HomeMy WebLinkAboutM2024-0026 - PermitsCity of Newport Beach
Community Development Department- Building Division
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone: (949) 718-1888 ,
Y4v
newportbeachca.gov/civic - -
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Work Class - Other
11111111111111ill111111111111111111111111111111111111111111111Harbor Permit :M2024-0026
Plan Check No: PC2024-0766
Issued Date : 05/09/2024
Final Date:
Permit Status: Issued
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 SOUD
Description : SFR REMOVE (E) DOCK
Owner: 925 VIA LIDO SOLD LLC
Address : 925 VIA LIDO SOLD NEWPORT BEACH, CA
92663
Phone: (714)321-2050
Applicant: TOM SPRAGG
Address: 8810 SPARLING LANE DIXON, CA 95629
Phone: (714)795-4251
Legal Desc : N TR 907 BILK LOT 319
Contractor: BELLINGHAM MARINE IND INC Architect
Address : 8810 SPARLING LANE DIXON CA 95620, Address
CA 95620
Phone: (707)678-2385 Phone:
Con State Lic : 442499 State Lic:
Lic Expire : 07/31/2025
Bus Lic: BT01101867 Engineer: BURNAZYAN GEGAM
Bus Lic Expire : 09/30/2024 Address: 7621 LOUISE AVE VAN NUYS, CA 91406
The Longshore and Harbor Workers' Insurance Phone : (818) 522-3181
Carrier: PENNSYLVANIA MANUF. ASSOC. INS.CO.
Policy No: 1360395Y
Policy Expire : 11115/2024
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: HIGH DENSITY ZONE. NSFR XR2022-320377)
11
Designer:
Address
Phone:
Construction Valuation : $200,000.00
I hereby affrrn under penalty of perjury that I am exempt from the ContractorsState License Law forthe reasons) Indicated below by the checkmark(s) I have placed next to the applicable item(
(Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, after, improve, demolish, or repair any structure, prior to Its issuance, also requires the applicant
the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter9 (commencing with Section 7000) of Division 3 of the Business a
Professions Code) or that he or she is exempt from Iicensum and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant fora permit subjects the applic ant to a civil penally
not more than five hundred dollars ($500).
❑ I, 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 or offered for sale (Section 704
Business and Professions Code. The Contractors' State License Law does not applyto an owner of property who, through employees' or personal effort,builds or improves the pmperty, provided that I
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 pmving that it was not built
rnpruved 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 Profess€ons Code: The Contractors' State License Law does n
apply to an owner of property who builds or improves thereon, and who contracts forthe projects with a licensed Contractor pursuant to the Contractors' State License Law).
I am exempt from licensure under the Contractors' State License Law Tor the following reason:
my signature. below I at Know ledge 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 le
a structure that I have built as an owner -builder if I has not been constructed in as entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business
,fessions Code, is available upon request when this application is submitted or at the following Web site:http7Nvww.leginfo.ca.govlcalaw.htm.
nature of Property Owner or Authorized Agent Date
)CENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (c Went W wttIn Section 7000) of Division 3 of the Bus�f s � , f_esns de, and «y ense is In full force
nd effect, License Class License No. Date > ZB 7- Contractor Signatures X /Y/JUf�"sue' C�4 �
ONGSHOREMEMS & HARBOR WORKERS' COMPENSATION DECLARATION IT��"
rMNING: FAILURE TO SECURE LONGSYORENENIS S, HARBOR WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRINNAL PENALTIES AND CNIL FRES UP To ONE HUNDRED. THOU SAND DOLLARS
n00,00N, IN ADDITION TO THE COST OF CONPENS4TION, DAMAGES AS PROVIDED FORM SECTION 3706 OF THE IABOR CODE., INTEREST, AND ATTORNEY'S €EES. I hereby affirm under penalty of perjury one of the following
er larafinnc
I have and will maintain Longshoremen's and Harbor workers' compensation insurance, as required by Section 3700 of the Labor Code. forthe performance of the work for which this pemtft is
My workers' compensaton Insurance carver and policy number are:
Poicy Number Expiration Date
Anent Phone #
I certify that, In the performance of the work forty hich this permit's issued., I shall not employ any person in any manner so as to Become subject to the workers' compensation laws of California,
that r I should become �nbject o the workers' compensationprov'sions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
Iture ofApplicarit: e U, /� b��r n I
N REGARDING
I hereby affirm under penally of perjury that there is a construction lending agency forthe performance of the work for which this permit is issued (Section W97
Lender's Name Lender'sAddress
By my signature below, I certifyto each of the following:
I am the property owner or authorized to act on the property owners behalf,
I have mad Ns application and the information I have provided is correct.
1 agree to comply with all applicable city aril county ordinances and statelaws relating to building construction.
I authDrze repre tativeisjy/�y orcourRy enter the above -identified property for inspation purpoqses. /�
Signature {////%� IT
/�L�-- PrintName� �1 � f/Ilroli
AC77GN I GATE
PERMIT E`(PfRED
PERMIT CANCELLED
PERM iT EXTENDED
PERMIT FINAL
CERTIFICATE OF
81( Ut CL k(AI buff ur-UUMF'"AML-L W1I IJ lout uh
FEDERAL REGULATIONSPART61 OF TInE46 AND
AQMD RULE 1403.
❑ I SUBMITTED ASBESTOS NOTIFICATION TO.-
0 EPA
❑ AQMD
❑ ASBESTOS NOT7RCAI(ON 15 NOT APPLICABLE TO
%D•� PROPOSED DEMOLITIQN_
SIGNATURE:
Civil Cotle).
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