HomeMy WebLinkAboutM2019-0006 - PermitsCity of Newport Beach Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIII�IIIIIIIIIIIIIII'll III
^r' 100 Civic Center Drive, Newport Beach, CA 92660 M 2 0 1 9 0 0 0 6
e�rmit Counter Phone (949)644-3288
Job Address: 3406 MARCUS AVE Floor:
Suite: Bldg: 0
Inspection Fee:
Description of Work: R/R FLOATING DOCK & GANGWAY. PULL 2 PILINGS & RE -DRIVE IN 2 NEW LOCATIONS
Inspector Area: 1
$322.00
OT Plan Check Fee:
Legal Description: CANAL SECTION LOT 4 BLK
334(AND NWLY1/2 LOT 3 BILK 334
$0.00
Owner: NAEHRING MATT
Contractor: SWIFT SLIP DOCKIPIER BUILDERS
Engineer:
Address: 3408 MARCUS AVE
Address: 6351 INDUSTRY WAY
Address:
NEWPORT BEACH, CA 92663
WESTMINSTER CA 92683
Phone:
Phone: 949-631-3121
Phone:
State Lic:
C-066947 -
-
Applicant: CHUNG JACQUELYN
Con State Lic:797052
Designer:
Address: 6351 INDUSTRY WY
Lic Expire: 07/31/2021
Address:
WESTMINSTER CA 92683
Bus Lic: BT01122734
Phone: 949-631-3121
Lic Exp Date: 11/30/2020
Phone:
Special Cond:
Issued Date 08/19/2020
'Valuation:
$16,000.00
Inspection Fee:
$308.00
Plan Check Fee
$322.00
OT Plan Check Fee:
$0.00
Investigation Fee:
$0.00
Building Green Fee:
$1.00
HARBOR Permit: 112019-0006
Project No : 0097-2019
Inspection Requests Phone (919)644-3255
ON SATURD:AY&""'
PETROV PLAMEN mm
28161 CASITAS CT
LAGUNA NIGUEL CA 92677
714-717-7542
m ..
®momma
m
Longshoremen's and Harbor Workers' Compensal ion Declaration -
Carrier: AMERICAN EQUIT
Policy No: ALMA01661-04
Expire : 12/31/2020
Fire Inspection Fee:
$0.00
$0.00
Fire Plan Check Fee:
$0.00
aeomq/�➢
m
Records Mangement:
IN1 ® EC'�'N•e"
Plan Dep - Zoning Plan Check:
$0.00
Harbor Plan Check Fee:
$0.00
Plan Dep - OverTime Plan Check:
omm
a�oE
mmmm
Longshoremen's and Harbor Workers' Compensal ion Declaration -
Carrier: AMERICAN EQUIT
Policy No: ALMA01661-04
Expire : 12/31/2020
Fire Inspection Fee:
$0.00
$0.00
Fire Plan Check Fee:
$0.00
Plan Dep - Counter Review:
:;0.00
Records Mangement:
$6.00
Plan Dep - Zoning Plan Check:
$0.00
Harbor Plan Check Fee:
$0.00
Plan Dep - OverTime Plan Check:
$0.00
IITOTAL FEE: $824.00 Plan Check Fee : $302.00
PROCESSED BY: PUBLIC WORKS:
PLAN CHECK BY: APPROVAL TO ISSUE:
OTHER DEPARTMENTS:
FINAL INSPECTION:
PERMIT EXPIRES 180 DAYSAFTER ISSUANCE AR LAST VALID INSPECTION
Fee Due at permit Issuance : $5'2.00
F=,sr. -, ,,,r-w,-yeea wnrl-wages,as meir soca :compensation„will do (_) all of or U...portions, of the work, and the structure Is not intended or offered for sale (Section 7C
and Prafessiunsv Cade:= The. Contractors' State License l aw does not;apply t).an towner of property who, through amployees' or personaleffort, builds or. improves: the property, provided the
ents are not;ntended.or offered for sale. If,however,: the building orimprovementis sold will irl one year of :completion, the Avner-Suilder will have the burden of proving that:4 was not bu'
for the of sale).
I owner at 11-,r property, am:.exclusively :contracting . with licensed Contractors lo,construct therprOJect (Section 7044, Business and Professions Code: The :Contractors' State License: Law does
T owner of p=upertywho builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State. License Low).
a stmcLur%atI have bull
ratting 60.l# is.:.vailable
rature:at PfOpeny(-,rmer or
ENSEQ COIyTR,CTOR
mby aifinviR iter r-naity, of
effect. License Cl..:s
VGSlJCRFMrN 3 & 1-
NING:' FAI11YYc1ro: SECURE LONE
.000); IN ADDITION'. TC 'MR.rXf9
applicable law,
my license Is in full
ONE HUNDRED
ave•and avl': maintain Longshoremen's and Harborworkers',wmpensation insurance, as: required by(Section .3700 of the Labor Code, for the: performance of the work: forwhich this permit
tvly• wc;kers'. .compensation insurance carrier and policy number are:
Policy Number EVIrationData _..
I certfy that, n th pe mlance of the work'for permit is Issued, I shall not employ any person in any manner so as in become subject to the workers' compensetion laws of Celliumla,
that, d I thould b o e to the orkers' co pensatio provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
rture of Apphc tit:
.,,.. ....—..�— Date:\/ 21
I hereby aftirm anddirpelalty ofpedury thatthere is a construction lending agency forthe performance ofthe work forwhich this permit is issued (Section 3097, Civil
Lehdcc's: Name Lender'sAddress
By my signature be:ow, l certify to each Of the following:
I am the Property nc.ner or authorized to act On rhe property owner's bebaf.
I have read this app ication and the mformathm I have provided. is correct.
I agree to comply w th all applicable oily and coyntyordinances and state. laws relating to building .construction.
1. authcrizg RpreiseD, atives ofthis,riN nr nnu lila fcrlhn ohmn_,Aenf.Rea e...sa,.a...----- 1LJ-.._____
iture: 4 ��” �_ Print Name ' arjf�G-o9 V e -f( Data:
N. WE By UkULARAIMP(OFISOMPLIANCE MTH CODE O.
FEDERAL kATIONSPAI 6lOF >;OROFFI USE
RE
lMFr OCp1RED AOMOROLE1401
FOV CANCELLED LJ IsuBmTTEDASEESToS`NOIIFICATION: TO:
❑ EPA
tMITEr LADED E3 AQMD
tyl?FINAL ryo LE ASSE�TOSNO'DAG4pON1SNOTAPPLICABLETO
- PROPOSED DEMOLITION.
'TIF ICATEOF'
:ilpANCYISSUED -SIGNATURE: