HomeMy WebLinkAboutM2023-0030 - PermitsaEw oRr City of Newport Beach IIII I I III III I III II II Harbor Permit : M2O23-0030
of Community Development Department- Building Division
100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2023-1174
Permit Counter Phone: 949
( ) 718-1888 Work Class :Alteration
J newportbeachca.gov/civic
Issued Date :0711912023
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 : 44 LINDA ISLE Legal Desc : N TR 4003 BLK LOT 44
Description: SFR R/R DOCK, GANGWAY AND GUIDE PILE
Owner: MICHAEL HARRAH
Address: 1103 N BROADWAY SANTA ANA, CA 92701
Phone: (949)274-4214
Applicant: JACQUELYNCHUNG
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
A
Front: 25, Front: 10, Side: 4, Side: 4
AE, 8 FT; X
R-1 - Single -Unit Residential
Processed By:
SPECIAL CONDITIONS:
Contractor: SWIFT SLIP DOCK/PIER BUILDERS
Address : 6351 INDUSTRY WAY WESTMINSTER,
CA 92683
Phone:
(949)631-3121
Con State Lic
: 797052
Lic Expire :
07131/2025
Bus Lic :
BT01122734
Bus Lic Expire : 11/30/2023
The Longshore and Harbor Workers' Insurance
Carrier: GREAT AMERICAN ALLIANCE INS CO
Policy No: WC173816805
Policy Expire : 12/31/2023
Fire Sprinklers : NO
Fire Hazard Zone : NO
4 vzr T7CTG- ►
Architect: ..
Address
Phone :
State Lic
Engineer :
PETROV PLAMEN
Address :
28161 CASITAS CT LAGUIJA N
92677
Phone:
(714)717-7542
Designer :
- • .
Address
Phone:
Construction Valuation : $160,000.00
DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(;} indicated below by the checkmark(s) 1 have placed next to the applicable heri
ction 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
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
fessions 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
more than five hundred dollars ($500).
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,
iiness 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
mvements 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 L was not built or
roved 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 Gods: The Contractors' State License Law does not
fy to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Lain,
1 I am exempt from licensure under the Contractors' 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
ell a structure that I hove built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, S
'rofessfons Code, is available upon request when this application is submitted or at the following Web site:http:/iww .leg nfo.ce.gov/calaw.html,
iiynature of Property Owner or Authorized Agent,__v__.____
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm Lmder penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sec n 70 ) o I I f the B ess and rofesslons
nd effect. License Class License No � Conn cto ignatu e
43F%kF.RS' COA1PENSATION DECLARATION
: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL PINES OP TO ONE
rCMPENSATIJN, DAMAGES ASP RCIVIDED FOR IN SECTION 1706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'$ FEES.
affirm unc!er penalty of perjury one of the following declarations:
d by this permit, I cannot legz
7044 of the Business and
full force
IN ADDITION TO THE
id will maintain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for
of Ihu workfor which this permit is issued. Policy No.
will maintain workers'
ier and policy number
Agent
insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers'
Policy Number
Date
Jl :n: d'y that, in the Plonormanca of hI�M
which this permit is issued, I shall not empioy any person to any manner so as to become subject to the workers' compensation laws of California, and agre
Ian, it I should beco a subject ID fh hon provisions of Section 3700 of the Labor Code., I shall forthwith comply with those provisions. —I
- 1 ,
ignaiure of ApplicakM
._IY ___._..___.I:ECLARATION RENG O STRG AGENCYhereby arfirm undey of pe jury that There s a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
Pori s Name _ _ _ Lender's Address
ly my Signature below, I certify to ach of dl ollowing'.
am the property owner or aut. rb o act on the P er'5 behalf.
have read this application and the informalidn eve provide. correct..
I agree to comply with all applicable city and c umy ordinanc n Late laws relating to building construction. I
I authorize representatives of this city or count to enter the ove-i rifle property for Inspection purposes //(11�1�IvrI
linnature of PrnnArty Owner or Aulhoroncl a Print Pronarty Owner'S or Authon7ad Anent's,INamn (•GI 0 1 V l
ACTION I DATE ( Ill/ ATION OF OO�IPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE
REGLIATIONS PARTAI OF TITLE 40 AND ACMD RULE.
PERMIT'EXPIRED
U
RM O A59F,STOS NOTIFICATION TO
PERMIT CANCELLED
EpA
PERMIT EXTENDED_--
PERMITFfNAL
Z^Z'%�
` IIASBESTOS NOT IFICATION IS NOT APPLICABLE TO
CERTIFICATE OF
PROPOSED DEMOLITION
OCCUPANCY ISSUED
SIGNATURE-