The URL can be used to link to this page

Home My WebLink AboutM2019-0080 - PermitsCity of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIII�IIIIIIIIIIIIIII�IIIIIIII II 100 Civic Center Drive, Newport Beach, CA 92660 P 2 0 1 9 0 0 8 0 Permit Counter Phone (949)644-3288 Job Address: 2570 BAY SHORE DR Floor: Suite: Bldg: 0 Description of Work: COMM - REMOVE/REPLACE ALL WALKING DECK MATERIAL Inspector Area: 2 MASON RANDY HOWARD Address: Legal Description: TR 2095 LOT 1 POR OF LOT AND POR OF LOTS 2 THRU 8 INC & 14 THRU 20 INC Owner: IRVINE CO Contractor: BELLINGHAM MARINE IND INC Address: 1353 BAYSIDE DR Address: 8810 SPARLING LANE NEWPORT BEACH, CA 92625 Valuation: DIXON CA 95620 Phone: 949-720-2311 Phone: 707-678-2385 State Lic: C-030661 $297.00 Applicant: MASON RANDY HOWARD Address: 7755 CENTER AVE #1060 Bus Lic: BT01101867 HUNTNGTN BEACH CA 92647 Phone: 657-227-7454 Special Cond: Issued Date 02/04/2020 HARBOR Permit: M2019-0080 Project No : 2413-2019 Inspection Requests Phone (949)644-3255 2413-2019 Engineer: MASON RANDY HOWARD Address: 7755 CENTER AVE #1060 HUNTNGTN BEACH CA 92647 Phone: 657-227-7454 Con State Lic:442499 Designer: Lic Expire: 07/31/2021 Address: Bus Lic: BT01101867 Lic Exp Date: 09/30/2020 Phone: Di, j t! On��CA TE. j Longshoremen's and Harbor Workers' Compensation Declaration - Carrier : STATE OF PENNSYLVANIA Policy No: WC38412076 PROCESSED BY: PLAN CHECK BY: PUBLIC WORKS: APPROVAL TO ISSUE: OTHER DEPARTMENTS: FINAL INSPECTION: _ PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION Expire : 11/15/2020 FEES Valuation: $337,800.00 Fire Inspection Fee: $0.00 $0.00 Inspection Fee: $297.00 Fire Plan Check Fee: $0.00 Plan Dep - Counter Review: $0.00 Plan Check Fee $312.00 Records Mangement: $18.00 Plan Dep - Zoning Plan Check: $0.00 OT Plan Check Fee: $0.00 Harbor Plan Check Fee: $135.00 Plan Dep - OverTime Plan Check: $0.00 Investigation Fee: $0.00 Building Green Fee: $14.00 TOTAL FEE : $776.00 Plan Check Fee: $776.00 Fee Due at permit Issuance : $0.00 PROCESSED BY: PLAN CHECK BY: PUBLIC WORKS: APPROVAL TO ISSUE: OTHER DEPARTMENTS: FINAL INSPECTION: _ PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION 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) ction 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 to 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. ant Cessions 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 o more than five hundred dollars ($500). I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, iness 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 the rovements 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 roved for the purpose of sale). I, as owner of the properly, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not 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 permit, I cannot lel 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 the Business fessions Code, is available upon request when this application is submitted or at the following Web site:hltp://www.leginfo.ca.gov/calaw.htmi. nature of Property Owner or Authorized Agent Date ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full nd effect. License Class License No. Date Contractor Signature .ONGSHOREMEN'S & HARBOR WORKERS' COMPENSATION DECLARATION IARNING: FAILURE TO SECURE LONGSHOREMEN'S & HARBOR WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOL n00.0001. IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 0706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm under penalty of perjury one of the folk 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 My workers' compensation insurance carrier and policy number are: Policy Number Expiration Date Agent Phone # I certify that, in 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, that, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Lture of Applicant: _ REGARDING CONSTRUCTION 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 representatives of this city or county to enter the above -identified property for inspection purposes. signature: Print Name: Date: ACTION DAT£ BY DECLARATION OF COMPLIANCE M TH CODE OF FOR OFFICE USE ONLY FEDERAL REGULATIONS PART 61 OF TIT LE40AND AQMDRULE 1463. PERMITEXP/RED / SUBMITTED ASBESTOS NOTIFICATION TO: ❑ EPA AQMD PERMITCA.NCELLED PERMIT EXTENDED❑ t,0 ASBESTOS NOTfRCATIONIS NOT APPLICABLE TO PROPOSEDDEMOLITION. PERMIT FINAL CERTIFICATEOF 41 IV SIGNATURE: OCCUPANCYISSUED