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Home My WebLink AboutM2022-0007 - PermitsCity of Newport Beach - Building Division 11pil11111111111111111111111111111111111111111111111 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 Ilk 1gr.� Job Address: 1653 BAYSIDE DR Floor: Suite: Bldg: 0 Description of Work: SFR - R/R (E) PIPE PILES Inspector Area: 2 Legal Description: N TR 6927 LOT 2 Owner: BERBERIAN RON Contractor: SWIFT SLIP DOCK/PIER BUILDERS Address: 1653 BAYSIDE DR Address: 6351 INDUSTRY WAY CDM CA 92625 WESTMINSTER CA 92683 Phone: Phone: 949-631-3121 State Lic: C-066947 Applicant: MORALES MARISSA Con State Lic:797052 Address: 6351 INDUSTRY WY Lic Expire: 07/31/2023 WESTMINSTER CA 92683 Bus Lic: BT01122734 Phone: 949-631-3121 Lic Exp Date: 1113012022 Special Cond: Issued Date 05/02/2022 Valuation: $33,000.00 Inspection Fee: $314.00 Plan Check Fee $329.00 OT Plan Check Fee: $0.00 Investigation Fee: $0.00 Building Green Fee : $2.00 TOTAL FEE: $712.00 PROCESSED BY: PLAN CHECK BY: HARBOR Permit: M2022-0007 Project No : 0736-2022 Inspection Requests Phone (949)644-3255 °aa< c< < < Engineer: PETROV PLAMEN ° < Address: 28161 CASITAS CT LAGUNA NIGUEL CA 92677 °°°° Phone: 714-717-7542 « < <oo<a Designer: < < Address: +< < a o Phone: 9 9 G ba0< Longshoremen's and Harbor Workers' Compensation Declaration - Carrier : AMERICAN EQUIT Policy No: WC173816804 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: $61.00 Plan Dep - OverTime Plan Check: $0.00 Plan Check Fee : $390.00 PUBLIC WORKS: APPROVAL TO ISSUE: OTHER DEPARTMENTS: FINAL INSPECTION : PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION Fee Due at permit Issuance : $322.00 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) ,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 am 'essions 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 U all of or U 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 exer9611frlont licensure under the Contractors' State License Law for the following reason: my sjgnature 15E16H 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 covr -a swucture0e 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, fessions Code,` is.a•vallable upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.govlcalaw. htmi. pat%re of PropPlty Owner or Authorized Agent Date Section 7044 of the Business ED CONTRACTOR'S DECLARATION affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (co m fici g with S l0 7000) of Division 3 of the Busi s and nsfes s de, and my license is in full fora t. Licepte Ms License No. Date 2 Contractor Signature HORERIEN'S & HARBOR WORKERS' COMPENSATION DECLAR TI N I 1 FAILURE TO SECURE LONGSHOREMEN'S & HARBOR WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS IN ADDITIPN Tp•THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNETS FEES. I hereby affirm under penalty of perjury one of the following Ins, I have end VT 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 My- -workers' compensation insurance carrier and policy number are: Policy Number Expiration Date Agent Phone # I certify that, in the pe rmance 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, that, if I should beco a ubject yyorkers' compen n provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Iture of Applicant: !/}�- NG CONSTWJCTION LENDING 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 Lenders 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 with all applicable city and county ordinances and state laws relating to building construction. I authorize, re s to " ras of this cour� my to enter the above -identified property for inspecton urposes. C n �I signature: ��/^� Print Name:K M Iq h S J-1 ! ✓ l o" LnQ Civil ACTION DATE BY DECLARATIONOF COMPLIANCE WITH CODE OF FOR OFFiV 65EONLY FEDERAL REGUTATIOIVSPART 6T OF TITLE40AND AQMD RULE f403: PERMIT EXPIRED ❑ J SUBMITTEDASBESTOS M071FfCATIONTO. ❑ EPA ❑ AQMO PERMITCANCELLED PERMITEXTENDED ❑ ASBESTOS U077FICAIT011VIS NOTAPPLICABLETO PROPOSED DEMOLITION: PERMIT FINAL 091 '4 CERTIFICATE OF SIGNATURE: OCCUPANCYISSUED