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Home My WebLink AboutM2023-0045 - Permits04'. City of Newport Beach Harbor Permit :M2023-0045 Community Development Department - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: PC2023-1737 Permit Counter Phone: (949) 718-1 B88 Work Class : Other newportbeachca.gov/civic Issued Date : 0911412023 Inspection Area : 8 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: 404 EVENING STAR LN Legal Desc : N TR 4224 BLK LOT 123 Description: SFR ALT (E) DOCK (GANGWAY AND PIER TO REMAIN). R/R 3 PILES WITH 4 PILES. Owner: ASHWILL GREGORY TRUST Contractor: SWIFT SLIP DOCK/PIER BUILDERS Architect Address : 404 EVENING STAR LN NEWPORT BEACH, CA Address : 6351 INDUSTRY WY WESTMINSTER, CA Address 92683 Phone: (909)633-5351 Phone: (949)631-3121 Phone: Con State Lic : 797052 State Lic Applicant : SHELLMAKER INC Lic Expire : 07/31/2025 Address : 837 W 17TH STREET COSTA MESA, CA 92627 Bus Lic : BT01122734 Engineer Phone: (949) 548-5359 Bus Lic Expire : 11/30/2023 Address The Longshore and Harbor Workers' Insurance Phone: Carrier: GREAT AMERICAN ALLIANCE INS CO Policy No: WC173816805 Designer Policy Expire : 12/31/2023 Address Phone: Code Edition : Type of Construction Occupancy Groups : Building Setbacks Flood Zone Use Zone : 2022 U Fire Sprinklers : NO Fire Hazard Zone : NO Front: 10, Side: 6, Side: 6, Rear: 6 AE, 8 FT; X R-1-6000 - Single -Unit Residential (6000 indicates minimum lot area) Processed By: d'I SPECIAL CONDITIONS: AE8 FLOOD ZONE & LIQUEFACTION PETROV PLAMEN 28161 CASITAS CT LAGUNA N 92677 (714)717-7542 Construction Valuation : $150,000.00 CA OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law Tor the reasons) indicated below by the checkmark(S) I have placed next to the applicable Item(S) (Section 7031.5, Business and Professions Code_ Any city or county that requires a permitto construct, after, improve, demolish, or repair any structure, pride, is issuance, also requires the applicant to 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 Division 3 of the Business am Professions Code) or that he or She Is exempt from Icensure and the basis for the alleged exemption_ Any mcation of Section 7031.5 by any applicant for a perm subjects the applicant to a civil penalty o not morethan live hundred dollars. (S500), ❑ L as owner of the property. army employees with wages as their sole compensation. will do U all or or L). portions of the work, and the structure Is not Intended or otrered for sale (Section 7044. Business 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 thi Improvements are not intended or offered for sale. If. however. the building or improvement Issold within one year of completion. the Owner -Builder will have the burden of proving that it was not built a improved for the purpose of sale). I. as owner of the property. amexclusively contracting with licensed Contractors to construct the project (Section 7044. Business and Professions Code. The Contractors' State License Law does not apply to an owner of property who buildsorfmproves thereon. and who contracts forthe projects with a Ikensed Contractor pursuant tattle Contractors' State License Law) u I am exempt from licensure under the Contractors' State License Law far the following reason: By my signature below I at Wowledge that, except Tor my personal residence in which I must have resided for at least one year prior to completion of the Improvements cc sell a. structure that I have built as an owner-bullder If t has not been constructed in ITS entirety by licensed contractors. I understand that a copy of theapplicable law Professions Code. Isavailable upon request when this application is submitted or at the fdlowing Web site:http:/Iwww.leginfuCa-gov/calaw. html'.. Signature of Property Cwner or Authonzed Agent Da LICENSED CONTRACTOR'S DECLARATION Bretl by this permit, I cannot le Section 7044 of the Business I hereby aHimt under penalty or Perjury that I am licensed under provisions of Chapter 9 (commencing=with ion ,0-,09 of Division 3 of the Busless -11 o on de, and W license is in Tut force and effecI License Class License No Date 13T 5 Contractor Signatuc n LONGSHOREMEN'S & HARBOR WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE LONGSH ORE WN'SB HARBOR WORKERS' COMPENSATION COVERAGE IS UNLN FUL.AND SMALL SUBJECT AN EMPLOYER TO CRA RALPENALTIES AND CAUL FNESUPTO ONE RUN DREDTHOUSAND DOLLARS ($100,0001, IN ADDMON TO THE COST OF COWEN SATO N, DAMAGES AS PROVIDED FORM SECTION310G OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm under penalty Of perjury one of the folI owing L_I I have and will maintain Longshoremen's and Harbor workers' compensation insurance, as required by Section 3700 of the Labor Cotle, for the performance of the work for which this pemnt Is issued My workers' compensation insurance carrier and policy number are: Carrier Polley Plumber Expiration Date Naki..e of Agent Phone # I certifythat, in theperformance of the work forwhic h this permit is issued, I shall not ern ploy any person in any manner so as to become subject to the workers' compensation law s of California, trial t I should becomes�€ °t to the kers' compensation provisions of Section 3700 Of the Labor Code. I shall forthwith comply with those provisions. ture of Applicant., / Y—\ �CT /1 /1 / t. I hereby affirm under penally of perjury thatthera is a construction [ending agency forthe performance of the work for which this permit is Issued (Section 3097 Lenders Name Lenders Address By my signature below, I certill 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 infomtati on I have provided is correct. I agree to comp) with all a le city and county ordinances and state laws relating to building construction. I aulferve T ;4w ytogs rthis or county toenterthe above-identifled property for inspection purposes. SHanature: V Print Name C"-'l AC ION DATE _ By DECLARA nuiv OF COMPLIANCE wrm CODE QV FEDERAL REGULATIONS PART 61 OF T17LE40AND AQMD RULE 14103. ❑ 1 SUBA41TFED ASBESTOS NOTIFICATION TO, ❑ EPA ❑ AQMD ASBESTOS N077RCA:TION IS NOTAPPLICABLETO N PROPOSED DEMOLITIO. S7>NATURE: PERMIT EXPIRED PERMTCANCELLED PFR.MITE;T&rJDED lie)❑ PERMIT FINAL CERTIFfCATEOF OCCUPANCY ISGUEP Civil Code).