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Home My WebLink AboutP2024-0148 - PermitsPO" City of Newport Beach Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 G ) = Permit Counter Phone: (949) 718-1888 cy� air ay FOR newportbeachca.gov/civic Plumbing Permit Plan Check No: PC2023-0951 Work Class : Other Issued Date : 04/10/2024 Final Date: Permit Status: Issued Inspection Area : 1 P2024-0148 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION, BUT NO LATER THAN 3 YEARS FROM ORIGINAL ISSUANCE DATE NO CONSTRUCTION RELATED NOISE ON SATURDAY OR SUNDAY IN HIGH DENSITY AREAS AND NO WORK ON SUNDAY AND HOLIDAYS IN ALL AREAS Job Address : 1404 BAY AVE W Legal Desc : N TR 626 BILK 1 LOT 11 Description: PLUMB INSTALL HOSE BIB AT (E) DOCK. Owner: PILALAS JASON M TR Address : 1923 PORTAGE LNDG S NORTH PALM BEACH, FL 33408 Phone: Applicant: MARISSA MORALES Address: 6351 INDUSTRY WAY WESTMINSTER, CA 92683 Phone: (949)631-3121 Owner/Builder : Address Phone: Code Edition : 2022 Type of Construction : Building Setbacks : Front: 5, Front: 25, Side: 3, Side: 3 Flood Zone : AE, 8 FT; X Use Zone: R-1 - Single -Unit Residential PROCESSED BY: a-5 Contractor: SWIFT SLIP DOCKIPIER BUILDERS Address : 6351 INDUSTRY WY WESTMINSTER, CA 92683 Phone: (949)631-3121 Con State Lic : 797052 Lic Expire : 07/31/2025 Bus Lic: BT01122734 Bus Lic Expire:11/30/2024 Workers' Compensation Insurance Carrier : GREAT AMERICAN ALLIANCE INSURANCE COMPANY Policy No : WC173816805 W. C. Expire: 12/31/2024 Fire Hazard Zone : NO Occupancy Groups: I hereby affirm under penally 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 ftem(s) iection 7031.5. Business and Professions Code: Any city or county that requires a permit to construct, alter. improve. demolish, or repair any structure, pdorto its issuance, also requires the applicant for is permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 0 (commencing with Section 7000) of Division 3 of the Business and rofessions Code) or that he or She is exempt from (censure and the basis for the alleged exemption.,. Any violation of Section 7031.5 by any applicant fora permit subjects the applicant to a civil penalty of of more than five hundred dollars ($500). 3 1, 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 OF offered for sale (Section 7044, La nese 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 nprovenrenis 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 nproved for the purpose of sale). 1, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' Stale License Law does not ply 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' Slate License Law for the following reason: ;y my signature below 1 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 legally ell 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 and 'rofessions Code, is available upon request when this application is submitted or at the following Web site:http:tiw .ieginfo.ca.govlcalaw.html. 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 70 0 of D i 3 of the Business and role on - \tdy license is in full force rideffect. License Class License No Date Ci Contractor Signature PORKERS' COMPENSATION DECLARATION IARNINGa FAILURE TO SECURE WORKERS -COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (S100,000), IN ADDITION TO THE DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 1T05 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. hereby affirm under penalty of perjury one of the following declarations: I have and will maintain a certificate of Consent to self-insuro for workers' compensation. Issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for the ojformance of the work for which thus permit is issued, Policy No.. have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers Fence carrier and policy number are: Policy Number Date is of Agent Phone # certify that, in the performance of the work for which this permit is issued. t shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree If I should become subject jaSthe WQRxss'' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Of DateQ' I10 CLARATION REGARDINGrj,CfNSTRUCTION LENDING AGENCY Ireby affirm under penalty oiperjury thatthere is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). lder's Name- Lenders Address my signature below, I certify to each of the following: I am the p-cps'ty owner or authorized to act on the property owner's behalf. 1 have read IN- application and the information I have provided is correct. M agree to cnmply with all applicable city and county ordina and state laws relating to building construction. I authorize moresentatives of this city or county20 c�ijervl av "da �Rd property for inspection purposes. (t ,l / p .nature o(Prooerly Owner or Authorized Aoenf ( h , Print Property Owner's or Authorized AgenPs Name JV'(1l Y1 GJ JGj DECLARATIONOF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 P"MITEXPIPED 1'ISUBMITTEDASBFST05NOTIFICATIONTO P4',VIiTCANCELIED UEPA PfRA 7T F7NAi ASBkSiOS NOTIFICATION IS NOT APPLICABLE TO PT flCATE OF �4/7 PROPOSED DEMOLITION OcrhPANCY 14iSUEI L j SIGNATURE: 19gMIE