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Home My WebLink AboutM2023-0020 - Permits�EWPoRr City of Newport Beach Community Development Department - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 = Permit Counter Phone: (949) 644-3288 Inspection Requests Phone: (949) 644-3255 cqC/rppN�P newportbeachca.gov/inspections IIII I I II I III II II II I I II II Harbor Permit : M2023-0020 Plan Check No; PC2023-0580 Work Class Issued Date : 04/10/2023 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: 1221 COAST HWY W Legal Desc : A TR IRVINE SUB BILK 54 LOT 171 IRVINE SUB BLK 54 LOT 171 POR-OF LOT Description : COMM - REPLACE (7) PILES IN SAME LOCATION Owner: BALBOA BAY CLUB VENTURES LLC Address: 1221 W COAST HWY NEWPORT BEACH, CA 92663 Phone: Applicant: PACIFIC DREDGE AND CONSTRUCTION LLC Address: 1444CESAR E CHAVEZ PARKWAY SAN DIEGO,=, CA 92113 Phone: (619)533-7932 Contractor: PACIFIC DREDGE AND CONSTRUCTION LLC Address : 1444 CESAR E CHAVEZ PARKWAY SAN DIEGO,=, CA 92113 Phone: (619)533-7932 Con State Lic : 1036092 Lic Expire : 02/29/2024 Bus Lic: BT30080955 Bus Lic Expire : 03/30/2024 The Longshore and Harbor Workers' Insurance Carrier: NATIONAL CASUALTY COMPANY Policy No: WCSIG35047400 Policy Expire : 11114/2023 Code Edition : 2022 Fire Sprinklers : NO Type of Construction : Fire Hazard Zone : No Occupancy Groups: U Building Setbacks : Flood Zone : AE, 8 FT; X; X Use Zone : PC - Balboa Bay Club Processed By: SPECIAL CONDITIONS: LIQUEFACTION Architect r ni Address : ,f g -�f "-�' Phone : ti State Lic :m Engineer: JAFARI MASOUD Address : 23 ORCHARD #250 LAKE FOREST, CA 92630 Phone: (949)206-9929 Designer: Address Phone: Construction Valuation : $45,000.00 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) 1 have placed next to the applicable item(s) (Section 7031.5, Business end 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 licenscrre 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 not more than five hundred dollars ($500). ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do (—) all of or (_) 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 properly, 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 ft was not built or IrmyProved for the purpose of sale). Ll 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' Slate License Law for the following reason. By my signature below t acknowledge that, except for my personal residence in which I must have resided for at feast one year prior to completion of the Improvementscovered by this permit, I cannot legally sell a structure that I have built as an owner -builder if it has not been constructed in itsentirety 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:htlpalwww.leginfo.ce.gov/calaw.html. Signature of Property Owner or Authorized Agent _ Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under previsions of Chapter 9 (commencing with Section�0) f ivision 3 of the Business and Pr sions Code and my license is in ull force and effect. License Class License No Dat 31s 2 Contractor Signaler _ WORKERS' COMPENSATION DECLARATION. WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL PINES UP TO ONE HUNDRED THOUSAND DOLLARS ts100.000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3708 OF THE LABOR CODE, INTEREST, ANDATTORNEYS FEES, hereby affirm under penalty of perjury one of the following declarations: 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 Trance of the work for which this permit is issued. Policy No. and will 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. Policy Number Date are of Agent Phone # It certify that. in the pertor ance of the work for which this permit is issued. I. shall not employ any person in any manner so as to become subject to the workers' compensation laws of California. and ogre tat, If I should become of tact to the workers' compersatipin provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ignature of Applicant_ ' Dat$J� �—�, �(7 — 2Z ECLARATION REGA ING CONSTRUCT70 hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit Is issued (Section 3097, Civil Code). enders Name _ Lender's 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 h ve provided is correct, I agree to comply with. all applicable city and un y ordinances and state laws relating to building construction I authorize representatives of this city crcoun y enter the above-Identille property for inspection purposes _ ._ P,tm o.. —rn. ACTION DATE BY ✓ DECLARATION OF COMPLIAIVCEVrtTttCODE OF FEDERAL FOR OFFICE USE ONLY v r REGULATIONS PART 61 OF TITLE 40 AND AO.MO RULE 1403 PERMITEXPIRED I SUBMITTFD ASBESTOS NOTIFICATION TO PERMIT EXTENDED UAQN1D PERMli FINAL ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO CERTIFICATE Or PROPOSED DEMOLITION OCCUPANCY ISSUED SIGNATURE: