HomeMy WebLinkAboutM2024-0012 - Permitsa-WpoyT
City of Newport Beach
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Community Development Department - Building Division
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100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone: (949) 718-1888
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newportbeachca.gov/civic
Work Class - Other
1pill11111111111111111[1111111111111111IIIII11111111111111II jjHarbor Permit : iil 2024-0012.
Plan Check No: PC2P2a-0416
Issued Date : 03/27/2024
Final Date:
Permit Status: Iss, ied
Inspection Area •7
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 : 2406 NEWPORT BLVD Legal Desc : A TR NEWPORT BEACH SEC A BLK 223 LOT 9 NEWPORT BEA
Description: COMM DOCK MAINTENANCE ON PIER FLOATS, BROKEN FASCIA, REPLACING WITH LIKE MATERIALS. NO ALTERATIONS TO DOCK LAYOUT FORMAT
Owner: 2406 LLC
Contractor
Address: 8332 OSAGE AVE LOS ANGELES, CA 90045 Address :
Phone: (310)382-6896
Applicant: CHANTELE BOYETT
Address: 1024 LAKE ST HUNTINGTON BEACH
92648
Phone: (562)592-1357
Phone:
Con State Lic
Lic Expire
CA Bus Lic:
SOUTH SHORE MARINE Architect:
CONSTRUCTION INC
19051 GOLDENWEST ST, 106-119
HUNTINGTON BEACH, CA 92648
(562) 592-1357
1082069
10/31/2025
BT30076917
Bus Lic Expire : 10/31/2024
The Longshore and Harbor Workers' Insurance
Carrier: NEW YORK MARINE & GEN INSURANCE CO
Policy No: WC202100023269
8 Policy Expire : 11/3/2024
hO
Code Edition : 2022 Fire Sprinklers : NO
Type of Construction : s e- Fire Hazard Zone : NO
Occupancy Groups: U
Building Setbacks :
Flood Zone : AE, 8 FT; X
Use Zone: MU-W2 - Mixed -Use Water
Processed By:
SPECIAL CONDITIONS:
Address :
Phone :
State Lic
Engineer:
Address
Phone:
Designer: SOUTH SHORE MARINE CONSTRUCTION
INC
Address : 19051 GOLDENWEST ST, 106-119
HUNTINGTON BEACH, CA 92648
Phone: (562)592-1357
Construction Valuation : $7,050.00
I C
I hereby affirm, under Mmalty`of perjury flat I'am exempt from the Contractors' State License Law for the reasons) indicated below by the cneckmark(s) I have placed next to the applicable Rerri
:tion 7031.5, Business and Professions Code:.4ny city or county that requires a permit to construct alter, improve, demolish, or repair any structure, priorto its issuance, also requires the applicant to
Deal to file a sig.ied slattr r of thaF hE of sM 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 licensure and the bast. 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. army employees with wages as their sole compensation, will do U all of or (_) portions of the work, and the structure Is not intended or offered for sale (Section 70",
mess and Profe^slPns. Code- The ^ontractrrs State License Law does not apply to an owner of property who, through employees' Or personal effort, builds or improves the property, provided that IN
'ovements ara not otended oI offered for saia. lt, huwever, the building or improvement is sold within one year of completion, the Owner-Bullder will have the burden of proving that it was not built a
oved 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
y to an owner of property who builds or improves thereon, and who contracts forthe projects with a licensed Contractor pursuant to the Contractors' State License Law).
I am exempt from ficensure underthe Contractors' State License Law for the following reason:
my signature below I aclmowledge that, exceptformy personal residence in which i must have resided for at least one yearpriorto completion of the improvements covered by this permit. I cannot le,,
a structure that I have built as an owner -builder if lt has not been constructed In its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business
4esslons Code, Is available upon request When this application Is submitted or at the following Web site:IinpY/www.leginfo.ca-gov/caiaw.htnf.
nature of Property Ow ner or Authorized Agent Date
JCENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commerl With Section 7000) of Division 3 of the Busness and Professions Code, and Try license is in full force
no effect_ License Gass License No. Date :O n� t!t Contractor Signature )iC
.ONGSHOREMEN'S & HARBOR WORKERS' COMPENSATION DECLARA iION
IARNING: FAIW RE TO SECURE LON GSHORENEN'S & HARBOR WORKERS' CONPENSAhON COVERAGE IS UNLAWFUL,AND SHALL SUBJECT AN ENPLOYER TO CRIMNPL PENALTHES AND CIVIL F WES UP TO ONE HUNDRED THOUSAND DOLIANS
HegO I, IN ADDITION TO THE COST OF CDNPEWSATION, DANNGES AS PROVIDED FORM SECTION NOS OF THE IABDR CODE, INTEREST, AND ATTORNMS 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, forthe perfarmance of the work for which this permit is
My worKem' compensation insurance carrier and policy number are:
Policy Number Expiration Date
Anent Phone #
I certify that, in the performance of the work for hlch this permit IS issued. I shall not employ any person in any manner so as to become subject to the workers' compensation laws of Caifomia,
that, If I should become Subject to the workers' compensation provisions of Section 3700 of the Labor Cocle, I shall forthwith con ply with those provisions.
iture of Applicant:
X ,n �` - Date. 3 j24 I �
Ir r�I�Tfl �r rY 1.11E l /l4r@T9rNTI1r.11 C•r.r1,1kll+ A1C1A11T-'
I hereby affirm underpenally of perjurythatthem is a construction tending agency for the performance of the work for whit h this permit is issued (Section 3097
Lender's Name LendersAddress
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 this apple ation and the information I have provided is correct.
I agree to comply with all applicable city and county ordinances and state laws relating to building construction.
I authorize representatives of this city or county to enterthe above -identified property for InspEctlon purposes.
Civil Code).
Signature: r• Print Name: LVNC—,--� Date�'!j -
ACTION
DATE
BY
DECLARATION OFCOMPLIANCE WITHCODEOF
FOR OFFICE USE ONLY
FEDERAL REGULATIONS PART 61 OF T17LE40 AND
AQMD RULE 1403.
PERMIT EXPIRED
❑ 1 SUBMITTED ASBESTOS NOTIFICATION TO.
❑ EPA
❑ AQMD
PERMIT CANCELLED
PERMIT EXTENDED
-
ASBESTOS N077RGARONIS NOT APPLICABLE 70
POSED DEMOLITION.
SIGNATURE:x 11
PERMIT FINAL
/
CERTIFICATEOF
OCCUPANCY ISSUED