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Home My WebLink AboutM2024-0019 - PermitsEW>oRT City of Newport Beach Community Development Department- Building Division F'..:..y". 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 718-1888 g,,, newportbeachca.gov/civic Work Class - Other 11111111111111111111111111111111111111111111111111111111111111 jj Harbor Permit :M2024-0019 Plan Check No: PC2024-0625 Issued Date : 04/16/2024 Final Date: Permit Status: Issued Inspection Area : i 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 : 2270 CHANNEL RD Legal Desc : Description: SFR RE -DECK USING AZEK DECKING. NEW FASCIA AND RUBBER. REUSE PILE GUIDES AND CLEATS Owner: HARRISON PATRICIA A TR Address: 2270 CHANNEL RD NEWPORT BEACH, CA 92661 Phone: Applicant: CHANTELE BOYETT Address: 1024 LAKE ST HUNTINGTON BEACH, 92648 Phone: (562) 592-1357 Contractor: SOUTH SHORE M A R I N E Architect: CONSTRUCTION INC Address : 19051 GOLDENWEST ST, 106-119 HUNTINGTON BEACH, CA 92648 Phone: (562)592-1357 Con State Lie : 1082069 Lie Expire : 10/31/2025 CA Bus Lie: BT30076917 Bus Lie Expire : 10/31/2024 The Longshore and Harbor Workers' Insurance Carrier: NEW YORK MARINE & GEN INSURANCE CO Policy No: WC202100023269 Policy Expire : 11/3/2024 Code Edition : 2022 Fire Sprinklers : NO Type of Construction : Fire Hazard Zone : NO Occupancy Groups: U Building Setbacks Flood Zone Use Zone : Processed By: SPECIAL CONDITIONS: Address Phone: State Lie Engineer: Address Phone: Designer: SOUTH SHORE MARINE CONSTRUCTION INC Address : 19051 GOLDENWEST ST, 106-119 HUNTINGTON BEACH, CA 92648 Phone: (562) 592-1357 Construction Valuation : $9,155.00 I nereby 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 appflc able items) coon 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 as Issuance, also requires the applicant fc permit to file a signed statement that he or she Is licensed pur5uant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business an Cessions Code) or that he or she is exempt from Ikensure and the bass for the alleged exemption. Any violation of Section 7031.5 by any applic ant for a permit subjects the applicant to a civil penalty ❑ more than five hundred dollars ($500). L. 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 (Sexton 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. in rovements are not intended or offered for sale_ If, however.. the building or improvement is sold within one year of completion, the Owner4Builder will have the burden of proving that it was no bunt 0 roved for the purpose Of sale). I, as owner of the property,. am exclusively contracting with He ensed Contractors to construct the project (Section. 7044. Business and Professions Code: The Contractors' State License Law does no' iy to an owner of property who builds or improves thereon, and wno contracts forthe projects with a licensed Contractor pursuant to the Contractors' State License Law)_ LJ I am exempt from Ilcens Ure under the Contractors' State License Law for the following reason: By my signature below I actmowledge that, exc ept for my personal residence in w hich I must have resided for at least one year prior to completion of theimprovements covered by this permit, I cannot le, set 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 Professions Code, is available upon request when this application is submitted or at the follow ng Web sae:http://www.leginto.ca.gov/calaw.htrri- Signature of Property Currier or Authorzed Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (coraWril with Section 7000) of Division 3 of the Bus! and Professions Code, and my license Is In full force and effect. License Class License No. Date 2 Contractor Signature LONGSHOREMEN'S & HARBOR WORKERS' COMPENSATION DECLARATION WARNING: FAIWRE TO SECURE LONGSHORERENIS&HARBOR WORKER S'COMPENSATIONCOVERAGE IS UNLAW.FUL,AWD SHALL SUBJECT AN EMPLOYER TO CRINNDI PEN mESMDCMLFiNES DP TO ONE HUNDRED 7KOUSAHDDOLLARS 15400,000t, IN ADDMON TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FORM SECTION N06 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm Under penalty of perjury one of the following I have and w@ maintain Longshoremen's and Harbor workers' compensation insurance, as required by Section 3700 of the Labor Code, forthe performance of the work for which this permit is t My workers' compensation insurance carter and policy number are: Policy Number Expiration Date of Agent Phone # I certify that, in the performance of the work forw hich this permit "s Issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of Califomia, an that, N I. should becoVe(subject to the workers' compensation provisions of Section 3700 of the Labor Cod% I shall forthwith comply with those provisions. iture ofApplirartt ) /�, Dail " 2 ARATION REGARD NG CONSTRUCTION LENDING AGENCY I hereby affirm under penalty of perjury that there is a. construction tending agency for the performance of the work for which this permit is issued (Section 3097 Lender's Name Lender'sAddress By my signature below, 1 certifyto each of the following: I am the property owner or authorized to act on the property owners behalf. I have lead this application and the Information I have provided is correct. I agree to comply with all applicable city and county ordinances and State laws relating to building construction. I author¢e representatives of�this city or county toenterthe above -identified property for inspe:11 purposes. GhGwu��2J.2 Qjo�C`� \ Signature: /� " — Print Name:X \{riCT1zJIY DATE t3y uct.tlltut rr Un ruurwruFana..c vY"l "l "`-"- FEDERALR LATtONSPART 61 OF TITLE40 AND AQMD RULE 141l ❑ f SUBMITTED ASBESTOS NOTIFICATION TO: ❑ EPA ❑ AQMD PERMIT EXPIRED PERMIT CA. PJCEELEO ' PERMIT EXTEADED ❑ ASBESTOS NOO TCA77QN 15 NOT APPLICABLE TO PROPOSED DEMOLITION. PERMIT FINAL .Q•�p CERTI PLATE OAF 5f3NATYREi OCCIPANCCISSUED J Civil cone).