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Home My WebLink AboutM2023-0036 - PermitsaEwvoRT City of Newport Beach I II I I II I III II II IIII II II 6 Community Development Department- Building Division Harbor Permit : M2023-0036 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check NO : PC2023-1515 Permit Counter Phone: (949) 718-1888 Work Class : Alteration newportbeachca.gov/civic ,gilcc A��r Issued Date : 07/18/2023 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 : 918 BALBOA BLVD E Legal Dense : A TR BALBOA TR BLK 13. LOT 9 BALBOA TR LOT 9 BLK 13 ALL -INC POR ABAN ST Description: SFR DOCK TO BE RECONFIGURED, (2) EXTG 14" PILES TO. BE RELOCATED. GANGWAY AND PIER TO REMAIN. RECONFIGURE DOCK, PIER & GANGWAY TO BE REDECKED Owner: SCOTT TR ARCHER Address : 918 E. BALBOA BLVD NEWPORT BEACH, CA 92661 Phone: (949)631-3121 Applicant: MARISSA MORALES Address: 6351 INDUSTRY WAY WESTMINSTER, 92683 Phone: (949)631-3121 Contractor: SWIFT SLIP DOCK/PIER BUILDERS Address : 6351 INDUSTRY WAY WESTMINSTER, CA 92683 Phone: (949)631-3121 Con State Lie : 797052 Lie Expire : 07/31/2023 Bus Lie : BT01122734 Bus Lie Expire : 11/30/2023 The Longshore and Harbor Workers' Insurance Carrier: GREAT AMERICAN ALLIANCE INS CO Policy No: WC173816805 Policy Expire: 12/31/2023 Code Edition : 2022 Fire Sprinklers : NO Type of Construction : Fire Hazard Zone : NO Occupancy Groups : U Building Setbacks : Front: 1, Front: 10, Side: 3, Side: 3 Flood Zone : AE, 8 FT; AO 1; X Use Zone : R-2 - Two -Unit Residential Processed By: SPECIAL CONDITIONS: Architect Address Phone: State Lie Engineer: PETROVPLAMEN Address : 28161 CASITAS CT LAGUNA NIGUEL, CA 92677 Phone: (714)717-7542 Designer: Address Phone: Construction Valuation : $45,200.00 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors` State License Law for the reascirl indicate faction T031.5. Business and Professions Code: Any city or county that requires a permit to construct: alter, improve, demolt: le permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Lau rofessions Code) or that he or she is exempt from lioensure and the basis for the alleged exemption. Any violation of Section of more than five hundred dollars ($500). 1, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U portions of the usiness and Professions Code The Contractors' State License Law does not apply to an owner of property who, through Got nprovements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completl n raved for the purpose Of sale). J I. as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Bu ply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pu I am exempt from licensure under the Contractors' State License Law for the following reason y my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one yea all a structure that I have built as an owner -builder it it has not been constructed in its entirety by licensed contractors. I undo: rofessions Code, is available upon request when this application is submitted or at the following Web sita:http:/lwwW.leg nfo.l signature of Property Owner or Aulhorized Agent ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sectio 7 0 of D rid eNeci. License Cioss License No Dat. COMPENSATION DECLARATION below by the checkmark(s) I have placed next to the applicable fterri , 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 and 331.5 by any applicant fora permit subjects the applicant to a civil penalty of cork, and the structure is not intended or offered for sale. (Section 7044, loyees' or personal effort, builds or improves the property, provided that the ,n, the Owner -Builder will have the burden of proving that it was not built or iness and Profeasions Code: The Contractors' State License Law does not suanl to the Contractors' State License Law). prior to completion of the improvements covered by this permit, I cannot legz hand that a copy of the applicable law, Section 7044 of the Business and 3.govicalaw.html. Date 4sion 3 of the Business and PrciVbn�Ct3ptE, Gen�se is in full force 23 Contractor Si nadir �j// YY 'ARNING: FAILURE TO SECURE WORMERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALT191 AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (E100TWOL IN ADDTDON TO THE CST 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: I have and will maintain a certificate of consent to self -insure for workers' compensation, issued by the Director of In iustrial Relations as provided for by Section 3700 of the labor Code, for th orformance of the Work forwhich this permit is issued. Policy No. have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the perfo manse of the work for which this permit is Issued. My workers; compensatio: s a carrier and policy number are: Cartier Policy Number Expiration Date +Name of Agent Phone # ❑I certify that, in the performaw4 of the work for which this permit is issued; I shall not employ any person in any manner so is to become subject to the worke ' compensation laws of California, and agra that, it I should bacon s ' of to rke pe abort provisions of Section 3700 of the Labor Code, I shall forthwith cc I ply With those provisions. —1 Signature of Applicant __ __ _ _.D e DECLARATION REGA CO TRUE fIGN LE SING AGENCY I hereby affirm under penalty o eDUry that there is a construction lending agency for the performance of the work for which th permit is issued (Section 309 ivil Code). Lender s 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 properly owner's behalf. I have read thi- anrlicaron and the Oformalmo I have provided is correct. I agree to cOmmv votri all applicable city and out ordinances late laws relating to building construction. I aulhodze reuresentobves of this city or co 00 the b -'it titled roparty for inspection purposes, Signature of Proi Owner or Authorized A en Print Property Owner's or Autho ized Agent's Name (ko-SiSn 8AQ I Date % lA6 AGTI'3N DATE BY 1-111VLARATiON OF CO IANCE WITH CODE OF FEDERAL FOR OFFICE U E ONLY REGULATIONS PART 61 OF TITLE 40 AND AOr4n RULE 1403 YHRMrI exprRED I I I LJ I SUeNeT rF0 ASRFSTOS NOTIFICATION To PFRTVF r exi FNDFD F°RJ IfT F'W1. CLOT,NCArt OF CrCCUt1ANCV lSSUFD to