HomeMy WebLinkAboutM2020-0022 - PermitsCity of Newport Beach - Building Division � III l����l���1����1��������1111 Ji��l���11 1I
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
Job Address: 1713 BAY AVE E Floor: Suite: Bldg: 0
Description of Work: R/R (E) FLOATING DOCK, GANGWAY, PIER & PILES
Inspector Area: 1
Legal Description: BALBOA TR EAST SIDE ADD LOT 7 BILK 26 ALL -INC S112ABAN ST ADJ ON
Owner: BELJAK BORIS Contractor: SWIFT SLIP DOCK/PIER BUILDERS
Address: 1713 BAY AVE E Address: 6351 INDUSTRY WAY
NEWPORT BEACH, CA 92661 WESTMINSTER CA 92683
Phone: Phone: 949-631-3121
State Lic: C-066947
Applicant: MORALES MARISSA
Address: 6351 INDUSTRY WY
WESTMINSTER CA 92683
Phone: 949-631-3121
Special Cond:
Issued Date 05/06/2020
Valuation:
$80,000.00
Inspection Fee:
$297.00
Plan Check Fee
$312.00
OT Plan Check Fee:
$0.00
Investigation Fee:
$0.00
Building Green Fee:
$4.00
TOTAL FEE: $758.00
PROCESSED BY:
PLAN CHECK BY:
Con State Lic:797052
Lic Expire: 07/31/2021
Bus Lic: BT01122734
Lic Exp Date: 11/30/2020
FEES
Fire Inspection Fee: $0.00
Fire Plan Check Fee: $0.00
Records Mangement: $10.00
Harbor Plan Check Fee: $135.00
Plan Check Fee : $447.00
PUBLIC WORKS:
HARBOR Permit: M2020-0022
Project No : 0689-2020
Inspection Requests Phone (949)644-3255
NO
CONSTRUCTION NOISE
Engineer: PETROVON SATUIj®AyS
Address: 28161 CASITAS CT
LAGUNA NIGUEL CA 92677
Phone: 714-717-7542
Designer:
Address:
Phone:
Longshoremen's and Harbor Workers' Compensation Declaration -
Carrier : AMERICAN EQUIT
Policy No: ALMA01661-04
APPROVAL T0,PSSl99
OTHER DEPARTMENft
$0.00
Plan Dep - Counter Review: $0.00
Plan Dep - Zoning Plan Check: $0.00
Plan Dep - OverTime Plan Check: $0,00
Fee Due at permit Issuance: $311.00
FINAL INSPECTION: _
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST U,4` h INSF:Ci1014 c
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°
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FINAL INSPECTION: _
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST U,4` h INSF:Ci1014 c
4/22/2020
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I hereby affirm under penalty of perjury that tam exempt from the Contractors' State License Law for the reason(s) Indicated below by the checkmark(s) I have placed next to the applicable Item(:
Acin 7031.5, Business and Professions Code: Any city or county, that requires a permit to construct, alter, improve, danollsh. or repair any structure, priorto Its Issuance, also requires the applicant
permit to Ole a signed statement that he or she Is licensed pursuant to the provisions ofthe Contractors' State License Law (Chapter 9(commencing with Section 7000) of Division 3 of the Business a
ressions Code) or that he or she Is exempt fmm it ensure and the bas's fa the alleged exemption. Any violation of Section 7031.5 by any applicant for a pen subjects the applIcant to a civil penalty
more than five hundred dollars (5500).
I. as ownerof the property, army employees with wages as their sole compensation, will do ( ) all of or U portions of the work, and the structure Is not intended or offered for safe (Section 704
Iness and Professions Code, The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effoR builds or improves the property, provided that t
'ovemenls are not Intended or offered for sale. 9, however, the building or improvement is sold within one year of completion, the Owner -Builder wit have the burden of proving that it was not built
-wed Tor 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: Tile Contractors' Slate License Law does n
V to an owner atproperty who builds orimproves thereon, and who contracts forthe projects wth a licensed Contractor pursuant to the Contractors' State license Law).
I am exempt From licensure under the Contractors' State License Law for the following reason:
my signature below I aclnowledge that, except Tor my personal residence n which I must have resided for at least one year prior to completion of the Improvements covered by this pend, I cannot le
a structure that I have bull as an owner-bulltlsr if it has not been constructed In is entirely by licensed contractors_ t understand that a copy of the apple able law, Section 7044 of the Business
HessiDns Code, Is avalaNe upon request when this appikatlon Is submitted or at the forming Web ste.hlip:/iwww.leginfo.ca.gov/calaw.html,
nature olProperty Owneror Authorized Agent Dale
:ENSED CONTRACTOR'S DECIARATION
treby afire under penalty of perjury that] am [tensed under provisions of Chapterg (commencing with Section 7000) of Division 3 of the Business and Professions Code. and my license Is in full If
i effect. License Class License No. Date Contractor Signature
NGSHOREMEN'S & HARBOR WORKERS' COMPENSATION DECLARATION
THING: FAILURE TO SECURE LONGSNORENIEN`S & HARBOR WORKERS' COMPENSATION COVERAGE IS UNLAPIFUL,AND SHALL SUBJECTAN ESPLOYERTO CRIIANAL PENALTIES ARD CML FINES UPM DILE HUNDRED TBDUS@m DOLL
4,9901, IN ADOONON TO THE COST OF DOLBENSATIDN, DAMAGES AS mOVIDEO FOR N SE"ON 37% OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm under penalty of perjury one of the falov
I have and will maintain Longshoremen's and Harbor workers' compensation Insurance, as required by Section 3700 of the Labor Code, forthe performance of the wotk for which this permit
My workers' compensation Insurance cancer and policy number are:
Polcy Number Fit paation Date
Agent Phone #
I certtfythat, in the performance of the work forwhich this permit is issued, i shall not employ any person N any manner so as to become subjectto the workers' compensation law s of California.
TL If should becomesuo]1 to the warkers'c pens�lon provisions of Section 3700 of the labor Code. t shat forthwith comply with those pmv'sions.
Ire ofAppilcaI i � ��
A r _ ... -,.tZ
I hereby affirm under penaty of perjury thatthere is a construction lending agency forthe performance of the work for which this permit is Issued (Section 3097, Qvll Code).
Lenders Name LendersAddress
By my signature below, I ceirtifyto each of the following:
I am the property owner or authorized to act on Nle property owners behalf.
I have mad this applicaffon 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 authored.; pre nta6ves oftN efly or county toemertbe abov�idemi tedpropertyfor Inspection purposes,
Yonatufe77va",_,� —7– Print Name: Ova, ���Date:
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PERMIT CANCELLED E3 EPA
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PERMIT FINAL —2$ • • • • • fRQFOSEDDEMOLITION-
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https://mail.google.com/mail/u/D/#inbox/FMfcgxwHgsVNRJAFpl-li 5•bIQs*gr Cxg;compose=lLtBPXNvhXhvwVDTphXrwkkdjJFzZrJFbzKkWnvjtMGBkcngWKsThMvMPzBZkdpdrMGQWsWM&project... 111