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HomeMy WebLinkAboutM2023-0064 - PermitsCity of Newport Beach Illlillllllll�I(I�IIII[Illlllllll�llllllll[Illlllllll Harbor Permit : M2023-0064 t0Community Development Department - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: PC2023-2212 v Permit Counter Phone: (949) 718-1888 Work Class : Other �q41 r newportbeachca.gov/civic Issued Date: 1011112023 Inspection Area: 8 PERMITS EXPIRE 10 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: 311 MORNING STAR LN Legal Desc : N TR 4224 BLK LOT 169 Description: SFR - R/R HEADWALK & FINGER OF FLOATING DOCK Owner: SID MIRRAFATI Contractor : SWIFT SLIP DOCK/PIER BUILDERS Architect Address : 6 NIGHT SKY NEWPORT COAST, CA 92657 ° Address : 6351 INDUSTRY WY WESTMINSTER, CA Address 92683 Phone: (714) 743-5477 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: PETROV PLAMEN Phone: (949) 631-3121 Bus Lic Expire : 11130/2023 Address : 28161 CASITAS CT LAGUNA NIGUEL, CA 92677 The Longshore and Harbor Workers' Insurance Phone: (714) 717-7542 Carrier: GREAT AMERICAN ALLIANCE INS CO Policy No.; WC173816805 Designer: Policy Expire : 12/31/2023 Address Phone: Code Edition : 2022 Fire Sprinklers : " NO Construction Valuation : $3,400,00 ° Type of Construction : Fire Hazard Zone, NO n ° Occupancy Groups : U Building Setbacks : Front: 10, Side: 6, Side: 6, Rear: 6 ° O Flood Zone: AE, 8 FT; X Use Zone: R-1-6000 - Single -Unit Residential (6000 indicates minimum lot area) ° Processed By: SPECIAL CONDITIONS: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law far the reason(s) indicated below by the checkmark(s) I have placed next to the applicable item(s) (Section 7031 5, Business and iPoofessions Code: Any city or county that requires a permit to construct, aller, improve, dernalish, or repair any structure, priorto its issuance, also requires the applicant fo the 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 Di%rision 3 Of the Business arx Professions Code} or that he or she is exempt from ilcensure and the basis for the alleged:axemptbn. Any violation of Section 7031 -5 by any applicant for a permit subjects the applicant to a civil penalty a not more than five hund.-ed dollars ($590). El 1, as owner eat' the property, ormy employees with wages -as their sale compensation, will do (Section ail of or (_) portions of the work, and the structure is not intended or offered. for sale 7044, Business and Professors de- The Contractors' State License Law does n at apply to an owner of property who, through employees or personal effan, burls or improves the property, provided that thi improvements are not intended or Offered for sale- T_ howevar, the building or improvementis soidwithin a ne year of corriplell on the Owner-Bulider w [11 have the burden of proving that it was n©t built a mpr'laved for the purpcse of safe)- E3 1, as owner of the propert.v am exclusively contracting with: licensed Contractors to construct the project (Section 7044, Business and Professions Gale: The Contractors' State License Law does not apply to an owner of propeertyvv�,� builds orfmproves thereon, and who contracts forthe projects with a licensed Contractor pursuent to the Contractors' State License Law) - I am exempt from 'ffcensure underthe Contractors' State License Law for theTallowing reason - By my Signature below 1� a0mowledcie that, except for my personal residence inwhich I must have resided for at least one year prior to completion of the improvements covered by this permitJ cannot legati sell a . structure that I have built as _ an owner -builder IT 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( Professions Code, is availaMe'upon request when this application is submitted or at the Bowing Web sfte:h1tp:/Avww -leg info.ca-govicalaw -hUN Signature of Property CWnerlorAutrionzed Agent LICENSED CONTRA, I hereby affirm under pe and effect- License Clas LONG SHO REMEW S' WARN IK- FAILU RE TO SECU MUU,00D), IN ADDMON. TO I C Aeclar Fons-, I have and will Aed- PAY war LJ I certify that, agree that, if I showif Signature of MOO s!i El R'S DECLARATION of perjury that I am licensed under provisions of Chapter 9 (commencing with on 7000) of Urislon 3 of the �.nf Dense is in full foFvE Lic ense No. Date CGntractorsigna re :HARBOR WORKERS, COMPENSATION DECLARATION NG.SUOREWEWS & HARBOR WORKERS' CONPENSAMON COVERAGE IS UNLMVFUL,, AND SHALL SUBJECT AX EMPLOYT R TO CRMNAL PENALTEES AND CIVIL FNES UPTO ONE HUNDRED THOUSMD DOLLARS 3S�FOF COMPENSATION, DAM4J-,ES AS PROVIDED FOR IN SECTION 3705 OF THE LABOR C-ODE, MTERFST, AKD ATTORKErS FEES. I hereby affirm under penalty of perjury one of the following Longshoremen's en's and Harbor workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work Tor which this permit is compensation insurance carrier and policy number are- Polley Number Expiration Date Phone # of the wt�Mforwhfch this permit is issued, [ shall rat employ any person in any manner so as to become: subject to the worlers'compensatian law sofCalifornia, the workers! compensation provisions of Seectbn3700: of the Labor Code, f Shall. forthwith ccmply with those provisions. AGENCY Date: I V ' I hereby affirm ulder!- penally of perjury that there is a construction lending agency for the performance of thework for wMic h this permit is issued (Section 3097, Civil Code) Lenders Name LendersAd dress W my signature below,,11 certif y-to each of the fo#ovving: I am the property owner or authorized to act an the property owner's behalf. I have read this app, licatfon and the inform-tation I have provided is correct, lagree tq-0,mo city , �y�w Rh allapp -y and county ordinances and state Taws relating to building construction - I authorize of!LtY,&_cNorcountv to enter the above-identifled property for inspection purposes. Print Name: M A "If�K4 ACPQN V 'I I' DA TIE 5y, ;Lot (.:Lair I iUN fJi-- UUMi'LLANCL VV1IffCQUIZ Ut_ FEDERAL REGULATIONSDART 61 OF T17LE46 AND AQMD RULE 1403- ❑ I SUBMITTED ASBESTOS M077FIC-ATION TO. PFRWIT CAiVCELLED [] EPA 'go I I ®❑ AQM0 EL ASBESTOS U07717CA770tJ 15 ffOT APPLICABLE TO PERMIT FINA 1, U/CUZ3 PR_�SPOSEDDEMOLITXW_ CE17i RGATF,0F , , / -1 V SIGMA TURf���� n rwi iDwa Aj Fv i�, Q i S�n A — Date- lc') / 11 / FOR OFFICE USE brU Y