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Home My WebLink AboutM2022-0008 - Permits0§r�r� City of Newport Beach - Building Division IIIIII�IIIII�IIIIIIIIIIIIIIIIIIIIIIII II HARBOR Permit: M2022-0008 100 Civic Center Drive, Newport Beach, CA 92660 M 2 0 2 2 0 0 0 8 Project No : 1105-2022 F'.. Permit Counter Phone (949)644-3288 `aaradi4�;r.# Inspection Requests Phone (949)644-3255 Job Address: 3912 CHANNEL PL Floor: Suite: Bldg: 0 Description of Work: SFR PIER, GANGWAY, AND FLOATING DOCK, INSTALLING 2 SILL PLATES TO RAISE CATWALKIPIER 11 INCHES FROM EXISTING, CONSTRUCT 4-WIRE/WOOD POST GUARDRAIL ALONG 45' CONCRETE SEAWALL Inspector Area: 1 Legal Description: CANAL SECTION LOT 7 BILK 539 ALL -INC BET SAME & HIGH TIDE LINE - Owner: BAXTER ALEX Contractor: APEX DIVING INE SERV Engineer: JAFARI MASOUD Address: 3912 CHANNEL PL Address: 15061 SHER WAY STE J Address: 23 ORCHARD #250 NEWPORT BEACH CA 92663 VAN NUYS 91405 LAKE FOREST CA 92630 Phone: Phone: 818-78794 Phone: 949-206-9929 State Lic: S-003812 Applicant: BAXTER ALEX Con State Li- Designer: Address: 3912 CHANNEL PL Lic Expire: - /31/2023 �� NEWPORT BEACH CA 92663 Bus Lic: BT3005929 a: Phone: 619-398-6404 Lic Ekp0513112022. Phone: �Vensa Special Cond: \ Longshoremen's and Harbor Woiir ion Declaration - - ®\ Carrier: LONGSHORMAN'S/W.C. Issued Date 06/15/2022 Policy No: 9216743-19 Expire : 08/24/2022 FEES Valuation: $22,572.00 Fire Inspection Fee: $0.00 $0.00 Inspection Fee: $314.00 Fire Plan Check Fee: $0.00 Plan Dep - Counter Review: $0.00 Plan Check Fee $329.00 Records Mangement: $6.00 Plan Dep - Zoning Plan Check: $0.00 OT Plan Check Fee: $0.00 Harbor Plan Check Fee: $61.00 Plan Dep - OverTime Plan Check: $0.00 Investigation Fee: $0.00 Building Green Fee : $1.00 TOTAL FEE : $711.00 Plan Check Fee : $390.00 Fee Due at permit Issuance : $321.00 PROCESSED BY:qwx®°° .G« PUBLIC WORKS: PLAN CHECK BY: 460 ° APPROVAL TO ISSUE: ° OTHER DEPARTMENTS: .. ... . . .. .. ... FINAL INSPECTION: PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION LDER 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 fog 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 and 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 of 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 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 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 IS 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 applicable law, Section 7044 of the Business (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 ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (Gomming w' Section 7000) of Division 3 of the en nd effect. License Class License No. Date iO f. Contractor Signa ONGSHOREMEN'S & HARBOR WORKERS' COMPENSATION DECLARATI N 'ARNING: FAILURE TO SECURE LONGSHOREMEN'S & HARBOR WORKERS' COMPENSATION COVERAGE IS UNL W UL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL :tQ,0,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. of Code, and my license is in full PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND I hereby affirm under penalty of perjury one of the I have 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 My workers' compensation insurance carrier and policy number are: Policy Number Expiration Date A—f Phone # certify that, in the erfo a ec+oAwerr' 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 b con su the compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. tture of Ap lic t I 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, Lender's Name Lender'sAddress By my signature below, I certify to each of the following: I am the prop er or authorized to act on the property owner's behalf. I have read his appli Lion and a information I have provided is correct. I agree to C pl all app b city and county ordinances and state laws relating to building construction. I authorize re e e i o th s sty or county to enter the above -identified property for inspectio pu,,,_r...'RRR��s�es.\) signature: Print Namer. f"�t Civil Code). A6701V DA BY DECLARATID. OPCOMPLIANCEMTHCODEOF FOR OFFICE U77 OFJ1Y FEDERAL REGULATIONSPART 6f OF TITLE40 AND AQMD RULE 1403. PERA4FFEY.PIRED ❑ / SUBMITTED ASBESTOS NOTIFICATION -TO, ❑ EPA . . .° ° ❑ AQMD ° •1 •• ••• PERMITCANCELLEO PERMITEXTENDED ❑ ASBESTOS NOHHCA770M IS NOT APPLICABLE TO PROPOSED DEMOLITION •.. • • • • • ••• •• • • • • ° PERMIT FINAL CERTIFICATE OF SIGNATURE. ° . . OCCUPANCYISSUED ° • v