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Home My WebLink AboutM2024-0005 - Permits�2EWPpRT City of Newport Beach p ,c' ecn Community Development Department- Building Division 1 100 Civic Center Drive, Newport Beach, CA 92660 0 > �' Permit Counter Phone: (949) 718-1888 Cgt�'�0.N�P newportbeachca.gov/civic Work Class - Other 11IIIIII1111111111111111111111111111111111111111111111111111 jj Harbor Permit :M2O24'-0005 Plan Check No : PC2024-0129 Issued Date : 02/08/2024 Final Data: Permit Status: Issued Inspection 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 : 1810 BAY FRONT S Legal Desc : A TR BALBOA ISLAND SEC 5 BLK 4 LOT 6 BALBOA ISLAND Description: SFR R/R DOCK FRAMING, (5) 4'X6' FLOATS, AND (1) 4'X8' FLOAT TO MATCH (E). Owner: JANISE DAVIS Contractor : SOUTH SHORE MARINE Architect : - CONSTRUCTIONINC Address : 1810 BAY FRONT S NEWPORT BEACH, CA Address : 19051 GOLDENWEST ST, 106-119 Address 92662 HUNTINGTON BEACH, CA 92648 Phone : Phone : (562) 592-1357 Phone Con State Lie : 1082069 State Lie Applicant: CHANTELE BOYETT Lie Expire : 10/31/2025 Address : 1024 LAKE ST HUNTINGTON BEACH, CA Bus Lie : BT30076917 Engineer 92648 Phone: (562) 592-1357 Bus Lie Expire : 10/31/2024 Address The Longshore and Harbor Workers' Insurance Phone: . . Carrier: NEW YORK MARINE & GEN INSURANCE CO Policy No: WC202100023269 Designer: MAX ZAYV JACKSON Policy Expire: 11/3/2024 Address : 19051 GOLDEN WEST ST, 106-119 HUNTINGTON BEACH, CA 92648 Phone: (714)732-6127 Code Edition : 2D22 Fire Sprinklers : NO Construction Valuation : $6,400.00 Type of Construction : Fire Hazard Zone : NO Occupancy Groups: U Building Setbacks : Front: 5, Side: 4, Side: 4, Rear: 5 Flood Zone: X NO CONSTRUCTION WORK Use Zone : R-BI - Two -Unit Residential, Balboa Island Processed By: z, SPECIAL CONDITIONS: HIGH DENSITY ZONE ON SATURDAY OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reasons) 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 pemHtto construct, after, improve, demolish, or repair any structure, pnorta Its Issuance, also requires the applicant fo the permit to file a signed statement that he or she Is licensedpursuantto the provlslons of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Drviskrn 3 of the Business anq Prolesslons Code) or that he or she Is exempt from licensum 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 Ol not more than five hurl dollars (S500). ❑ I, as ownerof the property. or my employees with wages as their sole compensation, will. do U all of or U portions of the work, and the structure Is not intended or offered for sale (S-ection 7044,. Business. 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 theproperty, provided that the 'Improvements 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 or roved ran the purpose of sale). LLJJ I, as owner of the property, am exclusively contracting wltn licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License. Law does not apply to an owner of property who bullds or improves thereon, and who contracts Orthe projects with a licensed Contractor pursuantto the Contractors' State License Law). I am exempt from licensure under the Contractors' State License Law far the following reason. my signature below I acknowledge that, except for my personal residence in which I must have reseed for at least one year prior to completion of the improvements cove 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, ifessions Code, Is available upon request when this application is submitted or at the fellow trig Web site:http:7lwww.leginfo.ca.gavfcafaw.html. nature of Property ON per Dr Authonzed Agent Date of the 10ENSED CONTRACTOR'S DECLARATION hereby affirm I•rd" penalty of perjury tnat I am licensed under provisions of Chapter (commencigg with Section 7000) of. DNision 3 of the Busi iess and Professions Code, and my license is in full fomE no effect. License Class License No. Date Contractor Signai .ONCSHOREMEN'S & HARBOR WORKERS' COMPENSATioN DECLARA ION I..RGNde FAILURL TO SELURE LONGSHOREMENS&HARBOR WORKERS' COMPENSATION COVERAGE 1 AND. SHALL SUB.IECTAN. EMPLOYER TOCRININAL RENALTeES AND CIVIL FINES u'PTO ONE HUNDRED THOUSAND DOLiui 1199,40Dt, IN ADDITIN TC THE COST OF COIWi ENSATON, DAMAGES AS PROVIDED FOR N SECTION 3IW OF THE LABOR CODE., INTEREST, AND ATFORNEY'S FEES. I hereby affirm under penalty of perjury one of the following ec la: ations: J 1 nave 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 'sue'1. M;' wTrkers corpensation insurance varier and policy number are: :arrier Policy Number Expiration Date I certlfythat, in the performance afire work forwhich this permit is Issued, I shall not am: ploy any person in any manner so as to become subjectto the workers' compensation laws that, 71. should become subject to the workers' compensation provisions of Section 3700 of the Labor Code. I shall forthwith comply with those provisions. iwreofAprid. ifit: uo _ > nyii C6 L'ECLARATION riEGAIM NG CONSTRUCTION LENDING AGENCY I hereby a firm under penalty of penury thatthere Is a constructionlending agency forthe performance of the Work forwhich this pewit is issued (Section 3097, Ovll Code). Lenders. Name Lenders Address By my signature below, I certifyto each of the following: I am the property owner or authorized to act on the property owners behalf. I have read tns application and the information I have provided is correct- [ agree to comply with all applicable city and county ordinances and statelaws relating to building construction. I authorize representatives ofthis city or county toenterthe above -identified property for inspection purposes. Sionature:� /i . Print Narnm—o r Dafav % DATE I BY PERP4iT PERMIT EXTENDED OCCUPANCY ISSUED I -7/II, FEDERAL REGULATIONS PART 61 OF InTLE40 AND AQMD SIRE 1403. ❑ I SUBMITTED ASBESTOS N077FICATION TO. ❑ EPA ❑ AQMD IP BES TOS NOT]IRCAVQN IS' NOT APPLICABLE TO FWUPOSEDDEMOUDON.