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Home My WebLink AboutM2024-0022 - PermitsCity of Newport Beach ��w�oRr Community Development Department- Building Division IF. i '`. �,.', 1 oo Civic Center Drive, Newport Beach, CA 92660 73 r , Permit Counter Phone: (949) 718-1888 newportbeachca.gov/civic Work Class - Other 111pIIIIII1111111111111111111111 IIIIIIIIIII111111111111111111IIII Harbor Permit :M2024-0022 Plan Check No: PC2024-0700 Issued Date : 04/25/2024 Final Date: Permit Status: Issued Inspection Area :1 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 : 1615 E BAY AVE Legal Desc : A TR BALBOA BAY FRONT TR BLK P LOT 8 BALBOA BAY FIR Description: SFR R/R DECKING AT (E) DOCK AND GANGWAY. R/R (2) GUIDE PILES. (STOPWORK HD24-0353) Owner: JAY SCHULMAN Address : 16201 MEADOWRIDGE WAY ENCINO, CA 91436 Phone: Applicant: RANDY OCAMPO Address: 6351 INDUSTRY 92683 Phone: (949)631-3121 Code Edition : 2022 Type of Construction : Occupancy Groups: U WAY WESTMINSTER, CA Building Setbacks : Front: 5, Side: 3, Side: 3, Rear: 5 Flood Zone : AE, 8 FT; X Use Zone: R-1 - Single -Unit Residential Contractor: SWIFT SLIP DOCK/PIER BUILDERS Address : 6351 INDUSTRY WY WESTMINSTER, CA 92683 Phone: (949)631-3121 Con State Lie: 797052 Lie Expire : 07/31/2025 Bus Lie: BT01122734 Bus Lie Expire : 11/30/2024 The Longshore and Harbor Workers' Insurance Carrier: GREAT AMERICAN ALLIANCE INSURANCE Policy No COMFWIJ)73816805 Policy Expire : 12/31/2024 Fire Sprinklers : NO Fire Hazard Zone : NO Processed By: 1 `s'` d'. CC SPECIAL CONDITIONS: HIGH DENSITY ZONE `s Architect Address Phone: State Lie Engineer: PLAMEN BORRISOV PETROV Address : 26161 CASITAS CT LAGUNA NIGUEL, CA 92677 Phone: (714)717-7542 Designer: Address Phone : Construction Valuation : $74,000.00 I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reasdd(s) Indic ated 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 permit to construct, after, Improve, demolish, or repair any structure, prior to Its Issuance also requires the applicant fe the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter9 (commencing with Section 7000) of Division 3 of the Business ant Professions Code) or that he or she IS exempt from IicensUm and the basis roe the alleged exemption. Any violation of Section 7031.5 by any applicant for permit Subjects the applicant to a Civil penalty o not more than five hundred dollars ($500). ❑ I, as owner of the property, or my employees with wages as their sole compensation. will do U all of or U portions of the work, and the structure is not Intended or offered for sale (Section 7044, .Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that thi improvements are not intended or offered for sale_ If, however, the building or Improvement is sold wthin one year of completion, the Owner -Builder will have the burden of proving that It was not built a EInroved for the purpose of sale). I, as owner of the property. am exclusively contracting with licensed Contractors to construct the project (Section 7044. Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or improves thereon, and who contracts forthe projects with a licensed Contractor pursuant to the Contractors' state License Law). ❑ 1 am exempt from itensum underthe Contractors' State License Law for the following reason: By my signature. below I wKnowledge that, except for my personal resaencein which I must have resided for at least one yearprlor to completion of the. improvements Covered by this permt, I cannot legally sell a structure that I have built as an owner -builder if I has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business anc Professions Code, is available upon request when this application is submitted or at the fallow ng Web site:http:/hvww.le9mfo.ca.gov/calaw.html. Signature of Property Owner or Authorized Agent LICENSED CONTRACTOR'S DECLARATION Date I hereby affrm under penalty of perjury that I am licensed under provisions of Chapter 9 (commery�,gr ,eCtipn 7000) of Division 3 ofthe Busines and fes i n Cd$ and and effect License Gass License No Date �1' L G�- Contractor Signature my license is in fUl'. fore LONGSHOREMEN'S & HARBOR WORKERS' COMPENSATION DECLARATION iYARNlNG_ FAILURE TO SECURE LONGSHOREMEN"5 &HARBOR WORKERS' CONWEN SATION COVERAGE IS UNLMlFUL,AND SMALL SUBJECTAN. EMPLOYER TOCRINNAL PENALTIES AND CVML FINES UP70 ONE HUNDRED THOUSAND DOLLARS Je4100,001 ADDITION TO THE COST OF CONN'ENsATION, DANAGES As PROVIDED FOR IN SECTION 310E OF THE LABOR CODE, INTEREST, AND ATTORNErS FEES. I hereby affirm under penalty or perjury One Of the followung larations71 Name I have and wilt maintain Longshoremen's and Harbor Workers' compensation insurance, as required by Section 3700 of the Labor Code, forthe performance of the work for which this permit. is My workers' compensation insurance carrier and policy number are: Agent Policy Number Expiration Date Phone # u I certlfythat, In the performance of the work for ch this permit is Issued. I shall not employ any person n any manner so as to become subject to the workers' compensation laws of C, form., agree that. it should become subject to tF}awtorYrets'� ation Novaions of Section 3700 of me Labor code, I shall If orthi carrply with those provisions. Signature of Applicant! V I hereby affirm under penalty of perjury that there Is a c onstruction lending agency for tile performance of the work Tor which this permit Is issued (Section 3097 Lender's Name LentlersAtldless By my Signature below, I Certifyfo each of the following: I am the property owner or authorized to act on the property owners behalf. I have lead this application and the information I have provided Is correct. I agree to comply w M all applicable City and county orcinances and statelaws relating to building c onstruction. I Mthor¢e \ r eseer ativ�Q!fthis c�fy\orcounly toenterthe above -identified property for inspection purposes. 3ionature� i 1 V \ TI�V Print Name: M �1,V I �JO� M O AICTi PATE BY OECLARA.IONOF cumpuANCE WITH CODE OF I� PERMIT FEDERAL REGULATIONS PART fif OF T17LE40 AND AOMD RULE 1403, ❑ I SUBMITTEDASBESTOS NOnFICATION TO: ❑ EPA ❑ AQMD ❑ ASOESTOSN077ACA77ONfSNOTAPPLICABLETO PROPOSED DEMOU TION, OCCUAANCy7SSUE0 SIGNATURE: CIVIICode), Date: 4 I