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HomeMy WebLinkAboutM2023-0039 - Permits°EWPOj�.T`h, City of Newport Beach Harbor Permit : M2023-0039 O ,�` Community Development Department -Building Division IIII I III II I I II a 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2023-1627 Permit Counter Phone: (949) 718-1888 Work Class : Other cq� oaN�r newportbeachca.gov/civic Issued Date : 08/04/2023 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 : 3907 MARCUS AVE Legal Desc : A TR CANAL SECTION BLK 339 LOT 4 CANAL SECTION LOT 4 BLK 339 (AND SELY 8.5 FT LOT 5 Description: SFR - R/R FLOATING DOCK, GANGWAY & PIER. R/R & RELOCATE 2 12" SO CONCRETE PILINGS. INSTIL 1 NEW 14" SQ CONCRETE PILING Owner: W VOSS Address : 2623 VISTA ORNADA NEWPORT BEACH, CA 92660 Z[ Phone : as j — Z74 — Applicant: JACQUELYN CHUNG Address: 4010 CHANNEL PL NEWPORT BEACH, CA Phone: (949)274-2545 Code Edition : Type of Construction Occupancy Groups : Building Setbacks Flood Zone Use Zone : 2022 L Front: 4, Front: 20, Side: 3, Side: 3 AE, 8 FT; AO 1; X R-2 - Two -Unit Residential Processed By: SPECIAL CONDITIONS: HAIC2022-1655 Contractor: SOUTH SHORE MARINE CONST INC Address : 19051 GOLDEN WEST ST, 106-119 HUNTINGTON BEACH, CA 92648 Phone: (714)732-6127 Con State Lie : 1082069 Lie Expire : 10/31/2023 Bus Lie : BT30076917 Bus Lie Expire : 10/31/2023 The Longshore and Harbor Workers' Insurance Carrier: NEW YORK MARINE AND GENERAL Policy NoINSUF QDptF3r W' Policy Expire: 111312023 Fire Sprinklers : NO Fire Hazard Zone : NO Architect Address Phone: State Lie Engineer: JAFARI MASOUD Address : 23 ORCHARD #250 LAKE FOREST, CA 92630 Phone: (949)206-9929 Designer: Address Phone: Construction Valuation $45,000.00 Am.N �3 C J DECLARATION 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 appllc able item(s) (Section 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 applicant To the permit to [Ilea 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 Code) or that he or she is exempt from I[censure and the basis for the alleged exemption_ Any violation of Section 7031.5 by any applicant for a pall subjects the applicant to a civil penalty o not more than five hundred dollars ($500) ❑ I. as owner Of the property, or my employees with wages as their Sole compensation.. will do U all of or U portions of the work, and the structure Is not intended or offered for sale (Section 7044. Business and Professions Code l 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 th' improvements are not intended or offered for sale. f.. however_ the building or improvement issold within one year of completion, the Owner -Bulkier will have the burden of proving that it was not bUilt a 6nproved for the purpose of sale). © 1. as owner of the property. am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The ContractorsState License Law does not appv to an Owner of property who builds or Improves thereci and who contracts forthe projects with a licensed Contractor pursuant to the Contractors' State License Law). IJ I am exempt Iram licensure under the Conlrac tors State License Law for the following reason: By my Signature below I aclmowledge that.. except for my personal residence in which I must have resided for at least one year prior to completion of the improvem is covered by this permdt, I cannot legalh set a structure that I have built as an owner -builder it I has not been constructed in its entirety by licensed contractors_ I understand that a copy of the. applic law, Section 7044 of the Business am Professions Code, s available upon request when this application is submitted or at the following Lveb sm htlMwww.leginfGCELgovlcataw.html. Signature or Property Cw n er or Authofted Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of per)Liry that I am licensed under provisions of Chapter 9 (cm Ii ih ,�{¢]`51`�y�'�'/},, ) of Billion 3 of the Bu s and Pr sons e, my license is In full fora and effect. License Class License No. Da '"'� ` Contractor Signatur L GSHOREMEN'S S, HARBOR WORKERS' COMPENSATION DECLA.II(AT-WN V W NING: FAILMP U RE TO SECURE LON GSH DREW N'SS HARBOR WORKER S'COERSAmON COVERAGE 15 UNLAWFULAND SHALL SUBJECT AN FMPLOVER TO CRIMINAL PENAL E ANO LFBNESUP O ONE RUN BRED THOU SAND DOLLARS IN JI DQMON TO THE COST OF COWEN SATION, DAMAGES AS MOY[DED FOR Oil SECTION ] % OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby anrl under pe. Ity of perjury one of the following I e and will maintain Longsho emen's and Harbor workers' compensation insurance, as required by Section 3700 of the Labor Code, for the peffemrghce of the work for which this pemtit is y workers' compen attain insurance carrier and policy number are: Policy Number Expiration Date A nl Phone # I certify that, in th performano oft work for w hich this permit is issued., Ishall not am ploy any person in any manner so as to become subject to the workers' compensation laws of Call foul an It. a I shook] bec subject to wor r "co p sation provsions of Section 3700 of the Labor Code, I shall forthwith comply with those prov5ions. re of Appiica rt �t/j/ ' • '7ZZ DECLARATION REGAR'DfNP` C STRt3ClTONI LENDING AGENCY y I hereby affirm under pens of perjury that /ere Is a. constructionloading agency forthe performance of the work forwhich this permit is issued (Section 3097, Civil Code). Lender's N. me Lenders Address By my signature below, certi to ea k of the following: I am the property owner authorl o act on the property owners behalf. I have read this plicate nd the information I have provided is correct. I agree loco ply wit aft epp I al resentativ s thil Signature: le city and county or ces and state laws relating to building construction. or Only to er'the above -identified property for Inspe- is purp se5. ��� j I �� I Print Na me: U/�II /v/N1//�r Vtf�/VVr ate: J0 �. 1 CT. PATE BY OECLARAT/. O COMPLIAN EWlT.COOEOF FEDERAL REGULATIONS PART fit OF TITLE40AND FOR OFFYCE LOSE ONLY AOMD RULE 1403. ❑ I SUBMITTED'ASBESTOS NO77FICATION TOr PE.9MITEXP7,';LE FEh"","^IT CAf CF'_L€i ❑ EPA ❑ AQMD ❑ ASBESTOS N'077RCA770NIS- NOTAPPLICABLE TO RERNIIT EX7EfFflEG' P51MtT FINAL PROPOSED DEMOLITION. CE-TIFICAT, OF C C C'J PA N CY lSSLED SIGNATURE: