime Plan Check: $0.00 LAGUNA NIGUEL CA 92677 • ° ° Phone: 714-717-7542 e e m m me m o • 0 0 emom °B c ° • mm000 Designer: e �, e >E,CTO"' Address: AN ° m m • ° ° 00 C°O1Oe Phone: ° rococo V ococ Longshoremen's and Harbor Workers' Compensation Declaration - Carrier: AMERICAN EQUIT Policy No: ALMA01661-04 Expire : 12/31/2020 Plan Check Fee : $888.00 PUBLIC WORKS: APPROVAL TO ISSUE: OTHER DEPARTMENTS: FINAL INSPECTION: PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION Fee Due at permit Issuance: $310.00 FEES Fire Inspection Fee: $0.00 $0.00 Fire Plan Check Fee: $0.00 Plan Dep - Counter Review: $0.00 Records Mangement: $12.00 Plan Dep - Zoning Plan Check: $0.00 Harbor Plan Check Fee: $576.00 Plan Dep - OverTime Plan Check: $0.00 Plan Check Fee : $888.00 PUBLIC WORKS: APPROVAL TO ISSUE: OTHER DEPARTMENTS: FINAL INSPECTION: PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION Fee Due at permit Issuance: $310.00 fNER-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 ani 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). 1, 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 f6r 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 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 Iy 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). I am exempt from licensure under the Contractors' State License Law for the following reason: 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 legally I a structure.t6Btr l 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 anc rfessions CoAp. jeavailable upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. naWre of ProgerV Owner or Authorized Agent Date :kNSED;OVRACTOWS DECLARATION rreby affirm udder penalty of perjury that I am licensed under provisions of Chapter 9 (com nci ec pn,70,Q,0) of Division 3 of the Bus! s and ofe i Cod , c my i� is in full force ieffect. License CPSS License No. Date Ll� Contractor Signature INGSHORbMEN+S & HARBOR WORKERS' COMPENSATION DECLA ION iNING: FAILURE=Q SECURE LONGSHOREMEN'S & HARBOR WORKERS' COMPENSATION COVERAGE IS UN WFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PEN LTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ZIg000), IN ADS111 a Jt THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 F THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I h reby affirm under penalty of perjury one of the following oions: •.. I have and Fill 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 � d My• •workers' compensation insurance carrier and policy number are: (riej, ' • • Policy Number Expiration Date me of ADent • •". Phone # I certify that, in the ertormance of the work for which this permit' 'sued, 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 beco� subject to t wor ' cc p sat iAn pro Isions of Se on 37 of the Labor Code, I shall forthwith comply with those provisions. r' �� 12, L) rture of Applicant/ "7 nor_• I hereby affirm dnder 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 all applicable city an co ty ordinances and state laws relating to building con ruction. I authorize rep ntatl s 's c! r coun ent r the above -identified property for inspection p rposes.. /t,, r molt -dr (' signature: Print Name: mom// f JS� /LJ Da C%'=� A ON DATE BY DECLARATION FCOMPI-IANCEIMTHCODEOF FOR ICIFUSEONLY FEDERAL REG LATIONSPART61OFTITLE40AND AQMD RULE 140% PERMIT EXPIRED ❑ I SUBMITTEDASSESTOS NOTIFICATION TO: ❑ EPA ❑ AQMD PERMfTCANCELLED PERMIT EXTENDED ❑ ASBESTOS NO7IRCA770NIS NOT APPLICABLE TO PROPOSED DEMOLITIOM PERMIT FINAL ,. � 1q {�- CERTPCATE OF SIGNATURE: OCCOPANCYISSDED ' > I -c W i = D c N O t6 o o V\J «+ 7 t0 N in �� ui w N p C p p Q tC Q y N O o w " '+, i3 _ U) o r 2 pW (u�ccn : ..6 .c ai V)V s m cn E0 cuGlo o c it0 IMN N N in �z cc, a)� z a C13a�)V a a � UClo�z z� 1 0-Waa) OQ U c a)00yc a� o Z N m o f CU :3 UJ Q C'o0 �,cL� p L LL' `C3 N U � ro CL 0 0 m rN CO ca th O Z r ACV ca N 0� C) �_ y tZ C _ t L) U) G N Z -t,-2!, V i a °Q `� �� n° a e O 0 LO m m CO w rW V m UCog W co ow W m H A p o rn aa10 0�� ow CU wdo O � c hc V U U 0 0 ' > I -c W i = D c N O t6 o o V\J «+ 7 t0 N in �� ui w N p C p p Q tC Q y N O o w " '+, i3 _ U) o r 2 pW (u�ccn : ..6 .c ai V)V s m cn E0 cuGlo o c it0 IMN N N in �z cc, a)� z a C13a�)V a a � UClo�z z� 1 0-Waa) OQ U c a)00yc a� o Z N m o f CU :3 UJ Q C'o0 �,cL� p L LL' `C3 N U � ro CL 0 0 m rN CO ca th O Z r ACV ca N 0� C) �_ y tZ C _ t L) U) G N Z -t,-2!, V i a °Q `� �� n° a e O 0 ■ \ --�------- o 0 0--% o EEI=o /E EaE/�}i,m 0CLCL (D-00 �� 7 (§} pp E{ (D \" kk\QA � o okƒ\ Bw ƒ\� _§»9a. .__ 2 k/to }} =or &� ..0. 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