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HomeMy WebLinkAboutM2019-0076 - Permitssagy4 City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIII�I�IIIIIIIIIIII II HARBOR Permit: M2019-0076 .. 100 Civic Center Drive, Newport Beach, CA 92660 M 2 0 1 9 0. 0 7 6 Project NO : 2166-2019 ' t+ ? Permit Counter Phone (949)644-3288 `rna sero Inspection Requests Phone (949)644-3255 Job Address: 2000 BAY AVE E Floor: Suite: - Bldg: 0 NO ryONST1 ION NOISE Description of Work: R/R (2) 14" X 14" MARINA GUILD PILE LIKE FOR LIKE ON THE WEEKEND Inspector Area: 1 Legal Descriptbw. Owner: BEAUCHAMP DAVID Contractor: HARBOUR CONSTRUCTORS CO Engineer: JAFARI MASOUD Address: 2000 E BAY AV Address: 17892 JAMESTOWN LN Address: 23 ORCHARD #250 NEWPORT BEACH CA 92661 HUNTINGTON BEACH CA 92647 LAKE FOREST CA 92630 Phone: Phone: 714-822-5214 Phone: 949-206-9929 State Lia S-003812 Applicant: CHUNG JACQUELYN Con State Lic:907269 Designer: Address: 4010 CHANNEL PL Lic Expire: 11/30/2019 Address: NEWPORT BEACH CA 92663 Bus Lia BT30063889 Phone: 949-274-4214 Lic'Exp Date: 07/3112020 Phone: Special Cond: longshoremen's and Harbor Workers' Compensation Declaration - : INSURANCE Issued Date 10/02/2019 INSPECTOR SPECT®R Policy No: ZAWCI14112202 Expire : 11/18/2019 FEES Valuation: $8,000.00 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: $4.00 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: $1.00 TOTAL FEE : $749.00 Plan Check Fee : $0.00 Fee Due at permit Issuance : $749.00 PROCESSED BY: PLAN CHECK BY: i�pR(t VALTOISSUE: OTHER DEPARTMENTS: °FINAL INSPECTION PfP&];; #IAf� 1401.,4tJ .TkF,1�Et(„4VCE OR LAST VALID INSPECTION )WNER-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) Section 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 he 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 Irofessions 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 tot more than five hundred dollars. ($500):. - I, as owner of 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, 3usiness 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 tht mprovements are notintended 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 mproved 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 Ipply 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). J I am exempt from licensure under the Contractors' State License Law for the following reason: 3y 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 legal) sell a structure that I .have built as an owner -builder if it hasnot been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business an 'rofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. Signature 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 form Ind effect. License Class License No. Date Contractor Signature -ONGSHOR�IAEN'S & HARBOR WORKERS' COMPENSATION DECLARATION VARNIN AILO SECURE LONGSHOREMEN'S 8 HARBOR WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HONORED THODSAND DOLLARS M00.00DY E TbDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3708 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm under penalty of perjury one of the following 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 sued. y workers' compensation insurance carrier and policy number are: :artier 1 Policy Number Expiration Da lame f4Ge t Phone # i - - J I certify that, i pe ante 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 tee that; if I should ecome s bj the orkers' co elation provisions of Section3700 of theLabor Code,.l shall forthwith comply with those provisions. Sig t re of App icant: D n.,Ae Io. 2.2011 )ECIyAFIXTION Ij,ECA JJ I hereby affirm un Lender's By my signature beloi I am the property own( I have read ap I I agree to omply wi I authoriz represe tat 3TRUCTION LENDING AGENCY " \ perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).. I on i.r'.Addroca mortify to each of the following or authorized to act on the property. owner's behalf. on and the information I have provided is correct.. (.applicable city and county ordinances and state laws relating to building construction s frthis city or county t er the above -identified property for inspection purposes.t. =111w,hr �71fL/1/I\1Y11`u 10.2.201e ON DATE BY DECLAPATIMV OF COMPLIANCE THCO EOF FOR OFFICE USE ONLY EDERALREGULATIONSPART@f FTITLE40ANG AQMDRUj1!'3J83••• •, �.`, �•• ••t -t•••• P€RMiTEXPIREQ © 1 SU616JtAl:Ea4B�SIUS'•'AlO! [3 •. 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