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Home My WebLink AboutM2023-0008 - Permits�EW?oRT City of Newport Beach o Community Development Department- Building Division Center Drive, Newport Beach, CA 92660 100 Civic Permit Counter Phone: (949) 644-3288 Inspection Requests Phone: (949) 644-3255 cq<reppN�P newportbeachca.gov/inspections IIII II I III I II III I Harbor Permit : M2023-0008 Plan Check O he PC2023-0169 WC Issued Date : 03/07/2023 Inspection Area : 1 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 : 22 BAY ISLAND Legal Desc : Description: PARTIAL DOCK REPLACEMENT ONLY, NO PILE WORK Owner : MATT MILLER Address: 22 BAY ISLAND NEWPORT BEACH, CA Phone Applicant: MARISSA MORALES Address: 6351 INDUSTRY WAY WESTMINSTER, 92683 Phone: (949)631-3121 Code Edition : Type of Construction Occupancy Groups: Building Setbacks Flood Zone Use Zone: Processed By: 2022 U Contractor: SWIFT SLIP DOCK/PIER BUILDERS Address : 6351 INDUSTRY WAY WESTMINSTER, CA 92683 Phone: (949)631-3121 Con State Lic : 797052 Lic. Expire : 07/31/2023 Bus Lic : BT01122734 Bus Lic. Expire : 11 /30/2023 The Longshore and Harbor Workers' Insurance Carrier: GREAT AMERICAN ALLIANCE INS CO Policy No: WC173816805 Policy Expire : 12/31/2023 Fire Sprinklers : NO Fire Hazard Zone: NO Architect Address Phone: State Lic Engineer: PETROVPLAMEN Address : 28161 CASITAS CT LACUNA NIGUFL, CA 92677 Phone: (714)717-7542 . Designer: ' • " Address: Phone: Construction Valuation : $26,000.00 " AE, 8 FT RM - Multiple Residential, RM - Multiple Residential, RM - Multiple Residential; RM - Multiple Residential, OS - Open Space, OS - Open Space, RM - Multiple f SPECIAL CONDITIONS: NO CONSTRUCTION NOISE ON THE WEEKEND I hereby affirm under penalty of perjury that I am exempt from. the Contractors' State License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable Items) Section 7031.5, Business and Professions Cone Any city or county that requires a permit to construct, alter, improve; demollsh, or repair any structure, prior to its Issuance, also requires the applicant for is permit to file a signed statement thathe or she is licensed pursuant to the provisions of the Contractor$' State License Law (Chapter 9 (.commencing with Section 7000) of Division 3 of the Business and 'rofassions Code) or that he or she is exempt from licar sure 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 lot more than five hundred dollars (S500).. 1, as owner of the property, or my employees with wages as their sole compensation, will do (_) all or (_) portions of the work; and the structure is not: intended or offered for sale (Section 7044, lusines4 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 nprovements are not intended or offered for sale. If, however, the building or improvementis sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or "n roved for the purpose of sale). t, 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 poly 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). 1 ant exempt from licensure under the Contractors' State License Law for the following reason: ly 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 eenmt Iegall� ell a structure that I have built. as an owner -builder if it ties not been constructed in its entirety by licensed contractors. ) understand that a copy of the applicable law, Section 7044 of the Business and Lrofessions Code, is available upon request when this application Is submitted or at the following Web site:http:llwww.leginfo.ca.govlcalaw;html. signature of Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION herebyafrm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7 00).of.Division 3.of the Business and P; scion C y li rise Is in full force Ind effect. License Glass License No Date i -2Contractor Signatu VORICERS' COMPENSATION DECLARATION fARNINO: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS d100.000), IN ADDIDON TO THE LOST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. hereby affirm under rer arty of perjury one of the following declarations: 3 1 have and will wako,am a certificate 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 the eroa. )w.ca of the work for which this permit is issued. Policy. No. have,and will marnmin workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the worts for which this permit is issued. My workers' compensatior ,raace oanier and policy number are: riar,_,,, Policy Number Expiration Date is of Agent Phone # ca, W" that., in Oe performance of E work for which this permit is issued, I shelf not employ any person in any manner so as to become subject to the workers' compensation taws of California, and agree ,f I-. , a ^d rsrym , ns hould become sir ` ^ toatiion prov€sions. of Section 3700 of the Labor Code,: I shall forthwith comply with those provisions. —I 2 Late ire of Applicant DataC�.�l `I Z�✓ he,cty Orrm 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). ondn•'r Name Lender's Address ly my signature baluw, 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 1 have provided i5 correct. I agree to comply with all applicable city and county ord' arias a late laws A oUng to building construction. I authorize representatives of this city or ccuniy e t b e p p y far Inspection purposes. IN A A n—. A j 1403 PERMIT OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY PART 61 OF TITLE 44 AND AQMb RULE PERMIT FINAL U ASBESTOS NOTIFICAHON IS NOT APPLICABLE TO CERTIFICATE OF O'7,Oj.Z PROPOSEDI EMOU110N OCCUPANCY ISSUED SIGNATUR[. o