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HomeMy WebLinkAboutM2022-0020 - PermitsCity of Newport Beach - Building Division 'M2022-0020' t &�y 100 Civic Center Drive, Newport Beach, CA 92660 _ Permit Counter Phone (949)644-3288 4 Job Address: 607 BAYSIDE DR Floor: Suite: Bldg: 0 Description of Work: SFR - R/R PORTION OF (E) FINGER & HEADWALK. Inspector Area: 2 Legal Description: N TR 3867 LOT 47 Owner: - DUNKEL PETER LAWRENCE Address: -607 BAYSIDE DR NEWPORT BEACH, CA 92660 Phone: State Lie: Applicant: MORALES MARISSA Address: 6351 INDUSTRY WY WESTMINSTER CA 92683 Phone: 949-631-3121 Special Cond: Issued Date 06/27/2022 Valuation: $20,000.00 Inspection Fee: $314.00 Plan Check Fee $329.00 OT Plan Check Fee: $0.00 Investigation Fee: $0.00 Building Green Fee : $1.00 TOTAL FEE: $713.00 PROCESSED BY: PLAN CHECK BY: HARBOR Permit: M2022-0020 Project No : 1446-2022 Inspection Requests Phone (949)644-3255 BB Contractor: SWIFT SLIP DOCKIPIER BUILDERS Engineer: PETROV PLAMEN Address: 6351 INDUSTRY WAY Address: 28161 CASITAS CT WESTMINSTER CA 92683 LAGUNA NIGUEL CA 92677 Phone: 949-631-3121 Phone: 714-717-7542 °°°°° C-066947 3.J • ° 4 Con State Lic:797052 Designer: Lie Expire: 07/31/2023 Address: Bus Lie: BT01122734 Lie Exp Date: 11/30/2022 Phone: w • ° O Longshoremen's and Harbor Workers' Compensation fletlanition - `o Carrier: AMERICAN EQUIT Policy No:WC173816804 Expire : 12/31/2022 FEES Fire Inspection Fee: $0.00 $0.00 Fire Plan Check Fee: $0.00 Plan Dep - Counter Review: $0.00 Records Mangement: $8.00 Plan Dep - Zoning Plan Check: $0.00 Harbor Plan Check Fee: $61.00 Plan Dep - OverTime Plan Check: $0.00 Plan Check Fee : $390.00 Fee Due at permi s uance : $323.00 I _ PUBLIC WORKS: �� ) APPROVAL TO ISSUE: OTHER DEPARTMENTS: FINAL INSPECTION PERMIT EXPIRES 180 DAYSAFTER ISSUANCE OR LAST VALID INSPECTION NER-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 item(s) ;tion 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 the applicant fo 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 an, 'essions Code) or that he or she is exempt from licensure 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 c more than five hundred dollars ($500). I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044, mass 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 th "ovements 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 c 'oved 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 no ly 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' State License Law for the following reason: my signature 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 pern I 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 rfessions Code, is available upon request when this application is submitted or at the following Web site:http://vv w.leginfo.ca.gov/calaw.html. - inature of Property Owner or Authorized Agent Date Business .ICENSED CONTRACTOR'S DECLARATION hereby affirm widerpenalty of perjury that I am licensed under provisions of Chapter 9 (Comm cin ith 000) of Division 3 of the Business an Pro s n , and license is in full forcr nd effect. Liceiree Class License No. Date I G Lp�tjgn 7i Contractor Signature 1 .QW4SHORFMI€N'S & HARBOR WORKERS' COMPENSATION DECLA TIO IARNING: FAILURE 5'4 ASECURE LONGSHOREMEN'S & HARBOR WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS �100,900), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm under penalty of perjury one of the following tA�'Wtions: 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 sLg�i! My" workers' compensation insurance carrier and policy number are: :arrier ••• Policy Number Expiration Date fame of Agenb+ Phone # • I certify,that, iwn the performance 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, an agree that, if I SI)pykl &p&gie subject workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. f t`°ire of.9pplj nt: Date✓ 212 l 2--2— ECLARATION REdARD44G tONSMICTION LENDING AGENCY I 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). Lender's Name Lender'sAddress 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 tat, es of t c or county to enter the above -identified property for inspection purposes. A �I Print Name: / M QYTSS�t 'V l�Um �r, Date: -u signature: , ACTION V DATE BY DECLARATION OF COMPLIANCE WITH CODEOF FOR OFFICE USE ONLY FEDERAL REGULATIONS PART 61 OF TITLE40 AND PERMfTEXPiRED AOMDRULE td03. ❑ I SUBMITTED ASBESTOS NOTIFICATION TO:. PERMITCANCELLED ❑ EPA PERMITEXTENOED ❑ AOMD ❑ ASBESTOS NOTIFICATION IS NOT APPLICABLE TO PERMIT FINAL — —2Z PROPOSED DEMOLITION. CERTIFICATE OF SIGNATURE: OCCUPANCYISSUED