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Home My WebLink AboutM2023-0041 - PermitsE'"O," City of Newport Beach IIII I I II I III II II II III I II Harbor Permit : M2023-0041 p4 Q0 Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2023-1655 O S Permit Counter Phone; (949) 718-1888 Work Class : Other e cqc FuaN,r newportbeachca.gov/civic Issued Date : 09/20/2023 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 : 4014 CHANNEL PL Legal Desc : A TR CANAL SECTION BILK 441 LOT 8 CANAL SECTION LOT Description: SFR REMOVAL OF (E) FLOATING DOCK, GANGWAY, PIER AND CONCRETE PILE, INSTALL NEW FLOATING DOCK, (2) CONCRETE PILES AND GANGWAY Owner: MARK ROSENE Address : 26880 ALISO VIEJO PKWY, 200 ALSO VIEJO, CA 92656 Phone : (949) 463-1328 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 Front: 3, Front: 20, Side: 3, Side: 3 AE, 8 FT; X R-2 - Two -Unit Residential SPECIAL CONDITIONS: Contractor : SWIFT SLIP DOCK/PIER BUILDERS Architect Address : 6351 INDUSTRY WY WESTMINSTER, CA Address 92683 Phone: (949)631-3121 Phone: Con State Lic : 797052 State Lic Lic Expire : 07/31/2025 Bus Lic: BT01122734 Engineer: Bus Lic Expire : 11/30/2023 Address 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 Phone Designer Address Phone: PETROV PLAMEN 28161 CASITAS CT LAGUNA NIGUEL, CA 92677 (714)717-7542 Construction Valuation : $50,000.00 OWNER -BUILDER DECLARATION I hereby affirm, under penally of perjury that I amexempt from the Contractors state License Lax for the reaSOIF)i Indicated new py the checkmark(s) I have placed next to the applicable items) (Sec lion 7031_5, Business and Professions Code Any city or county that requires a permit to construct, after, improve, demolish, or repair any structure, phorto Its Issuance, also requires the applicant to the perms. 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 am Professions Gone) or that he or she Is exempt from lcensure and the bass OF the alleged exemption. Any woation of Section 70315 by any applicant fora: permit subjects the applicant to a civil penalty o not more than five hunded dollars (MO), ❑ L. as owner of the property, army employees with wages as their sole compensation_ will do I`) all of or L) portions of the work, and the structure Is not Intended or offered for sale (Section 7044, Business and Professions Cabe: The Contractors' State License Law does not apply to an owner of property who, through employees' or personas effort, builds or improves the property, provided that the Improvements are not intended or Offered for sale. ft, 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 a droved for the purpose of sale). LJ I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044. Business and Prolessi..ons Code: The Contractors' State License Law noes not apply to an owner of property who builds or Improve thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law)_ U I am exempt from Ito ensure under the Contraclors' State License. Law far the following reason.. By my signature below I ac Wow lodge 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 permt, I cannot le sea a. structure that I have built man owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the apprc able law, Section 7044 of the Business Professions Code. Is available upon request when this application is submitted or at the following Web sfte:hUp:awww Iegmi ca.govicalaw.html. Signature or Property Ow nerov Authonxed Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (comm ermI ig wir Se [Z,g7o00) of Division 3 Of the Businessland77sTi s`Go anW frense is in hit force and effect. License Class License No. Date �fl .h Contractor Signature // LONGSHOREMEN'S & HARBOR WORKERS' COMPENSATION DECLARA�N WARNING. FARM RE TO SECURE LONGSH ORE NEili ARBOR WORKERS'CONN'ENSATION COVERAGE 15 UNLANFUL,AND SMALL SUBJECT AN. EWLOYER. TO CRMANAL PENALK �DCMLFMESU.PTO ONE NUN DUD THOUSAND DOLLARS atWgD9D1, IN ADDITION TO THE COST OF COk&ENSATION, DANYNGES As MOVIDED FORM SECTION NOS OF TH£. LABOR CODE, INTEREST, AND ATTORNEY-S FEES. I hereby tfrm Under penalty of perjury one Of the following declarations ❑ 1 have and will maintain Longshoremen's ano Harbor workers' compensation insurance, as required by Section 3700 of the Labor Code. fo€the performance of me Work forwhich this permit is issued. My workers' compensation insurance carrier and policy number are Carrier Policy Number Expiration Date Name of Agent Phone 9 i Icertify that, in theperformance of the+hQrK for,#htch thRA permit is issued, I shall not em ploy any person in any manner so as to become subject to the workers' compensation lawsof California, an agree that. d I should become su ec to- he ww e co sec pmvsions of Section 3700 of the Labor Code. I shall forthwith carp€y with those .provbions- Signature of Appli ca L6e: �t� Z3 DECLARATION REGARDING CO. STR. C TI'..ON NDI:NG AGENCY I hereby affirm under penalty or perjurythattnere is a. construction lending agency torthe performance of the work torwhlch this permit is Issued (section 3097, Civil Code)_ Lenders Name Lender's Address By my signature below, I certifyto a ach of the following: I am the property owner or authorized to act on the property owners behalf. I have Bead this aptOcatron andthe infomtatlon I have provided is correct. I agree to comply with all applicable :0-91Vcounty ordinances and statelaws relating tobuilding construction. I autho€ee represe sot his fty co my toe ter the above -identified property for inspection purposes. Signature: Print tin �5� /�/ ! (,lr /rJ Date: L7 ACTIC+Iv� vV DATE 8V DECLA T F COM DANCE WITH CODE OF FEDERAL REGbiATiONS PART 61 OF TITLE 40 AND FOR OFFICE USE ON Y AQQMD RULE 1401 ❑ (SUBMITTED ASBESTOS NOTIFICATION TO: PERMIT EXPfRED PERMIT CA&CELi ED ❑ EPA ❑ AQMD ❑ ASBESTOSNOPFiCATIONfSNOTAPPLICABLETO PERMIT EXTENDED PERMIT FINAL PROPOSED DEMOLITION. CERTIFIGATEOF 0CCYP4 NCY i3SVED ,'JNATtb tic: