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Home My WebLink AboutM2022-0018 - Permitse-,",IIC)R City of Newport Beach - Building Division 1111111111111111111111111111p111p11111111IlJillHARBOR Permit: M2022-0018 -( r"?A 100 Civic Center Drive, Newport Beach, CA 92660 M 2 0 2 2 0 0 1 6 Project No : 1400-2022 y a Permit Counter Phone (949)644-3288 Zvi3 �. tlxlu�,r Inspection Requests Phone (949)644-3255 Job Address: 310 BUENA VISTA BLVD Floor: Suite: Bldg: 0 G Description of Work: SFR LIKE FOR LIKE DECKING REPLACEMENT, REPLACE (E) WOOD DECKING WITH NEW PRESSURE TREAe'� GLAS FIR TIMBER (2- THICK X 6" WIDE) " ,��1v� V Inspector Area: 1 Legal Description: EAST NEWPORT ELK A LOT 163 Go(O N® Owner: FISCHBECK KATHERINE L Contractor: APEX DIVING & MARINE SE Engineer: JAF �OUD HARD #250 Address: 310 BUENA VISTA BLVD Address: 15061 SHERMAN WAY STE Address: c2s0 NEWPORT BEACH, CA 92660 VAN NUYS, CA 91405 ' \-x AKE FOREST CA 92630 Phone: Phone: 818-787-1794 f f�i q�: 949-206-9929 State Lic: S-003812 Applicant: POMMEROY KIM Address: 310 BUENA VISTA BLVD NEWPORT BEACH, CA 92660 Phone: 619-398-6404 Special Cond Issued Date 0611512022 Valuation: • $11,483.00 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 : $711.00 PROCESSED BY: PLAN CHECK BY: Con State Lic:1006937 Designer: Lic Expire: 08/31/2023 Address: Bus Lic: BT30059290 Lic Exp Date: 0513112023 Phone: Longshoremen's and Harbor Workers' Compensation Declaration - Carrier: LONGSHORMAN'S/W.C. Policy No: 9216743-19 FEES Fire Inspection Fee: $0.00 $0.00 Fire Plan Check Fee: $0.00 Plan Dep - Counter Review: $0.00 Records Mangement: $6.00 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 PUBLIC WORKS: APPROVALTOISSUE: OTHER DEPARTMENTS: Fee Due at permit Issuance : $321.00 FINAL INSPECTION: PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION 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 fc 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 o more than five hundred dollars ($500). I, as owner of the property, or my employees with wages as their sole compensation, will do L) 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 thl rovements are not intended or offered for sale. If, however, the building or improvement is sold within one year of con pletion, 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 704 , 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 r ursuant 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 yE a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I fessions Code, is available upon request when this application is submitted or at the following Web site:http://www.le nature of Property Owner or Authorized Agent .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (comme cin h Section 7000) nd effect. License Class License No. Date ( ZZ ONGSHOREMEN'S & HARBOR WORKERS' COMPENSATION DECLARA 'ARNING: FAILURE TO SECURE LONGSHOREMEN'S E HARBOR WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN 1 AQ,000I,, IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, A I have and will maintain Longshoremen's and Harbor workers' compensation insurance, as required by Section My workers' compensation insurance carrier and policy number are: certify that, in the perfor of wor or which this permit is issued, I shall not employ any person in any that, if I should In t t t work compensation provisions of Section 3700 of the Labor Code, I shall Iture of Applicants- I _ TION REGARDING CONSTWUCTION LENDING AGENCY I hereby affirm under penalty of perjurylhat41 e-rb is a construction lending agency for the performance of the work Lender's Name Lender'sAddress By my signature below, I certify to each of the following: I am the prMo r authorized to act on the property owner's behalf. have rea4file rmation have provided is correct. agree to and county ordinances and state laws relating to building construction. I authorize ounty to enter the above -identified property for inspection purposes. Signature: Print Nam that a copy of the applicable law, Section 7044 of the Business 'calaw.html. Date Division 3 of the Contractor Sion: is in full LOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ATTORNEY'S FEES. I hereby affirm under penalty of perjury one of the following of the Labor Code, for the performance of the work for which this permit is Expiration Phone # so as to become subject to the workers' compensation laws of California, 1 comply with those provisions. . which this permit is issued (Section 3097, Civil Code). f� v ACTION DA BY DECLARATION OF COMPLIANCE KITH CODE OF FOR OFFICE USE ONLY FEDERAL REGiJLATIONS PART 61 OF I AQMD RULE 1403. ITLE40AND PERMIT EXPIRED ❑ I SUBMITTED ASBESTOS A'071FI- ❑ EPA ❑ AQMD :`ION TC: PERMIT CANCELLED PERMITEXTENDED ❑ ASBESTOS NOTIFICATION IS NOT PROPOSED DEMOLITION, APPLICABLE TO PERMIT FINAL CERTfRCATECF OCCUPANCYGSUED SIGNATURE: