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Home My WebLink AboutM2022-0002 - Permits�w"'oyA City of Newport Beach - Building Division *M2022-0002` HARBOR Permit: M2022-0002 y ,.. 100 Civic Center Drive, Newport Beach, CA 92660 Project No : 0105-2022 n.. Permit Counter Phone (949)644-3288 V. I"y. na ,. Inspection Requests Phone (949)644-3255 UYAlFr� i �— a�vo Job Address: 1501 BAY AVE E Floor: Suite: Bldg: 0 Description of Work: SFR REMOVE/REPLACE FASCIA BOARDS @ FLOATING DOCK Inspector Area: 1 Legal Description: BALBOA TR EAST SIDE ADD LOT 1 ELK 24 INC S1/2 ABANST ADJ ON N(AND Owner: TYLER ALAN Contractor: APEX DIVING & MARINE SERV Engineer: Address: PO BOX 13519 Address: 15061 SHERMAN WAY STE J Address: ° ARLINGTON, TX 76094 VAN NUYS, CA 91405 - Phone: Phone: 818-787-1794 Phone: State Lic: Applicant: TAYLOR ALLEN Con State Lic:1006937 Designer: Address: 1501 E BAY AVE Lic Expire: 0813112023 Address: ° NEWPORT BEACH CA 92661 Bus Lic: BT30059290 Phone: 661-400-0655 Lic Exp Date: 05/31/2022 Phone:; Special Cond: HIGH DEN ISTYAREA Declaration - LIQUEFACTION Issued Date 02/23/2022 Valuation: $4,800.00 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 : $723.00 PROCESSED BY: PLAN CHECK BY: Longshoremen's and Harbor Workers' Compensation Carrier: LONGSHORMAN'S/W.C. Policy No: 9216743-19 FEES Fire Inspection Fee: $0.00 $0.00 Fire Plan Check Fee: $0.00 Plan Dep - Counter Review: $0.00 Records Mangement: $18.00 Plan Dep - Zoning Plan Check: $0.00 Harbor Plan Check Fee: $61.00 Plan Dep - OverTime Plan Check: $0.00 Plan Check Fee : $329.00 Fee Due at permit Issuance : $394.00 PUBLIC WORKS: Lw APPROVAL TO ISSUE: OTHER DEPARTMENTS: FINAL INSPECTION: _ PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION LDER 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) 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 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 anc fessions 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 L) all of or L) 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 property, 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 signatur, b=_:ow 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 le a structue 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:http://www.ieginfo.ca.gov/calaw.html. nature of Property Owner or Authorized Agent Date ICECSED CONTRACTOR'S DECLARATION hereby affirm cnde,penalty of perjury that I am licensed under provisions of Chapter 9 (com ncil g wi' Section 7000) of Division 3 of the Busi i - I�fe ' Code, and my license is in full nd effect. Licenee Class License No. Date ' Z`Z Contractor Signature' / ONGSHOREMEH'S & HARBOR WORKERS' COMPENSATION DECLARATION I I V -� 'PR'II'IG: FAILULE. O SECURE LONGSHOREMEN'S d HARBOR WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOI 100 DWI, IN ADDITION To THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. I hereby affirm under penalty of perjury one of the folk 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 compensation insurance carrier and policy number are: I certify that, in the pe rma c f the that, if should heco bje t o wo 6ture of Applicant: Expiration lone # 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, ation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. . f y-2 RATION REGARDING CONSSW I hereby affirm under penalty of perjury Lenders Name AGENCY is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). 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 owners behalf. I have read ' do nd the in rmation I have provided is correct. I agree to omply p a i and county ordinances and state laws relating to buildin c nstruction. I authorize re ives f is 'ty ounty to enter the above -identified property for inspects n urposeS. signature: � Print Name: Pk:)f kbtf LU ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FOR OFFId U7 OM- 7-FEDERAL REGULATIONS PART 61 OF TI TL.E 40 AND AOMDRULE f403. PERA4IT EXPIRED ❑ I SUBMITTED ASBESTOS NOTIFICATION TO: )] EPA ❑ AQMO PERMITCANCELLED PERMITEXTENDED ❑ ASBESTOS N077HCATIONIS NOT APPLICABLE TO PROPOSED DEMOLITION. PERMITFINAL , CERTIFICATEOF OCCUPANCYISSUED SIGNATURE: