HomeMy WebLinkAboutM2022-0027 - Permits04w"',�,
City of Newport Beach
11Community Development Department- Building Division
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone: (949) 644-3288
Inspection Requests Phone: (949) 644-3255
newportbeachca.gov/inspections
IIII I I II I II I II II II I I II II Harbor Permit : M2022-UU27
lan Check No : ork Class : Alteration-2022
W
Issued Date : 07/27/2022
Inspection Area : 7 8 iE-3 P E I
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 : 406 S BAY FRONT
Description: SFR - R/R FLOATING DOCK
Owner: DAVID BECK
Address: 406 BAY FRONTS NEWPORT BEACH, CA
Phone: (949)631-3121
Applicant: SWIFT SLIP DOCK/PIER BUILDERS
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:
Zoning Approval:
2019
U
X; AO 1
MU-W2 - Mixed -Use Water
Legal Desc : A TR BALBOA ISLAND RESUB SEC 1 BLK 7 LOT 4
Contractor:
SWIFT SLIP DOCKIPIER BUILDERS
Address :
6351 INDUSTRY WAY WESTMINSTER,
CA 92683
Phone:
(949)631-3121
Con State Lic
: 797052
Lic Expire :
07/31/2023
CA Bus Lic:
BT01122734
Bus Lic Expire: 11/30/2022
Workers' Compensation Insurance
Carrier :
Policy No:
W. C. Expire:
Fire Sprinklers : NO
Fire Hazard Zone : Y
�. Public Works Approval:
Plan Check By:
Grading Approval: Approval To Issue:
Architect
Address
Phone:
State Lic:
Engineer: PETROVPLAMEN
Address: 28161 CASITAS CT LAGUNA
92677
Phone: (714)717-7542
Designer:
Address
Phone:
Construction Valuation
$20,OJ0.00
CA
I hereby affirm under penalty of perjury that I am exempt from the Contractors State License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable items)
3eclion 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
is permit to fife 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
rofessions Code) or that he or she is exempt from licensure and the basis for the alleged exemption, Any violation of Section 7031,5 by any applicant for a permit subjects the applicant to a civil penalty of
otmore than five hundred dollars ($500).
3 I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or (_) portions of the work, and the structure Is not intended or offered for sale (Section 7044,
lusiness and Professions Code: The Contractors' Slate License Law does not apply to an owner of property who,. through employees' or personal effort, builds or improves the property, provided [hat the
nprovements arenot 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
reproved 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
ply to an owner of properly who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law),
I am exempt front licensure under the Contract rs' Slate License Law for the following reason
ly my signature below I acknowledge 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 permit, I cannot legall,
ell a structure that I have builtas an owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and
'rofessions Code, is available upon request when this application Is submitted or at the following Web site:hltp:fivww,leginfo.ca.govicalow.html.
iignature of Property Owner or Authorized Agent Date
.ICENSED CONTRACTOR'S DECLARATION
hereby affrrm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 0. ) of IT 33--9tt4he Business and Pr sA ns d mycense Is in full force
nd effect. License Class License No DaSe `LEontractor Signatur
VORKERS' COMPENSATION DECLARATION
'ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED HOUSANO DOLLARS (Si00,00e1, IN ADDITION TO THE
DST OF COMPENSATION, DAMAGES AS PROVIDED FORM SECTION 3706 OF THE LABOR CODE, INTEREST. AND ATTORNEY'S FEES,
hereby affirm under penalty of perjury one of the following declarations:
I I have and will maintain a certificate of consent to sell -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for th
e1formance of the work for which [his 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:
Policy Number
Date
lame of Agent Phone fY
11 certify that, in the performance of the wo k ch this permit is issued, I shall not employ any person in any manner so as to become subject to the warkXrsco pensalian laws of California, and a
mat, if I should Deter su i tot rk sation provisions D( Seclfon 3700 of the Labor Goda, I shall forthwith comply with chose provisions. —1 1Ignalure of Appliaent. ,A��Z 11Z�IECI.ARATIONA ON RUCTIO ING AGE'NICYhereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097,de).
Berri Nsme _ Lenders Address
y my signature uoluvs, I certify to each of the following:
I an- the pr++party owner or authorized to act on the property owner's behalf.
I have read tads application and the information i have provided is correct.
I agree to comply with all applicable oily and coup v ordinances an ate laws relating to building construction.
I authorize represantalives of this city or coup ente 1 e b ve-i d p> arty for inspection purposes. ��� �` (� A,1 LZ�
in nah n e of Prrn a.iv Cwnor nr Authnri7md Ano,rt ' \ Print Pcnnarty r3wnar`,x nr AuthnH,.d Annnt'c tiara 1 I V' (,(� 1
ACTION
DATE BY I/ DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL
FOR OFFICE USE ONLY
I REGULATIONS PART 61 OF TITLE. 40 AND AQMD RULE
1403
PE.iM1T EXPIHFt7
1 1 SUBMITTED ASBESTOS NOTIFICATION TO
PFHMIT CANCEUrf,
All required alarms, latches gates and fences Which serve as part Of a pool/spa barrier, shall
be in place prior to approval to fill pool/spa & shall remain in place & be maintained for the
life of the pool,
i EPA.
FFRMil EKTIE DE0
_
gQMD
PERMIT FINAL
A58E5 O l IEI ATIO'. D T' APPLICABLE TO
CERTIFICATE OF
.Z�Z2 p.� I R SE M N
OCCUPANCY ISSUED
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