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Home My WebLink AboutM2022-0006 - Permitswt>�� City of Newport Beach - Building Division yy 100 Givin Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 sr .� Job Address: 1657 BAYSIDE DR Floor: Description of Work: SFR R/R (E) PIPE PILES Inspector Area: 2 Legal Description: N TR 6927 LOT 1 Owner: BARTHOLOMAESARAJANE Address: 1657 BAYSIDE DR CORONA DEL MAR, CA 92625 Phone: State Lic: Applicant: MORALES MARISSA Address: 6351 INDUSTRY WY WESTMINSTER CA 92683 Phone: 949-631-3121 Special Cond: Issued Date 05/02/2022 Valuation: $33,000.00 Inspection Fee: $314.00 Plan Check Fee $329.00 OT Plan Check Fee: $0.00 Investigation Fee: $0.00 Building Green Fee : $2.00 TOTAL FEE: $712.00 PROCESSED BY: PLAN CHECK BY: II�MIIIIIIIIIIIIIIIIII IIIIIIIIIIIIIIIIIIIII6II II HARBOR Permit: M2022-0006 Project No: 0735-2022 Inspection Requests Phone (949)644-3255 Suite: Bldg: 0A R a°ao ° °aa•° ° • ° aa• aaoa• Contractor: SWIFT SLIP DOCK/PIER BUILDERS Engineer: PETROVPLAMEN Address: 6351 INDUSTRY WAY Address: 28161 CASITAS CT .° •°, WESTMINSTER CA 92683 LAGUNA NIGUEL CA 92677 aaa• Phone: 949-631-3121 Phone: 714-717-7542 ••°°•• .° •°• C-066947 a• •• • a• Con State Lic:797052 Designer: ° •°°°°• Lic Expire: 07/31/2023 Address: Bus Lic: BT01122734 Lic Exp Date: 11/30/2022 Phone: a°. • ° °° ° as Longshoremen's and Harbor Workers' Compensation Declaration - Carrier: AMERICAN EQUIT Policy No: WC173816804 FEES Fire Inspection Fee: $0.00 $0.00 Fire Plan Check Fee: $0.00 Plan Dep - Counter Review: $0.00 Records Mangement: $6.00 Plan Dep - Zoning Plan Check: $0.00 Harbor Plan Check Fee: $61.00 Plan Dep - OverTime Plan Check: $0.00 Plan Check Fee : $390.00 PUBLIC WORKS: APPROVAL TO ISSUE: OTHER DEPARTMENTS: FINAL INSPECTION : PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION Fee Due at permit Issuance: $§22.00 LDER 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 r-ext,to the applicable item(s) :tion 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 regc'ires the applicant fo 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 anc `essions 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 o'. more than five hundred dollars ($500). I, as owner of the property, or my 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 sale (Section 7044, iness 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 o 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 not ly 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 licensure under the Contractors' State License Law for the following reason: my signaturE64E,gw I acknowledge that, except for my personal residence in which I must have resided for at least one year priorto completion of the improvements covered by this permit, I cannot legal) a structure that I Lave 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 an fessions Cole, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. rM4re of Peftrt; Owner or Authorized Agent Date :ETLSED COW TRACTOR'S DECLARATION aFldby affiml I"aspenalty of perjury that I am licensed under provisions of Chapter 9 (co cing with Section 7000) of Division 3 of the Busin and ohs io de d my license is in full force I effect. Lic0r".QIAss License No. Daterq� Z 2Z. Contractor Signature / NGSHOREDIIEIy'$ & HARBOR WORKERS' COMPENSATION DECLAR 10 AWING: FAILURE TO.SEBURE LONGSHOREMEN'S & HARBOR WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIE AND CAL FINES UP TO ONE HUNDRED THOUSAND DOLLARS 002A IN ADD17MLIN nS THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm under penalty of perjury One of the following rvr:AncJV4I maintain Longshoremen's and Harbor workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is My •• workers' compensation insurance carrier and policy number are: • • • Policy Number Expiration Date ;nt• - _ Phone # I certify that, in the p rfor nce f the work for ich 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, that, if I should bec P. ect tc th o ers' om sation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. )ture of Applicant: nard 15IZI Z Z REGARDING CONS1lkUCTION 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, Civil Code). Lender's Name LendeesAddress By 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 re tativ s of this or county to enter the above -identified property for inspectioon/5prrprotses. 1 signature: Print Name: X I V La�`� MSSym I'(� S Date • ACTION DATE BY DECLARATIONODFC PLIANCE MTH CODE OF FOROFFICEU EONLY FEDERAL REGULATIONS PART 61 OF TfTLE40AND AQMD RULE 1403. PERMITEXPfRED ❑ I SUBMITTEDASBESTOS NOTIFICATION TO: ❑ EPA ❑ AQMD PERMITCANCELLED PE,RMITEXTENDED ❑ ASBESTOS NOTIFICATION IS NOT APPLICABLE TO PROPOSED DEMOLITION. PERMIT FINAL CER77FICATEOF SIGNATURE. . OCCUPANCYISSUED