HomeMy WebLinkAboutM2022-0050 - Permits1:1�'Opo
City of Newport Beach
@Community Development Department- Building Division
! 100 Civic Center Drive, Newport Beach, CA 92660
'-- ? Permit Counter Phone: (949) 644-3288
k Inspection Requests Phone: (949) 644-3255
Ny,,: newportheachca.gov/inspections
Harbor Permit : M2022-0050
Plan Check No : PC2022-2679
Work Class : Other
Issued Date : 12/19/2022
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
Job Address : 505 36TH ST Legal Desc : A TR CANAL SECTION BLK 536 LOT 3
Description: SFR REPLACE FLOATING DOCK, PILE, GANGWAY AND PIER IN NEW CONFIGURATION
Owner: BERNARDO GODOY
Address: 505 36TH ST NEWPORT BEACH, CA 92663
Phone
Applicant: SWIFT SLIP DOCK/PIER BUILDERS
Address: 6351INDUSTRY WAY WESTMINSTER, CA
92683
Phone: (949) 631-3121
Code Edition : 2019
Type of Construction :
Occupancy Groups: U
Building Setbacks : Front: 30, Front: 5, Side: 3, Side: 3
Flood Zone : AE, 8 FT; X
Use Zone : R-2 - Two -Unit Residential
Processed y, -_ - JA
SPECIAL COP'D-TIONS.
Contractor
Address :
Phone:
Con State Lie
Lic Expire:
Bus Lic:
SWIFT SLIP DOCK/PIER BUILDERS
6351 INDUSTRY WAY WESTMINSTER,
CA 92683
(949)631-3121
: 797052
Holidays.
.act:��
ss
Lie:
07/31/2023
BT01122734 o Engine . PETROV PLAMEN
Bus Lic Expire: 11/30/2023
The Longshore and Harbor Workers' Insurance
Carrier: GREAT AMERICAN ALLIANCE INS CO
Policy No : WC173816805
Policy Expire : 12/31/2022
Fire Sprinklers :
Fire Hazard Zone
Address: 28161 CASITAS CT LAGUNA NIGUEL, CA
92677
Phone : (714) 717-7542
Designer:
Address
Phone:
NO Construction Valuation : $34,000.00
NO
;9
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that 1 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 Rem(s)
Section 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 for
he permit to file a signed statement thathe 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 and
'rofessions 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 of
lot 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 (_) portions of the work, and the structure is not intended or offered for sale (Section 7044,
lustiness 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 the
riprovements 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 or
Dproved 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' Stale License Law does not
I 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' Stale License Law for the following reason.
ly my signature below I acknowledge Ihat, 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
.ell a structure that I have built as an owner -builder if it has not been constructed in itsentirely by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and
'rofessions Code, Is available upon request when this application Is submitted or at the following Web site:http:!lwww.leginfo.ce..govlcalaw.html.
signature of Property Owner or Authorized Agent Date
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of ivisiq�yS�f the Business and ssi n ense Is in full force
and effect. License Glass License.. No Date'�%)Z—�(�il`L�Contractor Signat0ty 1 1
VORKERS' COMPENSATION DECLARATION
IARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS 11000.0001, IN ADDITION TO THE
oar OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3703 OF THE LABOR CODE, INTEREST, ANO ATTORNEY'S FEE$.
hereby affirm under penalty of perjury one of the following declarations:
ihave and will maintain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for th
e emends of the workfor which this permit is issued. Policy No.
and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Cade, for the performance of the work for which this permit is Issued. My workers'
carrier and policy number are:
is of Agent
certify that, In the pad
, if I should bacom subject to
nature of ADolican
Policy Number
Date
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, and
Oprovi ions of Section 3700 of the Labor Code, Ishalt forthwith comply with those provisions. %
IECLARATION REGARFNG CONSTRUCTION LENDING AGENCY
hereby affirm under penalty of perjury thatthere is a construction lending agency for the performance of the work for which this permit is issued (Section 3DIrCiVil Code),
enders Name Lender's Address _
ly my signature below, I certify to each of the following:
I am the property owner or authorized to act on the properly 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 co u Idinance state laws relating to building construction.
I authorize representatives of this city or county o en ih a�io -t t fA property for inspection purposes. ftA A
ii nature of Property Owner or Authorized Agent hf 11 V Print Property Owner's or Authorized A
ACTION
DATE
BY VI TIECIARATION OF COMPLIANCE WITH CODE OF FEDERAL
FOR OFFICE USE ONLY
REGULATIONS PART Fit OFTITLF. 40 AND.AQMD ROLE
11403
PERMrrEXPIREtl
0 1 SUBMITTED ASBESTOS NOTIFICATION TO
PERMIT CANCELLED
EIEPA
PERMiTEXTENDEO
I AQMD
PERMIT FINAL
El ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO
CFRTIFICATEOF
PROPOSED DEMOLITION
OCCUPANCY ISSUED
SIGNATURE: