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Home My WebLink AboutM2022-0019 - PermitsgwPry,:'. City of Newport Beach - Building Division 'M2022-0019" HARBOR Permit: M2022-0019 .: 100 Civic Center Drive, Newport Beach, CA 92660 Project No : 1442-2022 Permit Counter Phone (949)644-3288 s� Inspection Requests Phone (949)644-3255 4 d s Job Address: 2806 LAFAYETTE AVE Floor: Suite: Bldg: 0 b' Description of Work: SFR REPLACE HANDRAILS AND DECKING (CCRR0101) @ (E) GANGWAY. 3'X16' (M2021-0079) Inspector Area: 7 (� Legal Description: LANCASTERS ADD BILK 425 LOT 4 ,r Owner: GALLIAN GEORGE Contractor: SOUTH SHORE MARINE CONST INC Engineer: Address: 2806 LAFAYETTE RD Address: 4952 WARNER AVE, #110 Address: v°°¢• `¢ NEWPORT BEACH, CA 92663 HUNTINGTON BEACH CA 92649 ¢ Phone: 949-677-6666 Phone: 714-732-6127 ¢°a¢ Phone: State Lie: s ` ¢ Applicant: JACKSON MAX Con State Lic:1082069 Designer: SOUTH SHORE MARINE CONSTAN;a •¢ •• ¢ Address: 4952 WARNER AVE #110 Lie Expire: 10/3112023 Address: 4952 WARNER AVE, #110 °® HUNGTINGTON BEACH, CA 92649 Bus Lie: BT30076917 HUNTINGTON BEACH CA 92649: Phone: 714-732-6127 Lie Exp Date: 10/31/2022 ° Phone: 714-732-6127 ¢¢�¢ Special Cond: HIGH DENSITY Longshoremen's and Harbor Workers' Compensation Declaration AE8FLOODZONE & LIQUEFACTION - P'®••, •¢°a,` Carrier: LONGSHOREMAN-ISR INS SERVICES Issued Date 06/23/2022 Policy No: ML202100002377 Expire : 10/20/2022 FEES Valuation: $0.00 Fire Inspection Fee: $0.00 $0.00 Inspection Fee: - $314.00 Fire Plan Check Fee: $0.00 Plan Dep - Counter Review : $0.00 Plan Check Fee $329.00 Records Mangement: $18.00 Plan Dep - Zoning Plan Check: $0.00 OT Plan Check Fee: $0.00 Harbor Plan Check Fee: $61.00 Plan Dep - OverTime Plan Check: $0.00 Investigation Fee: $0.00 Building Green Fee : $0.00 TOTAL FEE : $722.00 Plan Check Fee : $390.00 Fee Due at permit Issuance: $332.00 PROCESSED BY: PUBLIC WORKS: PLAN CHECK BY: APPROVAL TO ISSUE: OTHER DEPARTMENTS: FINAL INSPECTION: PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION rNER-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 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 requires the applicantfa 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 an( fessions 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 c more than five hundred dollars ($500). 1, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, iness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that th rovements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built c roved for the purpose of sale). I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does no ly to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). I am exempt from licensure under the Contractors' State License Law for the following reason: my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legal) a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business anc �fessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.govlcalaw. htmi. nature of Property Owner or Authorized Agent Date ..° TENSED GO° NTPACTOR'S DECLARATION areby mme affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (cocing with Section 7000) of Division 3 of the Business and P ess"ons Code, and my license is in full fora i%ff�ct. Liceris$`C•Iass License No. Dat�G-2i-2S Contractor Signature ��^--�-- INGSHOREME'N'S & HARBOR WORKERS' COMPENSATION DECLARATION TNING: FAILURE TO SECURE LONGSHOREMEN'S & HARBOR WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS i0bO61, IN ADDITION TDTHE 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 �aletions: ° • � ` 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 which this permit is red! My� r' •w,drkers' compensation insurance carrier and policy number are: Wig' • Policy Number Expiration Date rpgpfAgent •• Phone# ° 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 laws of California, an, ee thet, 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 A plicant: �— n�ro• o REGARDING CONSTRUCTION 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 Lender'sAddress 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 representatives of this city or county to enter the above -identified property for inspection purposes. Signature: �— Print Name: �1C Date: ACTION DATE BY DECLARATION F COMPLIANCE INI In CODEOF FOR OFFICE USE ONLY FEDERAL REGULATIONSPART61 OF TITLE40AIVD AQMDRULE1l403. PERIv11TEXPIRED ❑ I SUBMITTEDASBESTOS NO77FICATfON TO:. ❑ EPA ❑ AQMO PERMIT CANCELLED PERMIT EXTENDED ❑ ASBESTOS M077FICA nON IS NOT APPLICABLE TO PROPOSED DEMOLITION. PERMIT FINAL �/ CERTIFICATEOF SIGNATURE: OCCUPANCYISSUED