The URL can be used to link to this page

Home My WebLink AboutM2014-0011 - PermitsRL City of Newport Beach - Building Division IIIIIII�IIIIIIIIIIIII�IIIIII�IIIII II HARBOR Permit: M2014-0011 100 Civic Center Drive, Newport Beach, CA 92660 M 2 0 1 4 0 0 1 1 Project No: 0608-2014 Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 °=Xok) Job Address: 201 CARNATION AVE Floor: Suite: Bldg: 0 Description of Work: REMOVE/REPLACE (E) FLOATING DOCK, GANGWAY, PIER, PIER APPORACH 8: PILEd%< Inspector Area: 5 Legal Description: CORONA DEL MAR LOT BILK D POR OF BILK j $ Owner: ADVANCED GROUP 99-D Contractor: SWIFT SLIP DOCK/PIER BUILDERS Engineer: MA TSHIEN Address: 15320 BARRANCA PKWY #100 Address: 2027 PLACENTIA AVENUE Address: 1401 NORTH EL CAMINO #100B IRVINE CA 92618 COSTA MESA CA 92627 SAN CLEMENTE CA 92672 Phone: Phone: 949-631-3121 Phone: 949-361-0618 State Lie: S-002807 ...... Applicant: CHUNG JACQUELYN Con State Lic:797052 Designer: Address: 2027 PLACENTIA AVE Lie Expire: 07/31/2015 Address: COSTA MESA CA 92618 Bus Lic: BT01122734 Phone: 949-631-3121 Lie ExpDate: 11/30/2014 Phone: °° °°• °° Special Cond: Longshoremen's and Harbor Workers' Compensation Declaration - Carrier: LONGSHOREBHARBOR Issued Date 06/30/2014 Policy No:90375911 Expire: 12/31/2014 FEES °°°° Valuation: $320,000.00 Fire Inspection Fee: $0.00 $0.00 Inspection Fee: $2,222.00 Fire Plan Check Fee: $0.00 Plan Dep - Counter Review: $0.00 Plan Check Fee $1,599.84 Records Mangement: $14.00 Plan Dep - Zoning Plan Check: $0.00 OT Plan Check Fee: $0.00 Harbor Plan Check Fee: $683.00 Plan Dep - Over -Time Plan Check: $0.00 Investigation Fee: $0.00 Building Green Fee : $13.00 TOTAL FEE : $4,531.84 Plan Check Fee : $2,282.84 Fee Due at permit $2,249.00 J�j l y�Issuance: // B PROCESSED BY HARBOR RESOURCES: U t ( / PLAN CHECK BY: e ( APPROVAL TO ISSUE: �-- OTHER DEPARTMENTS FINAL INSPECTION : PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION 'NER-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) 1 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 applicant to 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 U all of or (_) 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 thl ,ovements 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 "oved 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 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 IS 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 rfessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htm]. nature of Property Owner or Authorized Agent / 1 Date ICENSED CONTRACTOR'S DECLARATION ��111 hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (comm - g ryiV Sr-cl� ) of Division 3 of the Busi asgressi Cod nd my license is in full fore( nd effect. Liceu!"elaiss License No. Dat / _r Contractor Signature ONG�H EME & HARBOR WORKERS' COMPENSATION DECLA TION WG. FA E i SCURE LONGSHOREMEN'S & HARBOR WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTITO ONE HUNDRED THOUSAND DOLLARS 01oIN R.TQ•rHE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I herebalty of perjury one of the following act S.I have,and %ill maintain Longshoremen's and Harbor workers' compensation insurance, as required by Section 3700 of the Labor Code, forof the work for which this permit is hued! My • workers' compensation insurance carrier and policy number are: ariiar. �� • Policy Number Expiration Date arQE f Agent ...... 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, )roe Not, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. gnature of Ap�ffcenr; ff,GARDING 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 f0 'ng: I am the property owner or authorized to act on the roperty o er's b alf. I have read this application and the information I ave provided Cit.I agree to comply with all applicable city and co ty ordinances a st laws I ting to bull construction. jj I authorize representatives of this city or county o ter the a -i d rty for' pection purposes. �771 �*' ``,, signature of Property Owner or Authorized Agent Data ��// V print Property Owner's or Authorized Agent's Nam ACTION DATE DECLAP4HWOF COMPLIANCE WITH CODE OF FOR OFRCE USE ONLY FEOERALREGULA7IONSPART6IOFTI7LE40AND AQMDRULE1403. r��r�'eXKiNO1Du "k'� OG�L'S��Iq— PERMITEXPIRED. ❑ I SUBMRTEDASBESTOS NODFICATION TO: ❑ EPA ❑ AQMD ASBESTOS NOTIRCARONIS NOT APPLICABLE TO PROPOSED DEMOLITION. PERMITCANCELLED PERMITEXTENDED / —Tr, I i9a❑ PERMIT FINAL If 1 #111& 1 CERTIFICATE OF OCCUPANCYM UED SIGNATURE: