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HomeMy WebLinkAboutM2024-0051 - Permits�EaPORr City of Newport Beach iiiiiiiiiii II COMB Permit : M2024-0051 o� p Community Development Department- Building Division Iy" 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2024-1279 Permit Counter Phone: (949) 718-1888 Issued Date : 09/19/2024 e.� newportbeachca.gov/civic Final Date: 10/2112024 C7�l FOM1N`P Combination Type - SFP Permit Status: Final Work Class - New 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: 62 LINDA ISLE Legal Desc : N TR 4003 BLK LOT 62 Description: SFR- RPLC CENTER FINGER OF FLOATING DOC. RE -DECK REMAINING FLOATING DOC. RPLC CRACKED 14" SQ CONCRETE PILE Owner: ALFONSO CORDERO Address : PO BOX 546 ZEPHYR COVE, NV 89448 Phone: Applicant: MARISSA MORALES Address: 6351 INDUSTRY WAY WESTMINSTER, CA 92683 Phone: (949)631-3121 Owner/Builder : Address: Phone: Contractor: SWIFT SLIP DOCK & PIER BUILDERS, Architect: INC. 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 Workers' Compensation Insurance Carrier: GREAT AMERICAN ALLIANCE INSURANCE COMPANY Policy No: WC173816805 W. C. Expire: 12/31/2024 Code Edition: 2022 Fire Sprinklers : NO Type of Construction : Fire Hazard Zone : NO Occupancy Groups: 7fd94ca5-6fl c-1145-af4c-ead768001 No of Units: f7b Bldg Height Building Setbacks Flood Zone Use Zone: PROCESSED BY: Front: 10, Front: 25, Side: 4, Side: 4 X R-1 - Single -Unit Residential SPECIAL CONDITIONS: No of Stories : Address: Phone: State Lie Engineer: PLAMEN BORRISOV PETROV Address: 28161 CASITAS CT LAGUNA NIGUEL, CA 92677 Phone: (714)717-7542 Designer Address Phone: Construction Valuation : $35,000.00 Added/New/Ti 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' State License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable ileri ;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 :he 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 licensure 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 iot 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 (Secton 7044, 3usiness and Professions Code: The Contractors' Slate License Law does not apply to an owner of property who, through employees' or personal effort, builds or Improves the property, provided that the mprovemenls 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 mproved for the purpose of sale). 3 1, 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 for the projects with a licensed Contractor pursuant to the Contractors' State License Law), 1 am exempt from licensors under the Contractors' Slate License Law for the following reason: 3y 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 legall: sell 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 Drofessions Code, Is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that 1 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 and effect. License Class License No Date Contractor Signature NORKERS' COMPENSATION DECLARATION NANNING: 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 IS10(1,000), IN ADDITION TO THE ,OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 0704 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: 1 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 On )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 Date to of Agent Phone III 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, I shall forthwith comply with those provisions. nature of Applicant Dale_ _ CLARATION REGARDING CONSTRUCTION LENDING AGENCY areby affirm under penalty of perjury that there is a construction lending agency for the performance of the work forwhich this permit is issued (Section 3097, Civil Code). tiers Name Lender's Address my signature below, I certify to each of the following: I am the property owner or authorized to act on the property owners 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. ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART Gl OF TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED I SUBMITTED ASBESTOS NOTIFICATION TO PERMITCANCELtEO EPA PERMIT FINAL UASBESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATE OF .2% PROPOSED DEMOLITION OCCUPANCY ISSUED SIGNATURE: