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