HomeMy WebLinkAboutM2023-0050 - PermitsEWPoRT City of Newport Beach IIII I I II I III IIII III I II II Harbor Permit : M2O23-0050
Community Development Department- Building Division
n 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2023-1884
Permit Counter Phone: (949) 718-1888 Work Class : Other
newportbeachca.gov/civic Issued Date: 08/22/2023
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 : 910 BALBOA BLVD E Legal Desc : A TR BALBOA TR BILK 13 LOT 5 BALBOA TR LOT 5 BLK 13
Description: SFR REDECKING OF PIER, GANGWAY AND DOCK
Owner: MONSON KRISTEN S TR
Address : 910 E BALBOA BLVD NEWPORT BEACH, CA
92661
Phone : (949) 500-8451 Phone :
Con State Lie
Lic Expire
CA Bus Lic;
Applicant : CHANTELE BOYETT
Address: 1024 LAKE ST HUNTINGTON BEACH,
92648
Phone : (562) 592-1357
Code Edition :
Type of Construction
Occupancy Groups:
Building Setbacks
Flood Zone
Use Zone:
2022
U
Front: 1, Front: 10, Side: 3, Side: 3
AE, 8 FT; X
R-2 - Two -Unit Residential
Contractor
Address :
SOUTH SHORE MARINE CONST INC
19051 GOLDEN WEST ST, 106-119
HUNTINGTON BEACH, CA 92648
(714)732-6127
1082069
10/31/2023
BT30076917
Bus Lic Expire : 10/31/2023
The Longshore and Harbor Workers' Insurance
Carrier: NEW YORK MARINE & GENERAL
Policy NoINSUf07O18ii QD023269
Policy Expire: 11/3/2023
Fire Sprinklers : NO
Fire Hazard Zone : NO
Architect
Address
Phone:
State Lic:
Engineer:
Address
Phone :
i S NCTORI
Designer: SOUTH SHORE MARINE CONST INC
Address : 19051 GOLDEN WEST ST, 106-119
HUNTINGTON BEACH, CA, 92648
Phone : (714) 732-6 .27,
Construction Valuation : $9,7U0.00 .
NO CONSTRUCTION WORK
Processed By: L_�'\ ON SATURDAYS
SPECIAL CONDITIONS:
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reasons) indicated below by the checkmark(s) I have placed next to the aplottable Items)
Alan 7031.5, Business. and Professions Code.. Any city or county that requires a permit to construct, after, Improve, demolish. or repair any structure, prior to its issuance; also requires the appliCaut fa
permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter8 (commencing with Section 7000) of Division 3 of the Business a"
essons Code) or that he or she Is exempt from ICensure and the bass for the alleged exemption. Any violation of Section 7031 5 by any apptcanffor a permit subjects the applicant to a civil penalty o
more than five hundred dollars ($SOO).
I, as owner or the property, army employees with wages as their sole compensation, will do (_) all of or (_p portions of the work, and the structure is not intended or offered for sale (Section 7044,
mess 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 ttt
'ovements are not intended or offered for sale_ If, however, the building or improvement is soil within one year of completion, the Owner -Builder wig have the burden of proving that it was not built o
-oved For thepurpose of sale).
I, as owner of the property, amexclusively contracting with licensed Contractors to construct the project (Section 7044. Business and Professions Code. The Contractors' State License Law does not
y to an owner of property who builds or improves thereon, arl contracts forthe projects with a licensed Contractor pursuant 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 acpnowledge that, except for my personal resaence. In which I most have resided for at leas[ one year prior to completion of the improvements covered by this permit, I
a structure that I have built m an owner -builder if A has notbeen constructed in As entirety by licensed COntractOrs. I understand that a copy of the applicable law, Section 7044 of the
fessions Code, s available upon request when this application is submitted or at the following Web sHeT1tpl1vww.leginfo_ca_gov/caaw.hIRL
nature of Property Owneror Authortzed Agent Date
LICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 brl1ing with Section 7000) ,','', ram,, II/slon 3 of the Busne. and Rom fessions Code, and fry license is In full ford
and effect License Class License No f 2'1_ �2� rAclgtFactor Signature C.A-�__,
LONGSHOREMEN'S & HARBOR WORKERS' COMPENSATION DE / l
WARNING' EMIR RE TO SECURE LON FISH ORE N€N'SB HARBOR'WORKERS' COWE45AMOR COVERAGE [SUN Lp FUL,MD SHALLSUBJECTANE LOY£RTOCRIMNALPENALmES AND CMLFNESUP TOOONE HUN DREG THOU SOND DOLLARS
11t00,0001, IN AODITI,ON TO THE COST OF CONP£N5ATiON, DAEAksES As PROVIDED FORM SECTION NUG OF THE LABOR CODE, INTEREST, AND ATTGRNEY'S FEES, I hereby affirm under penalty Of perjury one of the follow hG
F/ ns
I have and will maintain Longshoremen's and Harbor workers' compensation insurance, as required by Section 3700 of the Lffior Code, for the performance of the work for which this permit. is
Issued. My workerscompensation insurance carrier and policy number am:
Carrier Policy_ Number Expiration Date
Name of Agent Phone f!
L-i I certifi, thzt, in the. per [a Tian ce of the work for which this permit is issued, [shall not ere ploy any person in any manner so as to became. s ubjec t to the workers'
agree that, If I.. v hut1In' sec orte subject to the workers' Compensation provisions of Sec ton 3700 of the Labor Code, I shall Ionhwith comply wlin those provs ions.
Signature of Applicant:
rti:
N
DECLARATIOf A)NC CONSTRUCTION LENDING AGENCY
I hereby afro i, under ttei lacy dt perjury that there Is. a.. construction. lending :agency for the performance of the work for whlcn this permit is Issued (Section 3097, Civil Code)
i_�nd Ys Name Lentler'sAddress
By my signature below, I certifyto each of the follov7ing::
I am the pruthety ,rner cr aulrt,i zed to act on the property owner's behalf,
I have read I,% application and the information I have provided is correct.
I agree to compy rr fth all sp p c aale c lty and county ordinances and state laws relating to building construction. /
t authorize rel.resematives of th s city orcounty toeriferthe above dentified property for inspection purposes.
OILI Print
ACTION
DA tE
OF
ucr.Larca rlil fir �umruarvc.c worn r.uue ur
FEDERAL.R GULATIONS PART 61 OF TIRE 40 AND
AQMD RULE 1403,
PERMIT EXPfREO
❑ ! SUBNRTI"ED A59ESTOS NO77FfCA770N TO:
PERMITCA.NCELLED
❑ EPA
PERMIT EX7EdJDED
❑ AgMD
IS NOi APPLICABLE TO
PERMIT FINAL
2
aPONSED DEMOU F7flN.7iDN
OCCUPANCY:.ISSUED r I SIGNATURE:
laws of Calitomla,