Loading...
HomeMy WebLinkAboutm2019-0015 - Permits (2)City of Newport Beach - Building Division II�IIIYIII�III�IIIIIIIIYIIIYIIIYIIIIIIII�IIII III o 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 e"r4rrhw�'r Job Address: 58 LINDA ISLE Floor: Suite: Bldg: 0 Description of Work: RJR (2) 14" SAVARE CONCRETE MARINA GUIDE PILE, LIKE FOR LIKE Inspector Area: 2 Legal Description: N TR 4003 LOT 58 Owner: O'CONNOR RICHARD L Address: 58 LINDA ISLE NEWPORT BEACH, CA 92660 Phone: State Lic: ° Malicant: ° ,1;4CQUELYN CHUNG ApidFess: 6351 4NDUSTRY WY °'VVIOMINSTER CA 92683 o aljhgrs: 949-631-3121 oo°-oo eo o° m c Sp etjal Cond: Issued Date 02/12/2019 _ Contractor: SWIFT SLIP DOCK/PIER BUILDERS Address: 6351 INDUSTRY WAY WESTMINSTER CA 92683 Phone: 949-631-3121 C-066947 Con State Lic:797052 Lic Expire: 07/31/2019 Bus Lic: BT01122734 Lic Exp Date: 1113012019 HARBOR Permit: M2019-0015 Project No: 0319-2019 .Inspection Requests Phone (949)644-3255 Engineer: PETROV PLAMEN Address: 28161 CASITAS CT LAGUNA NIGUEL CA 92677 Phone: 714-717-7542 Designer. - w Address: aE�, Phone: Longshoremen's and Harbor Workers' Compensation Declaration - Carrier : AMERICAN LONGSHOR Policy No: ALMA01662-01 • Expire: 1213112019 © a000 FEES .'Val uation: °a a $10,000.00 Fire Inspection Fee: $0.00 $0.00 Inspection Fee:--° $287.00 fire Plan Check Fee: $0.00 Plan Dep - Counter Review: $0.00 Plan Check Fee $302.00 Records Mangement $4.00 Plan Dep - Zoning Plan Check: $0.00 OT Plan Check Fee: $0.00 Harbor Plan Check Fee: $131.00 Plan Dep- OverTime Plan Check: $0.00 Investigation Fee: $0.00 Building Green Fee: $1.00 TOTAL FEE : $725.00 Plan Check Fee : $725.00 Fee Due at permit Issuance : $0.00 PROCESSED. BY: , I PLAN CHECK BY: HARBOR RESOURCES: LIvi APPROVAL TO ISSUE: OTHER DEPARTMENTS: FINAL INSPECTION: PERMIT EXPIRES 180 DAYSAFTER ISSUANCE OR LAST VALID INSPECTION VNER -BUILDER DECLARATION 1 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 item(s) Iction 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 fc 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 am rfessions 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 D 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, mness 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 th, )rovements 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 c )roved 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 nol fly 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). J 1 am exempt from licensure under the Contractors' State License Law for the following reason: ;y 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, ell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. Iunderstand 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://w .leginfo.ca.gov/calaw.htmi. ;ignature 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 nd effect. License Class License No. Date Contractor Signature .ONGSHOREMEN'S L4 HARBOR WORKERS' COMPENSATION DECLARATION IARNING; FAILURE TO SECURE LONGSHOREMEN'S a HARBOR WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FINES UP TO ONE HUNDRED THOUSAND DOLLARS ;100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROWDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. I hereby affirm under penalty of perjury ope Oftthe following eclarations: I have and will maintain Longshoremen's and Harbor workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for gehich this pemvLis ;sued. My workers' compensation insurance carrier and policy number are: •'••�• arrier Policy Number Expiration Date I 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 Isws'o4 California;'al1 that, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. iture of Applicant: •: • na+a• .. REGARDING LENDING AGENCY I 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 Lender's Name Lender'sAddress By my signature below, I certify to each of the following: 1 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. Print Name: Civil Code). ••••• ;•••. AMON DATE BY DECLARADONOFCOMPLIANCEWITHCODEOF FEDERAL REGULATIONS PART 61 OFTITLE40AND AQMDRLILE 1403. ❑ T SUBW TEOASBESTOS NODFIL:ATION TO. ❑ EPA ❑ AQMD ❑ ASBESTOS NOTTFICARONIS NOT APPLICABLE TO PROPOSEDDEMOUTIOM SIONATDRE: FORUFNCEUSEONfY PERA41TEXPIRED PERM/TCANCELL€D PERMLTEXTENDED PERMITFINAL CERTIFICATE OF OCCUPANCYISSUED