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Home My WebLink AboutM2023-0055 - Permits4�WPORr City of Newport Beach IIII IIIIIIII IIII IIIIII II Community Development Department- Building Division Harbor Permit: M2023-0055 qj� 7 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: PC2023-1982 owl = Permit Counter Phone: (949) 718-1888 Work Class : Other cq� ORS\P newportbeachca.gov/civic m 4 Issued Date : 08/3112023 PInspection Area : 2 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. Construction Hours: Monday - Friday 7:00 a.m. to 6:30 p.m. and Saturday 8:00 a.m. to 6:00 p.m. No work on Sundays or Holidays. Job Address: 2027 BAYSIDE DR Legal Desc : N TR 2094 BLK LOT 11 Description: SFR *WORK IN PROGRESS (HD23-0883)* REPAIR BROKEN SPLICES IN DOCK FRAMING AND RESECURE FASCIA BOARDS PER CITY STANDARD PLAN. Owner: RICHARD PLAT Address: 2027 BAYSIDE DR NEWPORT BEACH, CA 92625 Phone: (714)292-2660 Applicant : CHANTELE BOYETT Address : 1024 LAKE ST HUNTINGTON BEACH, 92648 Phone: (562)592-1357 Code Edition : Type of Construction Occupancy Groups: Building Setbacks Flood Zone Use Zone : Processed By: 2022 U Contractor: SOUTH SHORE MARINE CONST INC Address : 19051 GOLDEN WEST ST, 106-119 HUNTINGTON BEACH, CA 92648 Phone: (714)732-6127 Can State Lic : 1082069 Lic Expire : 10/31/2023 CA Bus Lic; BT30076917 Front: 10, Front: 5, Side: 4, Side: 4 AE, 8 FT; X R-1 - Single -Unit Residential SPECIAL CONDITIONS: *HD23-0883* Bus Lic Expire : 10/31/2023 The Longshore and Harbor Workers' Insurance Carrier: NEW YORK MARINE & GENERAL Policy No1NSUR#d5D M121D023269 Policy Expire: 11/3/2023 Fire Sprinklers : NO Fire Hazard Zone : NO Architect: Address : Phone: State Lic Engineer: Address Phone : Designer: SOUTH SHORE MARINE CONST INC Address : 19051 GOLDEN WEST ST, 106-119 HUNTINGTON BEACH, CA 92648 Phone: (714) 732-6127 Construction Valuation : $4,075.00 fNER-BUILDER DECLARATION I herety 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 appfcable Items) .ton 7031.5, Business and Professions Code: Any city or county that requires a permit to construct. alter, improve. demolish. or repair any structure, priorto its issuance, also requires the applicant to permit to fl e 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 arx 'essions Code) or that he or she is exempt from iicensum and the bass 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 ($50% I, as owner of the property, army 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, 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 ,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 a 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 nor y to an owner of property who builds or improves. thereon, antl who contracts forthe projects with a [tensed Contractor pursuant to the ContractorsState License Law) LJ I am exempt from licensure under the Contractors' State License Law fa the following reason: By my signature below I aclmow ledge 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 legally self a structure that I have built as an owner-bullder N I has not been constructed in its entirety by licensed contractors_ I understand that a copy or the applicable law, Section 7044 of the Business and Professions Code. is available upon request when this application Is submitted or at the follow ing Web sole:htip://www.leginfo.ca.govfcalaw.html. Signature of Property Owner or Authorized Agent Dale LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (Comm nc(my with Section 7000) of Division 3 of the BusinessandProfessions Code, and rrTy license is n full fol and effect. License Class License No. Date ( 1 ( j 7� Contractor Signature C- LONGSHOREMEN'S & HARBOR WORKERS' COMPENSA71ON DECLARATION--L WARNING: FAILURE TO SECURE LONGSHOREMEN'S & HARBOR WORKERS' COMPENSATION COVERAGE IS UNLAW FU'1., AN D WALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FRIES UPTO ONE HUNDRED THOUSAND DOLLARS IS1000Ml, IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION HM OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm under penally of perjury one of the following doc lafarions: VJ' 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 issued. My workers' compensation insurance carrier and policy number are. Carrier Policy Number Expiration Date Name or Agent Phone # permit is L-i I certifythat, in the performance of the work forwhic h this permit 5 issued. I shall not employ any person in any manner so as to become subjectto the workers' compensation laws of Callfomia, agree that, I I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Signature of Applicant _ ��_ Date: f1G1E II O A TfI \I OCf^ A O rV \N 1.1\I CTL] I NT /l\I E C\1111\il� 11 (CAI l�V I hereby affirmunder penalty of perjurythatthere is a construction lending agency For the performance of the work torwhich this permit is issued (Section 3097. Civil Code). Lender's Name LendersAddress By mysignature below, I certifyto each of the following: I am the property owner orauthorized to act an the property owner's behalf. I have mad this application and the information I have provided is correcct. I agree to comply with all applicable. city and county ordinances and state laws relating to building construction. I authorize representatives ofthis city or c ounly to enterthe above -identified property for inspection purposes. Sianature:l. /--� ACTION DATE BY PE.RA41T EXTEIVDED PERMIT FINAL Print Name, FEDERAL REGULATIONS PART 61 OF T17LE40 AND AQMD RULE 1403. ❑ I SUBMITTED ASBESTOS NO PFICATION TO: ❑ EPA ❑ AQMD ASBESTOS NOTIFICATION IS NOT APPLICABLE TO PROPOSED DEMOLITION. LICCUP.4 Ncv i r5UEr. II SIGNATURE: Date: