HomeMy WebLinkAboutM2024-0002 - Permits�EwaoRT City of Newport Beach IIIIII Harbor Permit :M2024-0002
e" Community Development Department- Building Division M 2 0 2 4 - 0 0 0 2
100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2024-0057
G Permit Counter Phone: (949) 718-1888 Issued Date
Cq��cOP�'�p newportbeachca.gov/civic Final Date:
Work Class - Other Permit Status: Applied
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: 206 BAY FRONT S
Legal Desc
: A TR BALBOA ISLAND RESUB SEC 1 BLK 3 LOT 4
Description: SFR R/R (2) T-PILES W/ CONCRETE T-PILES
Owner: DIANEDONOVAN
Contractor:,
8�/VIF�TSCIPDOCK/PIERBUILDERS
Architect:
Address : 206 BAY FRONT S NEWPORT BEACH, CA
Address:
6351 INDUSTRY WY WESTMINSTER, CA
Address
92662
92683
Phone:
Phone:
(949)631-3121
Phone:
Con State Lie
: 797052
State Lie ;
Applicant: MARISSA MORALES
Lie Expire :
07/31/2025
Address : 6351 INDUSTRY WAY WESTMINSTER, CA
Bus Lie :
BT01122734
Engineer
92683
Phone: (949) 631-3121
Bus Lie Expire : 11/30/2024
Address
The Longshore
and Harbor Workers' Insurance
Phone:
Carrier: GREAT AMERICAN ALLIANCE INS CO
Policy No: WC173816805 Designer
Policy Expire : 12/31/2024 Address
Phone:
PLAMEN BORRISOV PETROV
28161 CASITAS CT LAGUNA NIGUEL, CA
92677
(714)717-7542
Code Edition : 2022 Fire Sprinklers : NO Construction Valuation
Type of Construction : . Fire Hazard Zone; , NO _
Occupancy Groupsv '
Building Setbacks : Front: 5, Side: 3, Side: 3, Rear: 5
Flood Zone : AO 2; X; AO 1
Use Zone : R-BI - Two -Unit Residential, Balboa Island
Processed By:
SPECIAL CONDITIONS: HIGH DENSITY ZONE
$55,000.00
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Lam for the masons) Indicated below by the checkmark(s) I haveplaced, next to the applicable items)
(Section 7034.5, Business. and Professions Code_ Any city or county that requires a Perri construct, after, Improve, demolish, or repair any structure, prior to Its issuance, also requires the applicant fo
the permit to rile a. signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Law (Chapterg (commencing with Section 7000) of Division 3 of the Business anc
Professions Code) or that he or She is exempt from tic ensure and the basis for the alleged exemption. Any vi••.clation of Section 7031.5 by any appllc ant for -a. permit subjects the applc ant to a civil penalty o1
not more than five hundred dollars (Si
❑ I. as owner of the property. or my employees with wages as their sole compensation. will do U all of or L) 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 thatthe
improvements are not intended or offered for sale. N.. however, the building or improvement Issold within One year of completion, the Owner -Builder will have the burden of proving that it was not built or
in proved for the purpose of sale)
❑ 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 Lam does not
apply to an ouvner of property who builds or Improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).
L_t I am exempt from #censure underthe Contractors' State License Law for the following reason_
By my signature. below I ac know ledge that, exc ept for my personal residence in w hic It I m ust have resided for at least one year prior to completion of theimprovements covered by this permit, I cannot lei,
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 oT the Business
Professions Code, s available upon request when this application is submitted or at the follow ing Web site:http 1/www.leginfo_ca.gov/calaw.html.
Signature of Property Owner or Authorized Agent Date
LICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am Il ensetl under pfovlsions of Chapter 9 (c m. encjpg + ith ec 7 00} of Division 3 of the eusn s nons Code, and mY license is in full Some
and effect. License Class License 11i Dat •<L Contractor Signature
LONGSHOREMEN'S & HARBOR WORKERS' COMPENSATION DECLA iii
(WARNING: FAILURE TO SECUR€LONGMOREMEN'Sa HARBOR WORKERS' COWEN SATION COVERAGE IS R N FL, i0. MALL SUBJECT AN EMPLOYER TO CRIMINAL PEALTIE ND ME—, TO ONE N UNDREOTROLIWO DOLLARS
(11100,000}, IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FORM SECTION N% OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm under penalty Of perjury one Of the following
arations
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:
Carrier Policy Number Expiration Date
Name of Agent Phone #
I certify that, in thepePmEmce of the work forty hic It this permit is Issued, I shall not em ploy any person in any manner so as to become subject. to the workers' compensation taw s of California,
m that, f I. shoud beco object to the wOrkees' compensation provisions of Section 3700 of the Labor Code, I shal forthwith can ply with those provisions -
nature : nature of"/C)Ai Vo./2.B/7,j
I hereby affirm under penalty of perjury that there is a c onstructionlending agency fortheperformance of the work for which this permit is Issued (Section 3097, Civil Code)_
Lender's 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 behalf
l have Bead this application andthe mformatiim I have provided is correct.
I agree to comply with all applicable city and county ordinances and State laws relating to building construction.
I authorr{e representatives of this city or county to enterthe above -identified property for inspection purposes. t
Signature:
ACTION DATE I By
PFP;t41T CA7u'CELLEO
PErNMT EXT' 1D!-D
IrP�I MK EINA.L.
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^"'U PANCYISSL�ED
Print Name: x »"ti'11V1 `"MPZ)
FEDERAL REGULATIONS PART51 OF TI7LE40AND
AQMD RULE 1403.
❑ r SUBMITTED ASBESTOS NOTIFICATION TO.
❑ EPA
❑ AQMD
❑ ASBESTOS NO 17RCAT70N 15 NOT APPLICABLE TO
PROPOSED DEMOLITION.
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