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HomeMy WebLinkAboutM2022-0054 - PermitsCity of Newport Beach IIII I I II I II I II II III I II II Harbor Permit : M2022-0054 Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2022-2851 Permit Counter Phone: (949) 644-3288 Work Class : Alteration u Inspection Requests Phone: (949) 644-3255 C94lFOM1N�P newportbeachca.gov/inspections Issued Date 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 : 74 LINDA ISLE Legal Desc : N TR 4003 BLK LOT Description: REPLACE (1) FINGERTIP PILE LIKE FOR LIKE, REDECK, REPC.ACE DECKIN9 FLOATING DOCK W/AZEK DECKING Owner: MUMMA JULIE A TR Address : 513 DRAGON GATE CT HENDERSON, NV 89012 Phone Applicant: MARISSA MORALES Address: 6351 INDUSTRY WAY INDUSTRY WAY WESTMINSTER,92683 Phone: (949)631-3121 Code Edition : 2019 Type of Construction : Occupancy Groups: U Building Setbacks : Front: 10, Front: 25, Side: 4, Side: 4 Flood Zone : _X__ Use Zone : R-1 - Single -Unit Residential Processed By: SPECIAL CONDITIONS: Contractor: SWIFT SL bCK/PIER BUrQERS Address: 6351IN RYWAY aW INSTER, Phone : (91 1-3121 Con State Lic : 052 \`(/ Lie Expire :*�--®• 07/31/2023 vim' Bus Lic\\�V BT01122* Bus Li xpire : 11/30�23 The Longshore and Harbor Workers' Insurance Carrier: GREAT AMERICAN ALLIANCE INS CO Policy No : WC173816805 Policy Expire : 12/31/2022 Fire Sprinklers : NO Fire Hazard Zone : NO Architect Address Phone: State Lie Engineer: PETROV PLAMEN Address: 28161 CASITAS CT LAGUNA NIGUEL, CA 92677 Phone: (714)717-7542 Designer: Address Phone: Construction Valuation : $42,000.00 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury (hat I am exempt from the ContractorsState License Law for the reasons) indicated below by the checkmark(s) I have placed next to the applicable Items) ;Section 7031.5. Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for :he permit 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 and 'rofessfons Code) or that he or she is exempt from lioensure and the basis for the alleged exemption. Any violation of Section 7031.6 by any applicant fora permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). 1 I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) portions of the work., and the structure is not intended or offered for sale (Section 7044, Business 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 the improvements are not intended or offered for sale. If, 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 or Improved for the purpose of sale). ❑ I, as owner of the property, am exclusively Contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who bulids or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). I ant exantpt from Iicensure under the Contractors' State 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 [east one year prior to completion of the improvements covered by this permit, I cannot legall) sell a structure that I have built as an owner-buildar If it has not been constructed In its entirely by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and Professions Code, is available upon request when this application Is submitted or at the following Web site:http:ifwwvr.leginfo.ca..gov/calaw.html, Signature of Property Owner or Authorized Agent _ Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sect 000. of Division 3 of the Business and PrQfe4 d m, icense is in full force and effect. License Class License No IZ zZ Contractor SigrfAtyee WORKERS' COMPENSATION DECLARATION NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE 15 UNLAWFUL, AND SHALL SU8JEC7 AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS i$100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR.IN SECTION 3704 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. hereby affirm under penalty of perjury one of the following declarations: -1 1 have and will maintain a certificate of consent to self-dnsure, for workers' compensation, issued by the Director of Industrl'arkelations as provided for by Section 3700 of the Labor Code, for th �1e fyrmance of the work for which this permit is issued. Policy No. and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' carrier and policy number are: to of Agent certify that.. in the performance of the , if I should become subjecLkkthe yip of Applicant Policy Number Expiration Date which this permit is issued.. I shall notemploy any person inany manner so as to become subject to the workers' compensation laws of California, and I�erisation provisions or Section 3700 of the Labor Code, I shall forthwith comply with those provisions. J n�G 1217 1 2_7 hereby affirm under penalty of perjury that thereis a construction lending agency for the performance of the work for which this permit Is issued (Section 3097, Civil Code). enders Name Lender's Address ly 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 application and the information I have provided is correct. I agree to comply with all applicable city and county ordinances and state laws relating to building construction. I authorize representatives of this city or court �Xnt �,f' ` a�,,,v-e--o entitled property for inspection purposes. ��,I _, Ilanature of ProDertV Owner or Authorized Acel /1 e V \ /`J. \ /1 Print ProoerN Owner's or Authorized Acent's Name ^{WILx�.17L1 1 V IAl ACTION I DATE i YCLARATIM4,0P COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY E REGULATIONS PART 61 OF TITLE, 40 AND AQMD Rl1LE PERMITCA.NCELLED LJ[PA PERMIT EMENDED 0AQMD PERMIT FINAL Sill p ASBESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATE OF PROPOSED DEMOLITION OCCUPANCY ISSUED r, G' SIGNATURE: I