HomeMy WebLinkAboutM2023-0031 - Permits4"EWPo"T City of Newport Beach
p� Community Development Department- Building Division
n 100 Civic Center Drive, Newport Beach, CA 92660
D Z' Permit Counter Phone: (949) 718-1888
C9�«ORN\P newportbeachca.gov/civic
II I I II I III II II IIII I I II Harbor Permit 20, 3-0031
Plan Check NS : I'-^-2023-1187
Work Class : Repair
Issued Date : 01126/2024
Inspection Arua.3 -
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: 2525 OCEAN BLVD. C1
Description: MFR REPAIR (E) DOCK
Owner: CHANNEL REEF COMMUNITY ASSN
Address: 2525 OCEAN BLVD CORONA DEL MAR, CA
92625
Phone: (949)300-0382
Applicant: DWAIN DURAN
Address: 15061 SHERMAN WY, J VAN NUYS, CA 91405
Phone: (619)398-6404
Code Edition :
Type of Construction
Occupancy Groups:
Building Setbacks
Flood Zone
Use Zone :
2022
U
Front: 10, Side: 16, Side: 16, Rear: 10
AE, 8 FT; X
RM - Multiple Residential
Processed By:
SPECIAL CONDITIONS: HIGH DENSITY ZONE
Legal Case: P BK 261 PG 10 PAR 1 UN A-1 PM 261-10, PAR. 1 OF PROJECT 895 -25 LOCATED ON
Contractor: APEX DIVING & MARINE SERV
Address : 15061 SHERMAN WAY STE J VAN NUYS
CA 91405
Phone: (818)787-1794
Con State Lie : 1006937
Lie Expire : 08/31/2025
Bus Lie : BT30059290
Bus Lie Expire : 05/31/2024
The Longshore and Harbor Workers' Insurance
Carrier: STARNET INSURANCE COMPANY
Policy No: KEY0139422
Policy Expire : 8/24/2024
Fire Sprinklers : NO
Fire Hazard Zone : NO
�Q�
Architect
Address
Phone:
State Lie:
Engineer:
Address
Phone:
Designer: DWAIN DURAN
Address : 15061 SHERMAN WY, J VAN
91405
Phone: (619)398-6404
Construction Valuation : $6,456.00
CA
I list" affirm under IaFnall) 'A yer,ary fnat l bin exempt from the Contractors' State License Law for the gas on(s) indicated below by the thecKmark(s) I have placed next to the applicable item(s)
ction 7031.5, BusmesG and PR`reFscas Ccde:. Any city or county that requires a permit to construct, after. improve, demolish, or repair any structure, prior tots issuance, also requires the applicant tol
permt to file a. signed Etcte.,s.ad th.t he or she'Is licensed pursuant to the provisions of the Contractors' State License Law (Chapter9 (commencing with Section 7000) of DMsbn 3 of the Business and
resslons Code) or that he or she Is exempt from Icensure and the basis for the alleged exemption. Any Violation of Section 7031.5 by any appNc ant for. a. permit subjects the applicant to a civil penalty of
morethan live hundred dollars ($500)
1. as owner Of the pr3pei ormy employees wlto wages as their sole compensation. will do U all of or (_) portions of the work, and the structure is not Intended or offered for sale (Section 7044,
Iness and Professions Jor+e: The Cenlrartors' 7tat<. Lic Lnse Law doesnot apply to an owner of property who: through employees' or personal effort, builds or improves the property, provided that the
rovements are not iciLrded or offerztl'for sale_ If, howe'rer the building or Improvement is said within one year of completion, the Owner -Builder will have the burden of proving that It was not built or
roved for the purpcEe or tN-).
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
,ly to an Owner of property who builds or Improves thereon, and who contracts farthe projects with a licensed Contractor pursurini the Contraclom' State License Law).
I am exempt from licensure uncierthe Contractors' State License Law for the following reason:
my signature below I acknowledge that, except for my personal residence in which[ must have resided Tor at least one year poor to completion of the improvements covered by this permit, 1 cannot lei
a structure that I have built as an. owner builder it rt has not been constructed in Its entirety by licensed contractors. I understandthat a copy of the applicable law, Se ion 7044 of the Business
Sessions Cotle s available upon request when this application Is submitted or at the following Web sle:http:/hvww.leginfo.ca.govlcalaw.html.
nature of Property Owner or Authorized Agent ate
JCENSED CONTRACTOR'S DECLARATION
hereby aftl.nm under penalty of perjury that I am licensed antler provisions of Chapter 9 (c onlmenci if S do 7000) of Division 3 of the Business air IF ` n Cod es e, and license is in fullforce
nd effect. License Class License No. Date tp•.Contractor.Signature /
.ONGSHOREMEN'S & HARBOR WORKERS' COMPENSATION DECLARATION
fARNING: FAILURE TO SECURE LONGSHOREWN'S 8 HARBOR WORKERS' COMPENSATION COVERAGE IS UN:LMIrFUL., AND SHALL SUBJECT AN. EMPLOYER TO CRIMINAL PENALTIES AND CAL FINES UP TO ONE HUNDRED THOUSAND DOLLARS
1100,U0D1, IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR N SECTION 3 05 OF THE IABOR CODE, INTEREST, AND ATJORNEY'S FEES. I hereby affirm under penalty of perjury One Of the following
I have and willl m arra n Longshoremen's and Harbor workers' compensation insurance, as required by Section 3700 of the Labor Code. Tor the performance or the work for which this peri Is
L My workers' compensation insurance carrier and policy number are:
Policy Number Expiration Date
of Agent Phone #
cerifytnat, In the. rforrnance thewonc for w hic h this permit is issued, I s hall not em ploy any person in any manner so as to becomes ubjec t to the workers' c ompensation law s of Cali fomia, an<
that, 11 should bee sub ect io a wor ers' compensation provisions of Section 3700 of the Labor Code: I shall forthwith comply with those provisions
Itureof Applica
*E` ;Date=
ARATION REG :NG-NSTR.LJCIION LENDING AGENCY
I hereby affirm under penally of perjury that them Is a c onstructionlending agency forthe performance of the work Torwhich this permit is Issued (Section 3097, Civil Code).
Lender's Name Lender's Address
By my signature !below, I certifytb each of the following:
I am the property owner or aethorized ct on t; es rty owners betlalf_
have lead the application and th fo atI have mvided is correct.
I agree tocomply with all appirc le c a ounty rtllnances and state. laws relating to building constriction.
authorize representatives of [s a or c unty t nter the above identified property for inspection purposes.
Date:
ACTION
PATE
BY
r. f n wUo yr
rurc UrrfcE ONE uArc r
FEDERAL. REGULATIONS PART 61 OF TI TLEA0 AND
AQMD' RULE 1403.
PERM! F EXPIRED
❑ 1 SUBMITTED ASBESTOS NOTIFICATION TO:
❑ EPA
❑ AQMD
PERMIT CANCELLED
PERMIT EXTENDED
❑ ASBESTOS NO77FICATiON IS NOT APPLICABLE TO
PROPOSED DEMOLITION.
PERMIT FINAL
-
CERTIFICATEOF
OCCUPAIVCYISSVED
SIGNATURE: