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Home My WebLink AboutM2023-0017 - PermitsO��EWPORT City of Newport Beach Community Development Department - Building Division y 100 Civic Center Drive, Newport Beach, CA 92660 D Permit Counter Phone: (949) 644-3288 u > S Inspection Requests Phone: (949) 644-3255 °gt.troaT"� newportbeachca.gov/inspections IIII I I III III II II III I II II Harbor Permit : M2023-0017 Plan Check No : PC2023-0544 Work Class : Alteration Issued Date : 03123/2023 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 : 2 COLLINS ISLE Legal Desc : N TR 1723 BLK LOT 2 Description: REPAIRS ON 5' SECTION OF EXIST'G FLOATING DOCK, REPLACE 4X6 FRAMING AND (1) STEEL PILE GUIDE. C�toZ3 " OZ�oI Owner: THE HEIDI & LAWRENCE CANARELLI 2011 IRT LLC Address : 250 PILOT RD STE140 LAS VEGAS, NV 89119 Phone Applicant: Randy Ocampo Address : 6351 Industry Wy Westminster, CA 92683 Phone : (949) 631-3121 Contractor: SWIFT SLIP DOCKIPIER BUILDERS Architect : Address : 6351 INDUSTRY WAY WESTMINSTER, CA 92683 Phone : (949) 631-3121 Con State Lic : 797052 Lic Expire : 07/31/2023 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 Code Edition : 2022 Fire Sprinklers : NO Type of Construction : Fire Hazard Zone : NO Occupancy Groups: U Building Setbacks : Front: 7, Side: 4, Side: 4, Rear: 4 Flood Zone : AE, 8 FT; X Use Zone : 1Af,R-1-1 - Single -Unit Residential Processed By: ` < SPECIAL CONDITIONS: LIQUEFACTION; HIGH -DENSITY ZONE Address : Phone: State Lic Engineer: PETROV PLAMEN I I ' ' Address: 28161 CASITAS CT LAGUjPIA 'NItUEL, CA " 92677 Phone: (714)717-7542 Designer Address Phone: Construction Valuation $2,500.00 NV C®N.STRU LION NOISE l % ON THE WEEKEND OWNER -BUILDER DECLARATION I hereby affirm under penalty or 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 licensure and the basis for the alleged exemption. Any violation of Section 7031.6 by any applicant for a permit subjects the applieam to a civil penalty of not more than five hundred dollars S500). ❑ I, as owner of the property, or my employees with wages as their sole compensation, will de (_) all of or U portions of the work., and the structure is not intended or offered for safe (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 trot 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). 1, 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). ❑ I am exempt from licensure under the Contractors' State 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 feast 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 entirely 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:/fwww.leginfo.ca.govlcalaw.html.. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of penury that I am licensed under provisions of Chapter 9 (commencing with Section 7 ) of i sion 3 of the Business and Pr I s od�rid�ty license is in full force and effect Lnrrs; Class License. No Date Z Contractor Signatu ` WORKERS' �ZNIPENSATION DECLARATION. M-141-IG: FAIL"RE TO SECURE WORHERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS 4100.000), IN ADDITION TO THE COST �F COMPENSATIi DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTOFi FEES. herby affirm under penalty, of perjury one of the fallowing declarations: I have and will -raintein a certificate of consentto self-fnsure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for th ormance of the w-Irk for which this permit is issued. Policy No. have and will n.aintain 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' compensatoD ranee caelrr ail policy number are: 'ier Policy Number Expiration Date is of Agent _ Phone 4 certify that, In the performance of the work for w leh thispermit is issued. I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre If shouk: Deep ne, su h Driver ' mean ation provisions of Section 3700 of the Labor Code, I shalt forthwith comply with those provisions. 5 mature of Applicant Date �� 3 �Z / hereby affirm under penalty of perjury thatthere is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). enders Name Lenders Address y my signature below, I certify to each of the following: I am the property owner or authorized to act on the property owner's behalf. I have read this application and the information I have provided is correct. I agree to comply with all applicable city and county ordInantesi state laws relating to building construction. I authorize representatives of this City or Countr A e-' antified property for inspection purposes. ionature of Propene Owner or Authorized Agent ( X �� Print Property Owner's or Authorized Agent's Name ACTION PERMITCANCEUED PERMIT EXTENDED PERMIT FINAL CERTIFICATE OF OCCUPANCY ISSUED R EG[P ATIONS PART 61 OF TITLE 40 AND AQMD RuiF TO FOR OFFICE USE ONLY