HomeMy WebLinkAboutM2022-0026 - Permits��yEWPpRT City of Newport Beach IIIII I I II I II I II II II (III II Harbor Permit : M2O22-0026
e Community Development Department- Building Division
o 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check NO : 1650-2022 �� AP %
G a Permit Counter Phone: (949) 644-3288 Work Class : Alteration s c r „
*x. Inspection Requests Phone: (949) 644-3255 Issued Date : 07/27/2022 � � 3� _ `:>
c9GicOaN�¢ newportbeachca.govfnspections"� i
Inspection Area : 2 �$
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION.
Construction Hours: Monday - Friday 7:00 a.m. to 6:30 p.m. and Saturday 8:00 a.m. to 6:00 p.m. No work on Sundays or Holidays
Job Address : 18 LINDA ISLE Legal Desc : N TR 4003 BLK LOT 18
Description: SFR R/R (E) FLOATING DOCK, GANGWAY, 3 CONCRETE MARINA PILES'. _.
Owner: BOBRUSCO
Contractor: SWIFT SLIP 'DOCK/PIER BUILDERS
Architect:
Address : 18 LINDA ISLE NEWPORT BEACH, CA
Address.: 6351 INDUSTRY WAY WESTMINSTER,
.Address
CA92683
Phone: (949)631-3121
Phone: (949)631-3121
Phone:
Con StateLic: 797052
State Lie:
Applicant: SWIFT SLIP DOCKIPIER BUILDERS
Lie Expire : 07/31/2023
Address : 6351 INDUSTRY WAY WESTMINSTER, CA
Bus Lie ; BT01122734-
Engineer:
PETROV PLAMEN
92683
Phone: (949) 631-3121
Bus Lie Expire : 1.1130/2022 -
Address :
28161 CASITAS CT LAGUNA NIGUEL, CA
92677
Workers' Compensation Insurance -
Phone:
(714) 717-7542
Carrier
Policy No:
Designer:
W. C.Expire:
Address
Phone:
Code Edition : 2019
Fire Sprinklers : NO
Construction Valuation : $93,06009a'
a ]
Type of Construction :
Fire Hazard Zone;. Y
] 6
O 9
Occupancy Groups: U
a
]� a
Building Setbacks : Front: 10, Front: 25, Side: 4, Side: 4
Flood Zone : AE, 8 FT; X
Use Zone: R-1 - Single -Unit Residential
9a0 °
Processed By:
Public Works Approval:
Zoning Approval:
Plan Check By:
Grading Approval: -
Approval To Issue:
t hereby affirm under penalty of perjury that l am exempt from the Contractors' State License Law for the reasen(s) indicated below by the checkmark(s) I have paced next to theapplicable item(s)
coon 7031,5, Business and Professions Code Any city or county that requires a permit to construct, after, improve, demolish, or repair any structure, prior to Its issuance, also requires the applicantfor
permit to fife a signed statement that he or she is licensed pursuant to theprovisions of the Contractors` State License Law (Chapter 9 (Commencing with Section 7000) of Division 3of The Business and
Sessions Code) at 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 (_) portions of the work, and the structure is not intended oroffered for sale (Section 7044,
sinass 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
movements 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 provingthat It was not built. or
)roved for the purpose of safe)..
1; as owner of the property, am exclusively Contracting with Reensed Contractors to construct the project (Section 7044. Business and Professions Gods: The Contractors' Slate License Law does not
Ily to an owner of property who builds or improves thereon, and A4* contracts for theprojects with a licensed Contractor pursuant to the Contractors' State License Law).
I am exempt from Ifoensure under the Contraciors` 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
I a Structure that I have built. as an owner•buiidar if it has not been constructed in Its entirely by licensed contractors. I understand that a copy of the applicable. law, Section 7044 of the Business and
ifessfans Code, is available upon request when this applicationis, submitted or at the following Web site:http:llwww,teginfo.ca.gov/calaw.html.
nature of Property Owner or Authorized: Agent Date
'ENSEO CONTRACTOR'S OECI ARATION
hereby affirm under
end effect. License
ty of perjury that I am licensed under provisions of
License No
Date
In full force
YORKERS' COMPENSATION DECLARATION
taRNING: FAILURE. TO SECURE WORKERS' COMPENSATION COVERAGE Is UNLAWFUL, AND SHALL SUBJECT. AN EMPLOYER TO CRIMINAL PENALTIES AND CARL FINES UP TO ONE HUNDRED THousma, DOLLARS IS100.000): IN ADDITION TO T
OST OF COMPENSATION; DAMAGES AS PROVIDED FOR IN SECTION 370E OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEE&
hereby affirm. under penalty of perjury one of the following, declarations:
I 1 have and wilt maintain a cadificate of consent to self -insure for workers' compensation, issued by: the Director of Industrial. Relations as provided for by Section 3700 of the Labor Code, for
Lmance of the work for which this permit is issued. Policy No.
ave and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for theperformanceof the work for which this permit. is issued. My workers' compensal.
Isuranee carrier and policy number are;
;airier Policy Number Expiration Date
lame of Agent Phone tk
—1I certify that, in the performance of the work for which this permit is issued, i shall not employ any person: in any manner at) asto become subject to the workers' compensation laws of California, and agre
yat, if 1 should become 1, Ict WAR Coo is mpensabon provisions of Section 3700 of the Labor Code,1 shall forthwith comply with those provisions.
Ngnature of Appil
IECLARATION RE STRUCTlON LENOtNG AGENCY
hereby affirm uracjp 4Senalty of perjury that there is a construction fending agency for the performance of the work for which this permit is issued (Section 3097, 04 Code).
.enders Name- • Lenders Address.
ly my signature be€ow, i certify to each of the following:
•'i a'rA the prspedy owner or authorized to act on theproperty owner's behalf.
• I have roarititis application and the information I have provided is correct.
i.agree to comply with all applicable city and county ordinances and at a Cos relating to building construction.
• I authorize tdprV-41atives of this city or count`,+�fjr, enter a/j(�`uda/ryt�f r e for Inspection purposes. /%� (l �//
IiyitayF)of Pro�ehy dwnaT or Authorized Agent IL1 1 \ Pint FrdoettV Owner's or Authorized Auent's Nam�L f U Wt I' 1 I U INI i/i IYS nanR '1�Z1
TO
CERTIFICATE OF
FOR OFFICE USE ONLY
RULE
All required alarms, latches gates and fences which serve as part of a pool/spa barrier, shall
be in place priorto approval to fill pool/spa & shall remain in place & be maintained for the
TU life of the pool.