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HomeMy WebLinkAboutM2023-0056 - Permits��gWP0,4r City of Newport Beach p 6m Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 718-1888 Cq�e0.N�P newportbeachca.gov/civic Work Class - Other 11IIIIII111111111111111111111111111111111111111111111111111111Harbor Permit :M2023-0056 Plan Check No: PC2023-2018 Issued Date : 09/11/2023 Final Date: Permit Status: Reissued 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: 20 LINDA ISLE Legal Desc : N TR 4003 BLK LOT 20 TR 4003 LOT 20 AND FOR LOT C Description: SFR R/R (1) 14" CONCRETE MARINA PILE ON FLOATING DOCK & (1) CONCRETE T-PILE _ '-. i "' p. Owner: KENT J ROGER TRUST - Contractor: SWIFT SL1R DOCK/PIER BUILDERS Architect Address : PO BOX 866728 PLANO, TX 92660 Address : 6351 INDUSTRY WY WESTMINSTER, CA Address 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 : y(y949) 631-3121 Bus Lie Expire : 11/30/2024 Address The Longshore and Harbor Workers' Insurance Phone: Carrier: GREAT AMERICAN ALLIANCE INSURANCE Policy No COMFW61Y73816805 Designer: Policy Expire : 12/31/2024 Address Phone: Code Edition : 2022 Fire Sprinklers : NO Type of Construction : ',=-j fiirt�il8zard Zpng tNO Occupancy Groups: 'U Building Setbacks : Front: 10, Front: 25, Side: 4, Side: 4 Flood Zone : AE, 8 FT; X Use Zone: R-1 - Single -Unit Residential Processed By: SPECIAL CONDITIONS: PETROV PLAMEN 28161 CASITAS CT LAGUNA NIGUEL, CA 92677 (714) 7-17-7542 - Construction Valuation $19,000.00 OWNER -BUILDER I hereby affirm under penalty of perjury that I am exempt frontline 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, Businessand Professions Code: Any cry or county that requires a permit to construct, after, improve, demoil an, or repair any structure, prior to is issuance, also requires the applicant to the permit to file a, signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter9 (commencing with Section 7000) of Division 3 of the Business arx Professions Code) or that he or she Is exempt From licensee and the basis tor- 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). ❑ I, as owner of the property.. or my employees with wages as their sole compensation, wit. do U all of or U 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, providetl that the improvements are not intended or offered for sale. r, however, the building or improvement Is sold within one year of completion, the Owner-Buider will have the burden of proving that it was not built or improved 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 Law does not apply to an owner of property who builds or Improves thereon, and who contracts Orthe projects w in a licensed Contractor pursuant to the Contractors' State License Law). U I am exempt from Ifcensum under the Contractors' State License Law for the following reason: By my signature below I ac know ledge that, except for my personal residence In which I in ust have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legally set a structure that I have DUN[ as an owner -builder if it has hot been constructed n Its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business anc Professions Code, Is available upon request when this application is submited or at the fallowing Web ste:http:lAgww.leglnfo.ca.govfca4aw.htrni. Signalure of Property ON ner or Authonzed Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby airrm under penalty of perjury that I am licensed under provisions of Chapter g (c e cim wit �It[on 7000) of Division 3 of the Busin s amd Pr ie sions Code, and my license is In full force antl effect. License Class License No. Date I Contractor Signature LONGSHOREMEN'S & HARBOR WORKERS' COMPENSATION DECLA WARN fNG: FAILURE TO SECURE LONGSHOREMEN'S a HARBOR WORKERS' COMPENSATION COVERAGE IS I LAN L, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PE ALPE AN LFNESUPTO ONE HUNDREUTHOUSANO UOLLlU1S tt100,000t, IN AODMON TO THE COST OF CONRENSATION, DANMGES AS PROVIDED FOR N SECTION 3r05 OF THE LABOR CODE., INTEREST, AND ATTORNEY'S FEES. I hereby affirm der penalty of perjury One of the following I nave 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 permt. is My workers' compensation insurance camber and policy number are: Potcy Number Expiration Date Agent Phone # I certify that, in the pert rtence of the work for w hic h this permit is issued, I shall not employ any person n any manner so as to become subject to the workers' compensation laws of California, that, t 1. should Deco s bject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Iture of Applicant: 11A,.A '/ A-i.A l"I I hereby affirm under penalty of perjury that there is a construction lending agency torthe performance of the work Tor which this permit Is Issued (section 31397, 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. I have read this application and the information I have provided is correct. I agree to Ingy with all applicable city and county ordinances and state. laws relating to building construction. I author a grese natives ofth s city orcounly toenterthe above -identified property for Ospai Vurposes. nature: DIATE I ov PEF?rAiTEXPrRED I I I PERlVdrTCANCELED PERh?!T EXTENDED OCCLP,ANCYfSSUED Print Name: .lam=�Lli�� FEDERAL REGULATIONS PART 61 OF TITLE40AIYD AQMD RULE 1403- ❑ I SUBMITTEDASBESTOS N077FICATIOIV TO: ❑ EPA ❑ AQMD ❑ ASBESTOS NOT7flCAAONIS NOTAPPLICABLE TO PROPOSED DEMOUTION. SIGNATURE: ©J10