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Home My WebLink AboutM2022-0009 - PermitsCity of Newport Beach - Building Division 11p11III 1111111111111111111111111p111p11111111111111 100 Civic Center Drive, Newport Beach, CA 92660 M 2 0 2 2 0 0 0 9 4 +1 d n Permit Counter Phone (949)644-3288 U � � HARBOR Permit: M2022-0009 Project No : 1152-2022 Inspection Requests Phone (949)644-3255 Job Address: 2210 CHANNEL RD Floor: Suite: Bldg: 0 Description of Work: REMOVEIREPLACE (E) FLOATING DOCK LIKE FOR LIKE, NO PILE WORK, REUSE (E) GANGWAY & PIER PLATFORM Inspector Area: 1 Legal Description: TR 518 LOT 22 BLK P NWLY1/2 -INC POR OF LOT M & CHANNEL RD ADJ(AND Owner: THIEL SCOTT Contractor: SWIFT SLIP DOCK/PIER BUILDERS Address: 2210 CHANNEL RD Address: 6351 INDUSTRY WAY NEWPORT BEACH, CA 92660 WESTMINSTER CA 92683 Phone: Phone: 949-631-3121 State Lic: C-066947 Applicant: MORALES MARISS Address: 6351 INDUSTRY WAY WESTMINSTER, CA 92683 Phone: 949-631-3121 Special Cond: Issued Date 05/23/2022 Valuation: $61,000.00 Inspection Fee: $314.00 Plan Check Fee $329.00 OT Plan Check Fee: $0.00 Investigation Fee: $0.00 Building Green Fee : $3.00 TOTAL FEE: $715.00 PROCESSED BY: \� PLAN CHECK BY: Con State Lic:797052 Lic Expire: 07/31/2023 Bus Lic: BT01122734 Lic Exp Date: 11/30/2022 R�y Engineer: PETROV PLAMEN Address: 28161 CASITAS CT LAGUNA NIGUEL CA 92677 Phone: 714-717-7542 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: $8.00 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 Fee Due at permit Issuance : $325.00 PUBLIC WORKS: vv APPROVAL TO ISSUE OTHER DEPARTMENTS: FINAL INSPECTION: PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION ER -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 (_) all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, liness 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 omiwr 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, Ef property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). 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, 1 cannot legally 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 anc fessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. natlre of Property Owner or Authorized Agent Date I SENSED C ONT, RACTOR'S DECLARATION h-:-s7y affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (co encing w th Sect n 7 � 00) of Division 3 of the Bus nd effr`ct. License Class License No. Date 2 'Z'Contractor Signature GNGSHOREMEN:9 & HARBOR WORKERS' COMPENSATION DECLARATION license is in full 'ARNING: 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 10%000;;, 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 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 My workers' compensation insurance carrier and policy number are: r Policy Number Expiration Date of Agent Phone # I certify that, in the perform a of tha ork for((e h 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, an that, if I should becorpeisub' ct to the rl @'fop s 'on ovisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. n' tture of Applicant; �( ` / 1' Tr_- I � z 1 •� I_ 7i71`.NR14=01a]II"lCH=1.[HI 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 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 represeV6tivIksANh1,lPIVQr county to enter the above -identified property for inspecgop purposes. Print Nam Civil Code). AC77ON DATE BY DECLARATION OF COMPLIANCE 144TH CODE OF FOROFFICLe EONLY FEDERAL REGULATIONS PART 61 OF TITLE 40 AND AQMDRULE 1403. PERMITEXPIRED ❑ I SUBMITTED ASBESTOS NOT7FICATION TO: ❑ EPA ❑ AQMD PERA41T CANCELLED PERA41T EXTENDED ❑ ASBESTOS NORRCATIONIS NOT APPLICABLE TO PROPOSED DEMOLITION. PERMIT FINAL (c �, CERTIFICATE OF SIGNATURE: OCCUPANCYISSUED