HomeMy WebLinkAboutM2023-0027 - PermitsCi
ty of Newport I oqr Community
DBeach tmhnt- Building Division
IIII I I I III II I I I II II AHarbor Permit : M2023-0027
q�h; 100 Civic Center Drive Newport Beach, CA 92660 Plan Check No : PC2023-0967
Permit Counter Phone: (949) 718-1888 Work Class : Alteration
1'1;p f newportbeachca.gov/civic Issued Date : 05/12/2023
Cq<�FOQ�`P 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 : 50 LINDA ISLE Legal Desc : N TR 4003 BILK LOT 50
Description: SFR R/R (3) 14" PILES AND STEEL PILE GUIDES.
Owner:
HSU MING-SHIU TR
Address :
50 LINDA ISLE NEWPORT BEACH, CA 92660
Phone:
(949)631-3121
Applicant :
MARISSA MORALES
Address :
6351 INDUSTRY WAY WESTMINSTER, 92683
Phone:
(949)631-3121
LL1
0
Z
Z
Code Edition .
I
2
Type of Consthiction :
W
Occupancy Gr qps :
U Ll .i
Building SetbMRS :
Frib 10, Front: 25, Side: 4, Side: 4
Flood Zone : �—
X
Use Zone : Cn
R-F�- Single -Unit Residential
Processed By:® " kl
SPECIAL CONI®IONS: HIGH DENSITY ZONE
a
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 LAGUNA NIGUEL, CA
92677
Phone: (714)717-7542
Designer
Address
Phone:
Construction Valuation : $45,000.00
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) indicate,
(Section 7031.5. Business and Professions Code! Any City or county that requires a permit to Construct, alter, improve, demotes
the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Law
Professions Code) or that he or she is exempt from licensure and the basis for the alleged exemption. Any violation of Section
not more than five hundred dollars ($500).
111, as owner of the property, or my employees with wages as their sale compensation, will de (_) all of or (_) portions of the m
Business and Professions Code! The Contractors' State License Law does not apply to an owner of property who, through em f
improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of complain
improved for the purpose of sale).
❑ L as owner of the properly, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Bu!
apply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor put
❑ I am exempt from 1)Censura under the Contractors' Slate License Law for the following reason:
By my signature below I acknowledge that, except for my personal residence In which I must have resided for at least one year
met: a structure that I have built as an ownor-builder If It has not been constructed In Its entirety by licensed contractors. I under.
Professions Code, is available upon request when this application is submitted or at the following INeb sits:http:/iNww.legmfo.c
Signature of Property Owner or Authorized Agent
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 79�D�'of It
and effect. License Class License No Date_ I
COMPENSATION DECLARATION
NANNING: FAILURE TO SECURE WOR%ERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY-S FEES,
hereby affirm under penalty of perjury one of the following declarations:
6ISance have end will maintain a certificate of consent to self -insure for workers' compensation, issued by the Director of Im
rma Ice of the work. for which this permit is. issued. Policy No.
a"and willmaintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the perfol
carrier and policy number are:
Carrier Policy Number
is of Agent
certify that. in the pert nce of the kk for which this permit is issued'.: I shall not employ any person in any manner so
If I should become bjecl o tjye won rs onnpersafiap provisions of Section 3700 of the Labor Code, I shallforthwith c
Siqnature of Appli
DECLARATION FDINGG NSTRUCTI LE Il-A CY ,
hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which
Lenders Name Lender's Address
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 applcaton and the information I have provided is correct.
I agree to comply with all applicable city and county ordinance d state laws relating to building construction.
I authorize representatives of this city or my to qta( the ove-I entified property for inspection purposes.
ACTION ! DATE ( M \ DECLARATION OF COMPLIANCE WITrr-CODEOF FEDERAL
REGULATIONS PART 51 OF TITLE 40 AND AQMD RULE
PERM+f FXPiRED
j L_IISUHMITTF,0 A5REST05 NOTIFICATION TO
PF.RMITCANCELLEQ
j.. EPA
PERMITEXTENDED
'..LJAQMD
PERMITFINAL
CERTIFICATE OF
OCCUPANCY ISSUED
f� UJ
ASBESTOS NOTIFICATION IS NOT APPLICABLE 1'0
y PROPOSED DEMOLITION
` SIGNATURE:
below by the checkmark(s) I have placed next to the applicable Rem(s)
, or repair any structure, prior to its issuance, also requires the applicant for
Chapter 9 (commencing with Section 7000) of Division 3 of the Business ande'
]31.5 by any applicant for a permit subjects the applicant to a civil penalty of
k, and the structure is not intended or offered for sale (Section 7044,
ees' or personal effort, builds or Improves the property, provided that the
the Owner-Buiider will have the burden of proving that it was not built or
and Professions Code: The Contractors' State License Law does not
to the Contractors' State License Law).
to completion of the Improvements covered by this permit, I cannot
that a copy of the applicable law, Section 70" of the Business and
Date
n 3 of the Business and Prof sslon a Anse is in full force
I Contractor Signature
CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (SI00Il00), IN ADDITION TOTES
Relations as provided for by Section 3700 of the Labor Code, for
of the work for which this permit is issued. My workers'
Date
s to become subject to the workers' compensation laws of California, and ogre
nply with those provisions. C� j
Daa�J l I�f 21
permit is issued (Section 3097, Ivil Code).
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Name
Date S//Z/2