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HomeMy WebLinkAboutM2024-0029 - Permitso��EWPoR @ Cirty of Nmunity Dewport Bevelopmenteach nt- Building Division M 2 0 2 4 0 0 2 9�� COMB Permit : M2O24-0029 ' of 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: PC2024-0924 u - i Permit Counter Phone: (949) 718-1888 Issued Date : 05/31/2024 e� newportbeachca.gov/civic Final Date: 10/23/2024 C9C/FORN�P Combination Type - Permit Status: Final Work Class - Other Inspection Area : 2 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: 52 LINDA ISLE Legal Desc : N TR 4003 BLK LOT 52 Description: SFR- R/R FLOATING DOCK, GANGWAY, & RELOCATE EXISTING GUIDE Owner: GROVE ONTARIO BUSINESS CENTER LILC Contractor : SWIFT SLIP DOCK & PIER BUILDERS, INC. c' Address : 265 N JOY ST STE200 Address : 6351 INDUSTRY WY Address: CORONA, CA 92879 WESTMINSTER, CA 92683 Phone: Phone: (949)631-3121 Phone: Con State Lic : 797052 State Lic Lic Expire: 07/31/2025 Applicant: MARISSA MORALES Bus Lic: BT01122734 Engineer: PLAMEN BORRISOV PETROV Address: 6351 INDUSTRY WAY Bus Lic Expire : 11/30/2024 Address: 28161 CASITAS CT WESTMINSTER, CA 92683 Phone: (949)631-3121 Owner/Builder Address Phone: Code Edition : Type of Construction Occupancy Groups Bldg Height: Building Setbacks Flood Zone Use Zone: PROCESSED BY: 2022 7fd94ca5-6f1 c-1145-af4c-ead768001 f7b Front: 10, Front: 25, Side: 4, Side: 4 R-1 - Single -Unit Residential SPECIAL CONDITIONS: Workers' Compensation Insurance Carrier: GREAT AMERICAN ALLIANCE INSURANCE COMPANY Policy No: WC173816805 W. C. Expire : 12/31/2024 Fire Sprinklers : NO Fire Hazard Zone : NO No of Units : No of Stories : LAGUNA NIGUEL, CA 92677 Phone : (714) 717-7542 Designer: Address : Phone: Construction Valuation : $55,000.00 Added/NeWITI sq. ft. Bldg : 0 Alteration sq. ft. Bldg : 0 Add/New sq. ft. Garage: 0 TOTAL sq. ft. : 0 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' Stale License Law for the reason(s) 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 permit to construct, alter, improve, demolish, or repair any structure, prior to 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 9 (commencing with Section 7000) of Division 3 of the Business and 'rofessions Code) or that he or she is exempt from Iicensure 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 of of 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, lusiness 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 properly, provided that the nprovements are not intended or offered for safe. 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). I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' Slate License Law does not pply 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 Iicensure under the Contractors' State License Law for the following reason: ly my signature below I 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:f/www.leginfo.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 7000) of Division 3 of the Business and Professions Code, and my license is in full force rid effect. License Class License No Date Contractor Signature COMPENSATION DECLARATION FANNING: 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 ($100,000), IN ADDITION TO THE DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 0706 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 -insure for workers' compensation, Issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for thi erformance of the work for which this 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' rance carrier and policy number are: Policy Number of Agent Date certify that, in the performance of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and , if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, 1 shall forthwith comply With those provisions. ignature of Applicant Date_ _ ,ECLARATION REGARDING CONSTRUCTION LENDING AGENCY hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). enders Name Lenders Address y my signature below, I certify to each of the following: I am the property owner or authorized to act on the property owner's behalf. I have read this application 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 enter the above -Identified property for Inspection purposes. icnature of Prooertv Owner or Authorized Agent Print ProDery Owner's or Authorized Aaent's Name ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 Al AQMD RULE PERMIT EXPIRED U SUBMITTED ASBESTOS NOTIFICATION TO PERMITCANCELLED EPA PERMIT EXTENDED OMD PERMITFINAL CERTIFICATEOF OCCUPANCY ISSUED 0 ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO PROPOSED DEMOLITION SIGNATURE: