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Home My WebLink AboutM2023-0054 - Permits`,'*Po" T City of Newport Beach III I I II I III II II III I II Harbor Permit : M2023-0054 O � Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: PC2023-1959 Permit Counter Phone: (949) 718-1888. Work Class : Other cy� rc Nor newportbeachca.gov/civic Issued Date : Inspection Area : 1 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. Construction Hours: Monday - Friday 7:00 a.m. to 6:30 p.m. and Saturday 8:00 a.m. to 6:00 p.m. No work on Sundays or Holidays. Job Address: 4006 RIVER AVE Legal Desc : A TR CANAL SECTION BLK 240 LOT 4 Description: SFR REMOVE AND REPLACE EXISTING FLOATING DOCK, 2 GANGWAYS AND 12' SQS GUIDE Owner: ALEXIS SALAZAR Contractor: SWIFT SLIP DOCK/PIER BUILDERS Architect Address : 4006 RIVER AVE NEWPORT BEACH, CA 92663 Address : 6351 INDUSTRY WY WESTMINSTER, CA Address 92683 Phone: (949)631-3121 Phone; (949)631-3121 Phone: Con State Lie : 797052 State Lie Applicant : MARISSA MORALES Lie Expire: 07/31/2025 Address : 6351 INDUSTRY WAY WESTMINSTER, 92683 Bus Lie : BT01122734 Engineer: Phone: (949) 631-3121 Bus Lie Expire : 11/30/2023 Address : Code Edition : Type of Construction Occupancy Groups: U Building Setbacks : Front: 20, Front: 4, Side: 3, Side: 3 Flood Zone : AE, 8 FT; X Use Zone : R-2 - Two -Unit Residential Processed By: SPECIAL CONDITIONS: The Longshore and Harbor Workers' Insurance Carrier: GREAT AMERICAN ALLIANCE INS CO Policy No : WC173816805 Policy Expire : 12/31/2023 Fire Sprinklers : NO Fire Hazard Zone : NO Phone Designer: Address Phone: PETROV PLAMEN 28161 CASITAS CT LAGUNA NIGUEL, CA 92677 (714)717-7542 Construction Valuation : $34,500.00 I hereby amrm under penalty of perjury that I am exempt from the Contractors' State License Law for thereasons) indicated below by the checkmark(s) I have placed next to the applicable item(: :lion 7031.5, Business and Professions Code- Any city or county that requires a permit to construct, alle€, improve, demolish. or repair any structure, prior to its issuance also requires the applicant permit to file a. signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter9 (commencing with Section 7000) of Div is on 3 of the Business a lessons Code) or that he or she is exempt from I censure and the basis for the alleged exemption. Any violation of Section 7031 5 by any apprtam for ape" I subjects the applie ant to a civ ll penalty more than five huncred dollars (5500). L as owner of the property,. or my employees with wages as their sole compensation. will do (_) all of or () portions of the work, and the structure is not intended or offered for sale (Section 704 mess and Professors Code. The Contractors' State License Law does not apply to an owner of property who, through employeesor personal effort, burns or improves the property, provider] that I rovements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner-Buioer will have the burden of proving that it was not built roved for [lie purpose of sale)_ I, as owner of the property, am exclusively Contracting with licensed Contractors to construct the project (Secton 7044,. Business and Professions Code: The Contractors' State License Law does It N to an owner of proper whD builds or improves tremor, and who contracts forthe projects with a licensed Contractor pufsualt to the Contractors' State License Law)- U I am exempt from rcensure under the Contractors State License. Law for the following reason.-. By my signature. below I acknowledge that, except for my personal residence in whch I must have resided forat least one year prior to completion of the improvements coveted by this permit, 1 sell a structure that I have built wan owner builder R I( has not been constructed in its entirety by licensed contractors I understand that a. copy of the applicable law, Section 7044 of the Professions Cade U available upon request when this application is subrstted or at the following Web site :htfp.11wwwreginfo.ca.govlcalaw-htmt- Signature of Property Owner or Authorw ed Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commeq[ifiq w�jlti) Se%cn 7000) of Division 3 of the. Busines an l rfyt bn e, and my tic ense is in full forc< and effect License Class License No Date vl� IContractor Signature LONGSHOREMEN'S & HARBOR WORKERS' COMPENSATION DECLARATION WARNING:: FAILURE TO SECURE LONGSHOREMEN'S & HARBOR WORKERS' COMPENSATION COVERAGE M UNLAWFUL, ANO. SHALL SUBJECT AN EMPLOYER TO CRlMNAL PE NALTiES AND CML FNES UP TO ONE HUNOREO THOU SAND DOLLARS IYm0,nw1. IN AUDITOR TO THE COST of COMPENSATION,: DANMAGES AS PROVIDED FOR N SECTION 5EM OF THE LABOR CODE., INTEREST, AND ATTORNEY'S FEES. I hereby affirm under penalty of perjury One of the following 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 which this permit. is My workers' compensation insurance carrier and policy number are_ Ferry Number Expiration Date Anent Phone# I certify that, in theperfa:. rand e oT the work forwh c h this permit is issued, I shall not employ any person in any manner so as to becomesubject to the workers' compensation laws of Caliromia,. it, d I should bed of ss eject to th ers compensation provisions of Section 3700 of the Labor Code, I shall forthwith camp€y with those provisions- �1 re of Applicant :l' ZZ.-r'� /,. t'.tata- Q l i31 Z > nON I hereby affirm under penalty of perjury thatthere is a.. construction lending agency forthe performance of the work for which this permit Is issued (Section 3097 Lender's Name LendersAddress By my signature below, I certifyto each of the following: I am the property owner or authorized to act on the property owners behalf, I have read this application and the information I have provided is correct I agree to comply wild all applicable city and county ordinances and state laws relating to building construction. I authoree repre,%®atatves ofl. rH lLy or county toenter the above -identified property for inspection purposes. Signature: BY I PERMT CANCELLED I I I PERMIT FINAL Print Name: / IN,A a ri Si OF TITLE40'AND AQMD RULE 14d3. ❑ I SUSMI I TED' ASBESTOS NO UTICATION TO: ❑ EPA ❑ AQMD ❑ ASUL5 LOS 1`40TIFICA17ON IS NOT APPLICABLE TO PROPOSED DEMOLITION. OCCf PANC'IISSVED I �__ I �I SIGNATURE: Civil Code). S Date: 0 1 i 3 1 2