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City of Newport Beach Harbor Permit :M2023-0077
�.Community Development Department - Building Division
Y100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2023-2655
=Permit Counter Phone: (949) 718-1888 Work Class : Other
newportbeachca.gov/civic Issued Date : 12105/2023
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 : 27 LINDA ISLE Legal Desc : N TR 4003 ELK LOT 27
Description: SFR R/R PIER PLATFORM AND (1) T-PILE. R/R DECKING ON FLOATING DOCK AND GANGWAY.
Owner: ANITA & TONY GARNIER
Address : 27 LINDA ISLE NEWPORT BEACH, CA 92660
Phone: (626)340-6062
Applicant: MARISSA MORALES
Address: 6351 INDUSTRY WAY WESTMINSTER, 92683
Phone ; (949) 631-3121
Code Edition :
Type of Construction
Occupancy Groups:
Building Setbacks
Flood Zone:
Use Zone:
2022
U
Front: 10, Front: 25, Side: 4, Side: 4
AE, 8 FT; X
R-1 - Single -Unit Residential
Contractor: SWIFT SLIP DOCK/PIER BUILDERS Architect
Address : 6351 INDUSTRY WY WESTMINSTER, CA Address
92683
Phone:
(949)631-3121
Phone:
Con State Lic
: 797052
State Lic:
Lic Expire :
07/31/2025
Bus Lic:
BT01122734
Engineer:
Bus Lic Expire : 11/30/2024
Address
The Longshore and Harbor Workers' Insurance
Carrier: GREAT AMERICAN ALLIANCE INSURANCE
Policy No CO WC173816805
Policy Expire: 12/31/2023
Fire Sprinklers : NO
Fire Hazard Zone : NO
Processed By:
SPECIAL CONDITIONS: ON WO[jX
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Phone
Designer
Address
Phone:
PLAMEN BORRISOV PETROV
28161 CASITAS CT LAGUNA NIGUEL, CA
92677
(714)717-7542
Construction Valuation :
$43,000.00
INER-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 item(s)
ctlon 7031.5, Business and Professions Code:. Any city or county that requires a permit to construct, alter. improve, demolish, or repair any structure, priorto Is issuance, also requires the applicant To'.
permit to (fie a signed statement that he or she is licensed pursuant to the provisions of the Contractors State License Law ('Chapter 9 (commencing with Sectlon 7000) of Division 3 of the Business ark
[esslons Code) orthat he or she Is exempt from Ilcensum 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 hunited dollars ($500).
I. as owner of the property, ormy employees with wages as their sole compensation, will do U all of or U portions of the work, and the structure Is not Intended or offered for sale (Section 7044,
.mess 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 thr
rovements are not intended or offered for sale. If. however, the building or Improvement is sold within one year of completion, the Owner-Buider will have the burden of proving that it was not built a
roved for the purpose of sale).
1, as owner of the property, am ex dusNely contracting with licensed Contractors to construct the project (Section. 7044. Business and Professions Code: The Contractors' State License Law does not
rN to an owner of property who builds or -improves thereon, and who contracts torthe projects with a licensed Contractor pursuant to the Contractors' State License Law).
I am exempt from licensure under the Contractors' State License Law lathe following reason:
my signature below I acknowledge that, except for my personal resident e. in which I must have resided for at least one year prior to completion of theimprovements covered by this permit I cannot le
a. structure that I have built as an owner builder if it has not been constructed in Is entirely by licensed contractors. I understand that a Copy of the.applicable law, Section 7044 of the Business
lessions Code, is available upon request when this application Is submitted or at the following Web site:http:lAwww.leginfo.ca.govlcalaw.htrri.
nature of Property Owner or Authonzed Agent Date
ICENSED CONTRACTOR'S DECLARATION
hereby airm under penalty of perjury that I am licensed under provisions of Chapter9 (commenting with n 7000) of. Division 3 of the tuBu s a d sro ode, and my license is in fui. force
ntl. effect License Class License No. Date 1- Contractor Signs es
:ONGSHOREM.EN'S & HARBOR WORKERS' COMPENSATION DECLARA ON
'ARMING: FAILU RE TO SECURE LON GSHOREWN IS& HARBOR WORKER S'COMPENSAMON COVERAGE IS NNLAWFUL,AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENAL ES ANDCML FINES UP TOONE HyN'DREDTH'OUSAND DOLLARS
4Dg0D0f, IN AUDMON TO THE COST OF COWEN SATKIN, DAMAGES AS PROVPOED FOR N SECTION NOS OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm under penalty of perjury one of fire following
Li I have and will maintain Longshoremen's and Harbor 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' compensation Insurance carrier and policy number are:
rrer Policy Number Ex. piration Date
Ne of Anent Phone#
I certify that, in the performance o wo orwhich Is permit is Issued, shall not employ any person in any manner sec as to become subject to the workers' cortpensatiori iaW sof California,
tt, if [should beco II ,.t th w Kers' pens tl: n provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
Iraof Applica :A.
DECLARATION REGARD!': NG QONSTRUC17" LENDING
I hereby affirm under penalty of perjury that there Isa construction lending agency forthe performance of the work for which this permit is issued (Section 3007, Civil Code)
Lenders Name LendersAddress
By my signature below, I certifyto each of the following:
I am the property owner or authorized to act on the property owners behalr.
I have read this apply anon and the informati'.on I have provided is correct
I agree to c wilh I appi ca city and county ordinances and state laws relating to buildl rig construction.
I authorize epres auv o is riy county to enter the above -identified property for inspection purposes. t
Signature:
XCTllnrr
PERMIT EXPIRED
PERMIT CAN'CELL TD
PERMIT EXTENDED
PERMIT FINAL
CERTI PCATE OF
OCCL':PANCY ISSUED
DATE I BY
Print
PART E f OF TI-ILE40 AND
AQMD RULE 1403.
❑ I SUBMITTED ASBESTOS N077FICATION TO,
❑ EPA
❑ AQMD
❑ ASBES FOS NOTIFICATION IS NOT APPLICABLE TO
PROPOSED DEMOLITION.
SIGNATURE:
Date
2