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M2019-0049 - Permits
PrI, CiCi oCe a Newport Newport Beach, At92 bog Division 1IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII1IIIIIIIIIIIIIIIIIIIIIIII `t Permit Counter Phone (949)644-3288 Job Address: 514 38TH ST Floor: Suite: Bldg: 0 Description of Work: R/R (2) MARINA PILES. ALTER (E) DOCK Inspector Area 1 Legal Description: CANAL SECTION BLK 537 LOT 8 Owner: MCFETTERS SCOTT Address: 214 38TH ST NEWPORT BEACH CA 92663 Phone: State Lic Applicant: CHUNG JACQUELYN Address: 6351 INDUSTRY WY WESTMINSTER CA 92683 Phone: 949-631-3121 Special Cond: Issued Date 06/19/2019 Contractor: SWIFT SLIP DOCK/PIER BUILDERS Address: 6351 INDUSTRY WAY WESTMINSTER CA 92683 HARBOR Permit: M2019-0049 Project No: 1348-2019 Inspection Requests Phone (94904$`3265 •eee e n eem• •mmmco • m e o 0 ee m e e e e • e o m me a e m . o n /a q o m m a rb $0.00 a $302.00 Records Mangement: g $8.00 Plan Dep - Counter Review: $0.00 OT Plan Check Fee: 'm'meeYn Harbor Plan Check Fee: $0.00 mmoome-Y m � ® bi ooeeoo Engineer: PETROVPLAMEN° °° ° m m m mmmo Address: 28161 CASITAS CT °O•° LAGUNA NIGUEL CA 92677 Phone: 949-631-3121 Phone: 714-717-7542 C-066947 Con State Lic:797052 Designer: Lic Expire: 07/31/2019 Address: Bus Lic: DT01122734 Lic Exp Date: 11/30/2019 Phone Longshoremen's and Harbor Workers' Compensation Declaration - Carrier : AMERICAN LONGSHOR Policy No: ALMA01662-01 PLAN CHECK BY: _ APPROVAL TO ISSUE: beNL\� OTHER DEPARTMENTS: FINAL INSPECTION: _ PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION �n ne. �u3lIN7`J Valuation:FEES $16,000.00 Fire Inspection Fee: $0.00 Inspection Fee: $287.00 Fire Plan Check Fee: $0.00 $0.00 Plan Check Fee $302.00 Records Mangement: g $8.00 Plan Dep - Counter Review: $0.00 OT Plan Check Fee: $0.00 Harbor Plan Check Fee: $0.00 Plan Dep -Zoning Plan Check: $0.00 Investigation Fee: $0.00 Plan Dep - OverTime Plan Check : $0.00 Building Green Fee: $1.00 TOTAL FEE : $598.00 Plan Check Fee : $302.00 Fee Due at permit Issuance: $296.00 PROCESSED BY: HARBOR RESOURCES: PLAN CHECK BY: _ APPROVAL TO ISSUE: beNL\� OTHER DEPARTMENTS: FINAL INSPECTION: _ PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION NNER-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) I have placed next to the applicable Items action 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 its issuance, also requires theBusiness an applicant f I cense Law B permit to file a signed statement she is exempt from licensure licensed icensdpursu and the basis foant to the rthe ialleged sions fexe exemption. Any violation the Contractors' State l of Section 7031.5 by any applicaer 9 nt forla peermit subjects the ction 7000) of lapplicant to avision 3 of e civil penalty o ofessions Code) of iha It more than five ryIAred dollars ($500). t.. des owner of tpg 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 70 44, Isiness %nd PrQfeesi }ne 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 th Iprgvements 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 it was not built o groved*for the pdrpose of sale). • I,es owne"I tka { roperty, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does no ll 4o.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). rr11 00 d..6V exempNf "licensure under the Contractors' State License Law for the following reason: Yl41L@19nature below I acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot sego ell a sii nature ture that I have built ase 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 an Pofessions Corn'1s Vilable upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. Date :dMMJ of Prop.ty Owner or Authorized Agent .... . . . ENS COWTR1gCTOR'S DECLARATIONDivision 3 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9D(efe encing with SeZct'IGo` 7000) of Ch ContractoroSignatBure ss an rofessions C nd m license is In u orce nd effect. License Class License No. .ONGSHOREMEN'S & -HARBOR WORKERS' COMPENSATION DECLA TION fLLARS p8N000), N FAILURE ADO TION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3708GE IS NOWFUL, AN OF THE LABOR CODE, INTEREST, AND ATTORNEY'S BJECT AN EMPLOYER TO (FEES` IEheeby affirm vunde Epenalty of perjury one ofsthe foAND llowing ati I h 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 d. My workers' compensation insurance carrier Policand y Numbs number are: Expiration Date Phone # ] any manner so as to become subject to the workers' compensation laws of California, anc I certify that, in the. performance of the work for which this permit is issued, I shall not employ any person in gree that, if I should beco a subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. `� 10 signature of Applicant )ECLARATION REG RDING OINSTRUCTION LENDING AGENCY I hereby affirm under penalty of perjury that there is a construction lending agency for theperformance erf ormanc reof the wLendork for which this permit is issued (Section 3097, Civil Code). Lender's Name By 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 have provided is correct. I agree to comply with all applicable city and county ordinances and state laws relating to building construction. I authorize pesentatIves of this city o unty to enter the above -identified property for inspection urposesa _s ` DIt C Print Name: MM J at : Signature: FOR IoICE OSE ONLY AGT)ON DATE 9Y DEC RATION FCOMPtiANCEIMTR CODE VF FEDERALREG tATIONSPART610FTtTLE46AND AQMDRDL€1401 PERMITEXPIRED ❑ I SUBIWTTEDASBESTOS NOTIFICATION T0: PERMITCANCELLED © EFA AQMD PERMIT EXTENDED j] ASBESTOS MORTTCATIONIS NOT APPLICABLE TO PERMITFINAt -7't $ PROPOSED DEMOLITION. C€RTIFICATEOF - SIGNATURE: OCCUPANCYISSUED \ k K ± k) \ � \cis > § w . § . \ \/. (b 2 fn U) co . /� CD . Cf % k .f\ 77 / n\ ƒ0 :k}k / /46 \ ./ ;k 00 * com - \CD \> ƒ /N { CL CL \ } :cl) °§-0 CL a_ k ± k) \ ) \ � § \ (b 2 \ )