HomeMy WebLinkAboutM2024-0036 - Permitso cFwlPor, City of Newport Beach
H Community Development Department - Building Division
F al 100 Civic Center Drive, Newport Beach, CA 92660
X Permit Counter Phone: (949) 718-1888
-" newportbeachca.gov/civic
r
" p Work Class - Other
Job Address
Description :
��11111111111111111111111111111111111111111111111111111 Harbor Permit :M2024-0036
Plan Check No: PC2024-0700
Issued Date : 06/1312024
Final Date:
Permit Status: Issued
Inspection Area :1
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.
1615 E BAY AVE
Legal Desc : A TR BALBOA BAY FRONT TR BILK P LOT 8 BALBOA BAY FR
SFR *ADDITIONAL SCOPE* REPLACE GANGWAY
Owner: JAY SCHULMAN
Address : 16201 MEADOWRIDGE WAY ENCINO, CA
91436
Phone :
Applicant: SWIFT SLIP DOCK & PIER BUILDERS INC
Address: 6351 INDUSTRY WAY WESTMINSTER, CA
92683
Phone : .(949)631-3121
REPLACE HANDRAILS AND POSTS AT PIER & PLATFORM
Contractor
Address :
Phone:
Con State Lie
Lie Expire
Bus Lie :
S-�
SWIFT LOP DOCK/PIER BUILDERS
6351 INDUSTRY WY WESTMINSTER, CA
92683
(949)631-3121
797052
07/31 /2025
BT01122734
Bus Lie Expire : 11/30/2024
Architect
Address
Phone:
State Lie
Engineer:
Address
The Longshore and Harbor Workers' Insurance Phone
Carrier: GREAT AMERICAN ALLIANCE INSURANCE
Policy No GOMRAI31)73816805 Designer
Policy Expire : 12/31/2024 Address
Phone :
Code Edition : 2022 Fire Sprinklers : NO
t Fire HazardZo� * NO
n„
Type of CoSsfru010or'
Occupancy C;roup's : ` U
Building Setbacks : Front: 5, Side: 3, Side: 3, Rear: 5
Flood Zone : AE, 8 FT', X
Use Zone : R-1 - Single -Unit Residential
Processed By
SPECIAL CONDITIONS:
V�ev LO'�A , 1\(�'O�
PLAMEN BORRISOV PETROV
28161 CAS�TAS CT LAGUNA NIGUEL, CA
92677 `\
(714) 717��,542
Construction Valuation : $22,500.00
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)
(Section 7031 5, Business and Professions Code Any city or county that requires a permit 10 construct, alter, improve. demolish, or repair any structure. priorto Its issuance, also requires the applicant fc
the permit to file a signed statement that he or she Is licensed pursuant to the provisions of the Contrac tors' State License Law (Chapter 9 (commencing with Section 7000) of DMislon 3 of the Business a,
Professions Code) or that he or she is exempt from licensure and the bass for the alleged exemption. Any violation of Section 7031 5 by any applicant for a permlf subjects the applicant to a civil penalty o
not more than five huncretl dollars (5500).
❑ I. as Owner
Pro a 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_ is notlds or improves the property, provided that 4,
m proved for are not intended s or offered for sale I. 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
mprovetl for the purpose of sale)
'5 I. as owner of the property. am exclusively contracting with licensed Contractors to construct the project (Section 7044. Business and Professions Cotle. The Contractors State License Law does not
apply to an owner of property who builds or Improvts thereon, and who contracts Tor the projects with a licensed Contractor pursuant to the Contractors State License Law)
7 1 am exempt from licensure under(he Contractors' State License Law for the following reason
3y my signature below I acknowledge that. except formy personal residence In which I must have resided for at least one 11I
;ell a structure that I have bull as an ownerbuilder If d has not been constructed in Is entirety by licensed contractors I understandthat
a copy of the applicableslaw . SectioCovered n t7044eof the Bus
inesssaantl
>rofessions Code, I. available upon request when this application is submitted or at the following Web site http /Mww leginfo cagov/calaw him!
signature of Property Owner or Authorized Agent
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed antler provisions of Chapter 9 (cencm with ¢,k t;�„ 7000) of Division 3 of the Bus s
and effect License Class Lkense No Oat j
LONGSHOREMEN'S & HARBOR WORKERS' COMPENSATION DECLA TION/ Contractor signatur
WARNING: FAILURE TO SECURE LONGSHOREMEN'S S HARBOR WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIASNAL RE NALTIES
S"CLOW1, IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS MOVIDED FOR N SECTION V06 OF THE AND
COOS, INTEREST. E ATTOR TOC FEY AS. hereby
aratlons
Name
Date
Code. and my license Is in full
RL FINES UPTD ONE HUNDRED THOUSAND DOLLARS
under penally of perjury one of the followinC
I have and will maintain Longshoremen's and Harbor workers' Compensation nsuranceas required by Section 3700 of the Labor Cotle, for the performance of the work for which this pern9 is
My workers' compensation insurance carrier and pOrIcy number are
D..r-„ I,..........
Expiration
I certifythat, in the performance of the work forwhich this permit IS issued, I shall not employ any person in any manner s0 as to become subjectto the workers compensation laws of Califomia.
that, IT I should bec0 a ubject to the workers' compensation provsions of Section 3700 Of the Labor Cotle. I shag forthwith conpry With those provisions
I of Applicant ��
LIECLARATION REGARD - STRUCTION LENDING AGENCY Da
I hereby affirm under penalty of perjury that there is a construction lending agency forthe performance of the work for which this permit is issued (Section 3097, Civil Cotle).
Lender's Name
By my signature below, I cerLendersAtltlress
bfyto each of the fogowing:
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 ordinances and state laws relating to building construction.
I author/¢¢\e/.representatives ofthis city orcourty toenterthe above -identified property for Inspectjon purposes
1 ll .../�..I ,
ay
PERMIT FINAL
CERTIRCATEOF '
0CCUP4NCY1S5UED
Print
FEDERAL REGULATIONS PART 6i OF TITLE40 AND
AQMD RULE 1403,
❑ I SUBMITTED ASBESTOS NOTIFICATION IT) -
❑ EPA
❑ AQMD
❑ ASBESTOS IVOTIRCATION IS NOT APPLICABLE TO
PROPOSED DEMOLITION.
SIGNATURE: