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HomeMy WebLinkAboutM2020-0016 - PermitsCity of Newport Beach - Building Division I IIpIIIII IIIIIIIIIIIIIIIIIIIIII�IIIIIIII1IIIIIIIIIIIIII 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 Job Address: 1903 BAY AVE E Floor: Suite: Bldg: 0 Description of Work: SFR REMOVE/REPALCE (E) DOCK,PIER,PLATFORM, (3) T -PILES & GANGWAY Inspector Area: 1 $90,000.00 Inspection Fee: Legal Description: BALBOA TR EAST SIDE ADD LOT 1 BILK 28 ALL -INC S112ABAN ST ADJ ON Owner: POINT DEVELOPMENT Contractor: SWIFT SLIP DOCK/PIER BUILDERS Address: 6380 WILSHIRE BLVD #1000 Address: 6351 INDUSTRY WAY LOS ANGELES CA 90048 $4.00 WESTMINSTER CA 92683 Phone: Phone: 949-6313121 State Lie: C-066947 Applicant: MARSSIAISWIFT SLIP Address: 6351 INDUSTRY WAY WESTMINSTER CA 92683 Phone: 949-631-3121 Special Cond: HIGH DENSITY AREA Declaration - Issued Date 04/22/2020 Valuation: $90,000.00 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: $617.00 HARBOR Permit: M2020-0016 Project No: 0590-2020 Inspection Requests Phone (949)644-3255 Engineer: PETROV PLAMEN Address: 28161 CASITAS CT LAGUNA NIGUEL CA 92677 Phone: 714-717-7542 Con State Lic:797052 Designer: Lie Expire: 07/31/2021 Address: Bus Lie: BT01122734 p Lie Exp Date: 11/30/2020 PI)ga��®� 1�®,� I N S 1P EC -1r® R amp ��o moi e o o o m PROCESSED BY: PLAN CHECK BY: ✓� o 0 O U. o. O O O �o opo 0 0 0o a� Plan Check Fee : $312.00 PUBLIC WORKS: APPROVALTOISSUE: ... OTHER DEPARTMENTS: FINAL INSPECTION: 000 — PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION Due at permit Issuance: $305.00 tooGot4s Longshoremen's and Harbor Workers' Compensation l&RICAN EQUIT ��11��,11 SN��icy No: ALMA01661-04 a�s,`� Expire • 12/31/2020 FEES Fire Inspection Fee: Fire Plan Check Fee: Records Mangement: Harbor Plan Check Fee: $0.00 $0.00 $4.00 $0.00 Plan Dep - Counter Review: Plan Dep -Zoning Plan Check: Plan Dep - OverTime Plan Check: $0.00 $0.00 $0.00 $0.00 amp ��o moi e o o o m PROCESSED BY: PLAN CHECK BY: ✓� o 0 O U. o. O O O �o opo 0 0 0o a� Plan Check Fee : $312.00 PUBLIC WORKS: APPROVALTOISSUE: ... OTHER DEPARTMENTS: FINAL INSPECTION: 000 — PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION Due at permit Issuance: $305.00 412212Q2p 9magga png https.tfmail:googfe.commmalhu/0(1HnbmelPMicgxwHMsWNRJJgFpHVBhbNsXVg$QXq?bompase-7F SOXNvhXhv.WVDTo.�)(Mkkoj FzZr3Fbz)<kNhtvo4G5kbngWKsTMMvMp,2BZkdpdrT OQWsWM&prolect••• 111' OWNERMERLDEROEq ARATION' I hereby a1Rrm tinder Penalty of pe0trythat lam: eirempt from tie Contractors' We tten5el.au for the::tdaSArKs),irrlltatdb da1pN qY thecheoKmai#(s} i nave'plaCbd nektt0 tne.apAra»attle'Bemfb) Section 7031.5, Business and Professions Code: Any dityor coul'&gthstracit resa Aam11t In ccinstract, 410, Improve. deniohik prrepair.arlf structure, pnorto is issuance, alsotes the applicant fo hepenvitlo file a signed statement that he Crane Is licensed pursitantio Ins pfovislons at the Contractors' State License Law (Chaptar 9:.fGonimencing with SKIIDU 7000) Of DtvlsionrWttof the Supnese OrW Professions c oft) prlhat he or she is exempt from ll ensureandthe base for he.alleged memplbn. Any violation of Section Tn3t3 by any appicantfor a porruk spb)ers the applicSpttn a Civil penalty's If�t more than live htmrrod dollars (Sfioq . t;J L as ownerorihe prop'",or-my ampbyees. wlthwages as-iheirsdre coupdrisation,*0do()all Of oroportionsorlhBWOrk,and%a shuourels not gltended' or offered. Tor•sole{Sect1An 7044; Ili puslgassaRp P1Ofe55bna Code: The ContraPlorS"State Licenso.Law ones nptopplY'fo an ownerof propapy"Wtlo, through employees or personal 011104.,bUIKIS.or impravas mp propetty. provided'that th illlprovements afe-notlntendecboroirered lar sale B; however, the aulltlfilg orlmproyemenf ts�adtl wAhilnt one.yearof completion, the OW er-SUAger Wig have the bilidim bt proving that It was Bol built pproveo for the purpose of sale). 14.,.11 I, as owner Orr Vie r am. exClusN� contracting with licensed Contractors io;Consinrcfthe PrO)W(Section 7044, BUstness and ProfeSSIOM C00e:'fhe Contractors'Stale'Cicerriv law: does not prop", Y 8 appy to aft ownarotpRlpe who fnilras ono gves thereon, and who contracts fortne projects with a licensed Contractor p0rsuarltto'the eomraeTols State License Law). Q iamexemptfromicensumunderthe Controctots'State. License Law for the following reason: Hy my signature below l aclnowledgethat, except formy personal residence tl W Wh l most have resfded Or at least oneyearpriof to COmpleddnof the'fmprovemeints Covered by this Perrot IComlot legall set a structure that I nave bull as anOwner bultder It t has riotbeen comulucled st is entirely by licensed tontnotols.I: understand that copy of the: applicable law, Section 7044.: of the euslnes6: ark Professions Code, is avalalWb�upgrr request When this appllcaflon Is submitted a at fire following Web 5tE':t{tipJlwww fegtM>a-'ca gov7talaw,ittry. '.. Signature ufPtOpergr Owneror AutnUdzed Agent pato LICENSED CON'IRACMR'S DECLARATION' I hereby affirm underTranalty of perprythat l am licensed underprov'sionsof chapier0 lcommenCmgwnh SOCIAIR 7000)Of.DNINIpn 3 afthe Cqdlp, Ariamy; igensa.iskridit fore . and atsCl. Lkonss Class LOnse No. - rotate OrIlractor BlgneCure LONGSHOREMENIS & HARBOR WORKERS` COMPl9NOATION DELLA TiON WARNINGr FASWRE TbSECURE LOtiCiMdRFhElI's f HARBOR WORKfH3'CbrAPeNsAfma COVERAGE it UNuyrFU.A1roi%RA443aaJEf%t"AHEN�P.(OYER,74GP{iMNPt• PEytALMn NIp CML fNE5apTo pAE HdaIf p7NdaSVlnlioltRRs (IIII)A ON ADDITION TO True COST OF COMPENMATION, OAMAGU AS PROVIDED FON N SECTION 370 OF -ME tMom'Cdne, aneaEllt, MtrATi'ORRM+S F'EE3. (herebyanno under penalty, Of per)uryona of theefOgpwln0 deckaratlons: ❑ t have and will ma rdA1n Longshommer1% ano ttarborworkers`compensattbn trisurance, as required by Secorn: 3700 of the Labor Code, far the parloimance of the work"rorWliih trot pedni is Issued: My workers' compensalbn Insurance carrier and policy number are: Carrier PotwNumber ap'F,arion 'mte N++a77me of AgentPth Ott: rr 13 '1'Ccdifythal•lit:fheperrcr m;eoflhewedLferw ' if 3,'Permit Ise Issued, I shatt"Ofemptay, ahyperson in any marmer so wild 15ecomesuojeCtla the workers! comperisatiory laws Pfco"mia, am, agreethaL Al shoUlibeCo I to,the workers' c pens' Ion pmvhionsdSectfon 9700 Otrm Lattot!Code, comply WAIrthoseprgvisipns: Signature OfAppilCa _ Dale77 DECLARATION FiEGARTING,CON'SiRucnON7LEN01fiO AGENCY I heronyagrgh under pen* of perjury "there r5 a construictionlendlHg:agency tortheperformance Of tneworkfor"ICIIIh0:permits issuedlSectpn909r, OVA Code), Lenders Name LendorsAddress By Myrtpnallure below. iT:eWfyt0 each of the foloWing: I: ant the propeltyo"tetorautnortwdV act 0ii tng pmpbdydwnefSbehau. I.have 'mad this application and Me'Infotmatton•t:have provided Is correct. Iagree tocomplyWllhaltappyicab 7tyarxEnoun[ygrdinances'andsfafelawsrelatmgtobupClrOconstrylctWn. Iaulhark re rttatVOR011"i �StYQrCoumyto nteriheabote"ganlinedtlldpertyforinEt!'EdilotiAOrpose8: y l, C ., Cate. �" � 2L1 Slanatlite: ' "�� me: 014640 I yyd��, Print Na, ACT pin OATS :ar FeVML REOMATI0A (IfOFRT1E40AND FORoFRCE us. onrt" AIMORULE 1403, I St1M1 TED AS0F,STOS N(171FfCAM1J 7 0. PERMI7E7fPIREO PERMR`CANOEUR) 0 EOA • • • • GI AgAr0, CI SBESTOS�pOf1I'ICA ttlNfSNikTilf?ACfCAHCE.T�.: A : �: • � • � • • � • : : i PERM)NXTENDED PERMIT FINAL -2p ►'— �� PROPOSEDOEMDUTION. 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