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Home My WebLink AboutM2022-0059 - PermitsrEWP04i� City of Newport Beach IIII I I II I II I II II III O� I Community Development Department - Building Division PermitrCounteric r Drive, Newport Phone: 949) 718-1888' CA 92660 newportbeachca.gov/civic E e � y„ d ,j i Harbor Permit : M2022-0059 Plan Check No : PC2022-3180 Work Class: New Issued Date : 05/18/2023 Inspection Area : 7 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: 201 COAST HWY E Legal Desc : S TWP 27 RGE 6 SEC 10 SEC 26 T 6 R 10 FOR SW1/4 Description: COMM INSTALLATION OF BULKHEAD, NEW FLOATING DOCKS, PILES UTILITY SYSTEMS, DREDGING AND ROCK SLOPE PROTECTION Owner: IRVINE CO Address : 111 INNOVATION IRVINE, CA 92618 Phone: (949)720-3100 Applicant: CHRIS MILLER Address: 100 CIVIC CENTER DR NEWPORT BEACH, CA Phone: (949) 644-3043 Contractor : P O W E R E N G I N E E R I N G Architect CONSTRUCTION CO Address : 1501 VIKING ST., #200 ALAMEDA, CA Address 94501 Phone: (510)337-3800 Phone: Con State Lic : 488215 State Lic Lic Expire: 03/31/2024 Bus Lic: BT30081098 Engineer: Bus Lic Expire : 03131/2024 Address The Longshore and Harbor Workers' Insurance Carrier: INS CO OF THE STATE OF PENNSYLVANIA Policy No: WC65437345 Policy Expire : 101112023 Code Edition : 2019 Fire Sprinklers : NO Type of Construction : Fire Hazard Zone : NO Occupancy Groups: U Building Setbacks : Flood Zone : AE, 8 FT; X; X Use Zone : CM - Commercial Recreational and Marine Processed By: es SPECIAL CONDITIONS: LIQUEFACTION & AES FLOOD ZONE Phone Designer Address Phone: HOLCOMB JEREMIAH 4225E CONANT ST LONG BEACH, CA 90808 (661)219-1446 Construction Valuation : $6,49E,CCC.00 OWNER -BUILDER DECLARATION 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) (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 the 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 Professions Code) or that he or she is exempt from licensors and the basis forthe alleged exemption. Any violation of Section 7031.5 by any applicant for a. permit subjects the applicantto a civil penalty of not more than five hundred dollars ($500). 0 I, as owner of the property, or my employees with wages as their sole compensation, will do I all of or U 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). 0 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 builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). 11 1 am exempt from licensure under the Contractors' Stale 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 least 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 -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 Professions Code, is available upon request when this application is submitted or at the following Web site:http:ffw w.leginfo.ca.gov/calaw.html. Signature of Properly 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 Section 7 ) of D' Sion 3 of the Business and Professions C e and y li ensa Is in full force and effect. License Class License No Date L ""2, Contractor Signature WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CNII FINE$ UP To ONE HUNDRED THOU O DOLLARS ISt00,000) ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: I have and 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 'omtance of the work for which this permit is issued. Policy No.. andwill 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 . if I should become subject to IIX of Applicant Policy Number Expiration Date which this p Is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and npe pr Isions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date, 5L— hereby affirm under penalty of Orjurr) 4iat there is a construction lending agency for the performance of the workfor which this permit Is issued (Section 3097, Civil Code). Frder's Name _ Lender's Address ly my signature t3low. I certify to each of the following: I are C e property owner or authorized to act on the property owner's behalf. have read th's zpplication and the information I ha/ordice ad " correct. ! agme to comply with all applicable city and county d stet laws relating to building construction. 1 arthorize representatives of this city or county to eod property for inspection purposes.liornture of ProDFIV Onrer ar Authorized AGent Pent Property Owner's or Authorized Agent's Name �)trJC rl A� rS ACTION PER EkDO ED PEr1'T EC'ENDEO _ _I CERTIFICATE OF OCCUPANCY ISSUED OF COMPLIANCE WITA CODE OF FEDERAL FOR OFFICE USE ONLY PART 61 OF TITLE 40AND AQMD RULE AITT€D ASBESTOS NOTIFICATION TO MD .. TO$NOTIFICAT N NOf APPLICABLE TO D DEMOLITI RE: 11111=