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Home My WebLink AboutM2021-0058 - Permitste�� City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II HARBOR Permit: M2021-0058 .'t 100 Civic Center Drive, Newport Beach, CA 92660 M 2 0 2 1 0 0 5 8 ;'. ' .�.«..`. Permit Counter Phone (949)644-3288 Project No : 1902-2021 =l:amu'�� -' Inspection Requests Phone (949)644-3255 Job Address: 3706 CHANNEL PL Floor: Suite: Bldg: 0 Description of Work: MFR R/R (E) 12' CONCRETE PILES (2) ON AT FLOATING DOCK Inspector Area: 1 Legal Description: CANAL SECTION LOT 4 BLK 637 ALL -INC BET SAME & HIGH TIDE LINE - Owner: LEIFER LARRY Contractor: SWIFT SLIP DOCK/PIER BUILDERS Address: 3706 CHANNEL PL Address: 6351 INDUSTRY WAY NEWPORT BEACH, CA 92663 WESTMINSTER CA 92683 Phone: Phone: 949-631-3121 State Lic: C-066947 Applicant: MORALES MARISSA Address: 6351 INDUSTRY WAY WESTMINSTER, CA 92683 Phone: 949-631-3121 Special Cond: LIQUEFACTION HIGH DENSITY Issued Date 08/18/2021 Valuation: $17,000.00 Inspection Fee: $314.00 Plan Check Fee $329.00 OT Plan Check Fee: $0.00 Investigation Fee: $0.00 Building Green Fee : $1.00 TOTAL FEE: $709.00 PROCESSED BY: PLAN CHECK BY: Con State Lic:797052 Lic Expire: 07/31/2023 Bus Lic: BT01122734 Lic Exp Date: 1113012021 ON SATURDAYS CC 0 ease Engineer: PETROVPLAMEN Address: 28161 CASITAS CT LAGUNANIGUELCA9267 as a Phone: 714-717-7542 a C a E.L o°aooa a Designer: Address: Phone: 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: $4.00 Plan Dep - Zoning Plan Check: $0.00 Harbor Plan Check Fee: $61.00 Plan Dep - OverTime Plan Check: $0.00 Plan Check Fee $0.00 PUBLIC WORKS: APPROVAL TO ISSUE: OTHER DEPARTMENTS: FINAL INSPECTION: PERMIT EXPIRES 180 DAYSAFTER ISSUANCE OR LAST VALID INSPECTION Fee Due at permit Issuance : $709.00 ° a aaaoao o . 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 anc 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). 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 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 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 improvements 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 applicable law, Section 7044 of the Business an �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 Rroperry.Owner or Authorized Agent Date ;EASED C%WNACTOR'S DECLARATION :reo!y affirm ender penalty of perjury that I am licensed under provisions of Chapter 9 (comrginen ' h Smection 7000) of Division 3 of the BusP fe Co d my license is in full force 1 ftect. License Class License No. Date ® Yl Contractor Signature �� INGSHORF,MEN;S & HARBOR WORKERS' COMPENSATION DECLARATION 2NING FAILUKF 90 OCCURE 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 ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm under penalty of perjury one Of the following lions: .•.••. 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 is Jed My workers' compensation insurance carrier and policy number are: mer• • • • Policy Number Expiration Date me of Agen . • • Phone # • •� I cert"fh5f, pI the perfor nce 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, Igree that, if I BI;I IisWe V*I the wgrycers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. 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, 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 comp] all applica c and county ordinances and state laws relating to building construction. I authorize repr sentat f this sty o county to enter the above -identified property for inspection purposes. /j �/ �p f signature: Z Print Name: I � f!/1 L F\$� I'K/- om /C. Date: Z 9? AMON DATE BY DECLAR4RM OF COMPLIAKE tMTN CODE OF FOR OFFICE USE ONLY FEDE LREGULATIONSPART61OFTITLE40AUD A RULE 1403: PE.RMITEXPIRED 1 SUBMITTEDASBESTOS M077FICATION TO:. ❑ EPA ❑ AQMD PERMITCANCELLED PERMIT EXTENDED ❑ ASBESTOS M017FICA770N IS NOT APPLIC48LE PROPOSED DEMOLITION. PERMITRIVAL — CER77FICATEOF S NATURE. OCCUPANCYISSUED