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HomeMy WebLinkAboutM2023-0011 - Permits�EwvoRT City of Newport Beach I II I I II I II II II II I II Harbor Permit : M2023-0011 Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: PC2023-0380 Permit Counter Phone: (949) 644-3288 Work Class : Other u Inspection Requests Phone: (949) 644-3255 Issued Date : 04/12/2023 C'4G(FOM1N\P newportbeachca.gov/inspections 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: 921 VIA LIDO SOLD Legal Desc : N TR 907 BLK LOT 318 Description: SFR - RE-INFORCE EXISTING SEAWALL Owner: 925 VIA LIDO SOLD LLC Contractor: ASSOCIATED PACIFIC CONST Address : 925 VIA LIDO SOLD NEWPORT BEACH, CA Address : 495 EMBARCADERO MORRO BAY CA 92663 93442, CA 93442 Phone: Phone: (805)772-7472 Con State Lie : 394886 Applicant: PETROV PLAMEN Lie Expire: 11/30/2024 Address : 28161 CASITAS CT LAGUNA NIGUEL, CA Bus Lie : BT30047194 92677 Phone: (714) 717-7542 Bus Lie Expire : 05/31/2023 The Longshore and Harbor Workers' Insurance Carrier: MANUFACTURERS ALLIANCE INSURANCE Policy No COMP:MY010391755Y Policy Expire : 10/1/2023 Code Edition : 2022 Fire Sprinklers : NO Type of Construction : Fire Hazard Zone : NO Occupancy Groups: U Building Setbacks : Front: 4, Front: 10, Side: 4, Side: 4 Flood Zone: AE, 8 FT; X Use Zone: R-1 - Single -Unit Residential Processed By: SPECIAL CONDITIONS: Architect Address Phone : State Lie Engineer: PETROV PLAMEN Address: 28161 CASITAS CT LAGUNA NIGUEL, CA 92677 Phone: (714)717-7542 Designer Address Phone: Construction Valuation : $50,000.00 OWNER -BUILDER DECLARATION f hereby affirm under penalty of perjurythat I am exempt from the Contractors' Slate License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicable item(s) Section 7031 -5, Business arid 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 applicanrfor Io permit to file a signed statement that he or she is licensed pursuantto the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 70D0) of Division 3 of the Business and Tofesslons Code) or that he or she is exempt from licansure and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant fora permit subjects the applicant to a civil penalty of of more than I've hundred dollars ($500).. 3 I, as owner of the property, or my employees with wages as their sale compensation, will do L) all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044, usmLss and Professions Code: The Contractors' $fete License Law 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). 1, 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 poly 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). 7 I am exempt from licansure 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 Improvements covered by this permit, I.cannot legailt 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:thBp://www.leginfo.ca..gov/calaw.html, ,ignature of Property Owner or Authorized Agent Date JCENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am icensed under provisions of Chapter 9 (commencing with Section of vision 3-of the Business and Prof ion Cod rid m license is in full force no effect. License Class License No Date `7 _: nC for Signature VORKERS' COMPENSATION DECLARATION 'ARNING: FAILURE TO SECURE WOR%ERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL PINES UP TO ONE HUNDRED THOUSAND DOLLARS 18100,000i, IN ADDITION TO THE OST OF COMPENSATION, DAMAGESAS PROVIDED FOR IN SECTION 3703 OF THE LABOR CODE., INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty, of perjury one of the following declarattons: -1 1 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 th )erformance of the workfor which this permit is issued. Policy No. hlave 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' compensatior nsurance carrier and policy number are: ,amier Policy Number Expiration Date Jame of Agent Phone ff -11 certify that. in the performance of th r or whi It this permit is issued. I shall not employ any person in any manner so as to become subject to the workers' c pensatlon laws of California, and agre hat, II I should become ub' cl to th Signal er ' nsatien provisions of Section 3700 of the Labor Coda, I shall forthwith comply with those provisions. t f ppBcanl, orkm. Dat ]ECLARATIOATION l2EGA tN ONS — NCY hereby affirm under penalty of perjury that there is a construction fending agency for the performance of the work for which this permit is issued (Section 3097, Civ I Code), -enders Name _ Lenders Address 3y 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 is correct. I agree to comply withall applicable city and u y ordinan and sta laws relating to building construction. I authorize representatives of this city orcou i o enter t e ah -identi ied property for inspection purposes, 3i nature of Property Owner or Authorized A en Print Property Owner's or Authorized Agent's Name YL - Ql- ate Lk: -I ACTION DATE BY I DECLAR MPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY V' I REGULATIONS PART 61 OF TITLE, 40 AND AQMD RULE 1 1403 PtR,vilr EXPIRED I SUBMITTED ASBESTOS NOTIFICATION TO PERMITCANCELLED i13CPA PERMIT FINAL X- "' ASBESTOS OTIFICATION I PLICABLE TO CERTIFICATE OF D�3 �r,� PR PDEED OLITI N OCCUPANCY ISSUED i SIGNATURE N NCIT U V Cl- i U c D_ _m d. 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