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Home My WebLink AboutM2017-0039 - PermitsCity of Newport Beach - Building Division *M2017-0039* 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 F"�L?rnu r HARBOR Permit: M2017-0039 Project No : 1525-2017 Inspection Requests Phone (949)644-3255 Job Address: 1014 POLARIS DR Floor: Suite: Bldg: 0 Description of Work: REMOVE EXISTING MARINA GUIDE PILE, RELOCATE (2) EXISTING CONCRETE MARINA GUIDE PILES, REMOVE & REPLACE DOCK & GANGWAY Inspector Area: 3 Legal Description: N TR 4224 LOT 180 Owner: MURPHY ROBERT H Address: 1215 BAYSIDE DR #103 Plan Check Fee CORONA DEL MAR, CA 92625 Phone: $0.00 Investigation Fee: State Lie: Applicant: CHUNG JACOELYN Address: 642 BAKER ST COSTA MESA CA 92626 Phone: 949-631-3121 Special Cond: Issued Date 08/23/2017 Valuation: $45,000.00 Inspection Fee: $270.00 Plan Check Fee $283.00 OT Plan Check Fee: $0.00 Investigation Fee: $0.00 Building Green Fee : $2.00 TOTAL FEE: $567.00 PROCESSED BY: PLAN CHECK BY: 1-C49- Contractor: SWIFT SLIP DOCK/PIER BUILDERS Address: 642 BAKER ST $0.00 COSTA MESA CA 92626 Phone: 949-631-3121 C-050019 Harbor Plan Check Fee: Con State Lic:797052 Lie Expire: 07/31/2019 Bus Lie: BT01122734 Lie Exp Date: 11/30/2017 Engineer: Address: Phone: BAZLEY TIM 2500 VIA CABRILLO MARINA #200mmm gimme SAN PEDRO CA 90731 310-548-3132 •° m m0000e e e 0 ° o oe o 0 0 Designer. e e o Address: �o m ° m e oom0o Phone: m m 00000 0 000000 000000 O O Longshoremen's and Harbor Workers' Compensation Declaration - o Carrier: AMERICAN LONGSHOR m m mooc Policy No: ALMA01662-01 ° Exoire:12/31/2017 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: $0.00 Plan Dep - OverTime Plan Check: $0.00 Plan Check Fee : $283.00 Fee Due at permit Issuance: $284.00 HARBOR RESOURCES: APPROVAL TO ISSUE: �-�- — OTHER DEPARTMENTS: FINAL INSPECTION: PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION IIVCK-OUILUCR UIM�L Mm I IVIY 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 applii'able item(s) ,tion 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 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 lessions 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 more than five hundred dollars ($500). I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or L) portions of the work, and the structure is not intended or offered for 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 th 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 c 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 no 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). 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 impro4ements covered by this permit, I cannot legal[) 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 ap licable law, Section 7044 of the Business anc ,fessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. nature of Property Owner or Authorized Agent Date TENSED CONJf2ACTOR'S DECLARATION ;�eby�ffirm ung r penalty of perjury that I am licensed under provisions of Chapter 9 (crr�ci �23SEQtidtA jlBO}1) of Division of the B iness nd Pro ssio ode d my lic as is in full forc< 1 e'ifff"est. Liceas CI'aSS License No. D (C.J/ LV p Contra r Signatur NGSH E K'S & HARBOR WORKERS' COMPENSATION DECLARATION / I PF OSECURE LONGSHOREMEN'S & HARBOR WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES ANO IVIL FINES U TO ONE HUNDRED THOUSAND DOLLARS i0, IT] TO,THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby afilr under p ally of perjury one of the following 7Ipr ns. '••� ' • I he and will maintain Longshoremen's and Harbor workers' compensation insurance, as required by Section 3700 of the Labor Cade, for the p o nce of the work for which this permit is M 'yvptkers' compensation insurance carrier and policy number are: gr Policy Number Expiration Date m ®f•Ag ht Phone # • • •••,•• , certify that, ' the perfo a ED f 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. P%Ttt, if I sooyjR ecome su ject workers' compensate provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. 2� anature of Appli ant: e: :CLARATION RIEURIZIN4 CONStAIJICTION LENDING AGENCY I hereby affirm under,Lenalty of pe Jury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). f Lender'sAddress By my signature below, Iify� each of the following: I am the property owner orized to act on the property owner's behalf. I have re plication and the information I have provided is correct. I agre o comp[ 'hall applicable city and county ordinances and state laws relating to building construction. I aut rize repre ent ' es of this�city or c/ouy�Y to enter the above -identified property for inspection purp¢s/e�s./ 3ianat �/L/ PrintNa: �UVI,t/IUtJ�Y I ��+ �te: 8-25-2017 &Y DECLARATION OF CQMPLIANC�tMTNOODEOF ✓ FOR OFFICE USE ONLY A ON DATE FEDERAL REGULATIONS PART 61 OF TITLE40AND AQMD RULE 1403. ❑ i SUBMITTEDASSESTOS NOTIFICATION TO: ❑ EPA ❑ AQMD PERMIT EXP RED PERMIT CA ELLEO PERMIT EXTE W ASBESTOS NO7IFLCATIONIS NOT APPLfCABLE TO PROPOSEDDEMOLITION. SIGNATURE: PERMITFINAt 'Z- - ,0— - CERTIFICATEOF OCCUPANCYISSUED \ { \ \ § ) \ R \ \ bw E ]3 \ \ ca a) >\ a) f ±2 /§ § c !U / e ao 0 Ek \ a / \L \ c .g o , E � \ &\/ \ \ ; _ ! 2 n 0 § k CO / \ \ > - % E � % o- @ m { M \ Ex [ ) § ) ® \ > §m) ( 7 00 ) ) a) i ^ ®2»f+\eeƒ /k\§772#E !) ` j $/=a®?tom ®7E\{tet \ { \ \ § ) \ R \ \