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Home My WebLink AboutM2022-0053 - Permits0 t�EWpo", City of Newport Beach C d Community Development Department- Building Division a 100 Civic Center Drive, Newport Beach, CA 92680 *' = Permit Counter Phone: (949) 644-3288 a.� Inspection Requests Phone: (949) 644-3255 C9"'."'1, newportbeachca.gov/inspections IIII I I II I II I II II III I II II Harbor Permit : M2022-0053 Plan Check No : PC2022-2796 Work Class: New Issued Date: Inspection Area :2 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 : 114 VIA LIDO NORD Legal Desc : N TR 907 BLK LOT 868 TR 907 LOT 868(AND SELY 5 FT LOT 869 Description; REMOVE AND REPLACE DECKING ON FLOATING DOCK, GANGWAY AND PIER ONLY Owner: 114 VIA LIDO NORD LLC Address: 114 VIA LIDO NORD NEWPORT BEACH, CA 92663 Phone: (630)531-5077 Applicant: SWIFT SLIP DOCK/PIER BUILDERS Address: 6351INDUSTRY WAY WESTMINSTER, 92683 Phone: (949)631-3121 Code Edition: Type of Construction Occupancy Groups: U Building Setbacks : Front: 4, Front: 10, Side: 3, Side: 3 Flood Zone : AE, 8 FT; X Use Zone : R-1 - Single -Unit Residential Processed By: SPECIAL CONDITIONS: . Contractor: SWIFT SLIP DOCK/PIER BUILDERS Address : 6351 INDUSTRY WAY WESTMINSTER, CA 92683 Phone: (949)631-3121 Con State Lie: 797052 Lie Expire : 07/31/2023 CA Bus Lie: BT01122734 Bus Lie Expire : 11130/2023 The Longshore and Harbor Workers' Insurance Carrier: GREAT AMERICAN ALLIANCE INS CO Policy No : WC173816805 Policy Expire : 12/31/2022 Fire Sprinklers : NO Fire Hazard Zone : NO Architect Address a Phone: State Lie Engineer: PETRO'V PLAMEN Address: 28161 CASITAS CT LAGUNA NIGUEL, CA 92677 Phone : (714) 717-7542 NO CONSTRUCTION NOISE Designer: Address Phone: ConstructiQ1911HE WERKE 1® OWNER -BUILDER DECLARATION I hereby affirm under penaltyo(perlvrythat I am exempt from the Contractors' State License Law for the reasons) indicated below by the checkmark(s) I have placed next to the applicable Item(s) iection 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 le 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 and rofesslons 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 of more than five hundred dollars ($50D). 11, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U portions of the work, and the structure is not intended cr offered for sale (Section 7044, usiness and Professions Code: The Contractors' State License Lew does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the nprovements 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 n roved 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 not pply to an owner of property who bullds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). I I am exempt from licensure under the Contractors' State License Law for the following reason: y 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 improvaments covered by this permit,. I. cannot legally ell a structure that I have built as an owner-bulldcr If it has not been constructed In itsentirety by licensed Contractors. I understand that a copy of the applicable law, Suction 7044 of the Business and Irofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca..gov/calaw.htmt. 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 Division 3 of the Business and Profenz e 4 m 'tense is in full force nd effect. License Class License. No Date l 2"� Contractor Slgnalura VORK€RS' 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 HUNDREX HOUSAND DOLLARS ($100.000), IN A0Um0N TO THE DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: I I have 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 ih efformance of the work. for which this permit is issued. Policy No. harve and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My :workers` compensatiol nee carrier and policy number are: 'ier Policy Number Expiration Date is of Agent Phone 4 certify that, in the perto mane 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, and agre , if I should becom s jae. th rk Is mpensatien provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. � � C.1 iature of Applicant._ ��\ Dat , �2.-._tom v hereby affirm under penalty of penury that there is a construction lending agency for the performance of the. work for which this permit Is issued (Section 3097, Civil Code). .enders Name Lenders Address ly my signature below. I certify to each of the following: I am the property owner or authorized to act on the property owner's behalf. I have read this application and the information I have provided ishFi agree to comply withall applicable city and county ordinances to laws relating to building construction. I authorize representatives of this city or county 'nte o -Ida tified property for Inspection purposes.Z h /t,L'Ty�Y j , r� Signature of Pro ert Owner or Authorized Agent Print Property Owner's or Authorized Agent's Nam `7 I v V ' r-1. K Date l ` ACTION DATE BY DE RATION OF ChWLANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART fit OF TITLE. 40 AND AQMD RULE 1403 PERMIT EXPiBED LJ ISUBMITTED ASBESTOS NOTI FICATION TO - - - PERMITCANICELLED ----- EPA - PERM)TEXTENDED { AQMD PERMITFINAL iI ASBESTOS NDI I FICATION IS NOT APPLICABLE TO CERTIFICATE OF �'f �'tM ��( PROPOSEDDEMOLITION OCCUPANCY ISSUED ___� ___�._ ( SIGNATURE: