HomeMy WebLinkAboutM2024-0039 - PermitsaEWPOR> City of Newport Beach
O� @m Community Development Department- Building Division
r n 100 Civic Center Drive, Newport Beach, CA 92660
u = Permit Counter Phone: (949) 718-1888
newpa
C9C/F00.N�P Work lass - New civic
Work Class -New
1I111111111111111111111111111111111111111111111111111111llllll 11Harbor Permit :M2024-0039
Plan Check No: PC2024.1121
Issued Date : 07/23/2024
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 : 941 VIA LIDO SOLD
Description: SFR - R/R DOCK AND PILES
Owner:
ANDREW GABRIEL
Address:
941 VIA LIDO SOUD NEWPORT BEACH, CA
92660
Phone:
(949)300-2850
Applicant:
TOM SPRAGG
Address :
8810 SPARLING LANE DIXON, CA 95629
Phone :
(714) 795-4251
Code Edition :
Type of Construction
Occupancy Groups:
Building Setbacks
Flood Zone
Use Zone :
Processed By:
2022
U
Front: 4, Front: 10, Side: 4, Side: 4
AE, 8 FT; X
R-1 - Single -Unit Residential
SPECIAL CONDITIONS:
Legal Desc : N TR 907 BLK LOT 323
Contractor: BELLINGHAM MARINE IND INC
Address : 8810 SPARLING LANE DIXON CA 95620,
CA 95620
Phone: (707)678-2385
Con State Lic : 442499
Lic Expire: 07/31/2025
Bus Lic: BT01101867
Bus Lic Expire : 09/30/2024
The Longshore and Harbor Workers' Insurance
Carrier: PENNSYLVANIA MANUFACTURERS
Policy NoASSOCSAUX MNSURANCE COMPANY
Policy Expire : 11115/2024
Fire Sprinklers : NO
Fire Hazard Zone : NO
Architect
Address
Phone:
State Lic
Engineer:
BURNAZYANGEGAM
Address :
7621 LOUISE AVE VAN NUYS, CA 91406
Phone:
(818)522-3181
Designer:
Address
Phone:
Construction Valuation : $220,000.00
I Hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reasbn(5) indicated below by the checkmark(s) I have placed next to the applicable item(s)
ction 7031.5, Business and Professions Code- Any city or county that requires a permit to construct, ater, improve, demolish, or repair any structure, priorto its issuance, also requires the applicant to
pe"It to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing wltn Section 7000) of Division 3 of the Business am
fessons Code) or that he or she Is exempt from Icensum and the bass for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of
more than five hundred dollars ($50%
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 7044,
�Iness 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
rovemenls are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -Builder wil have the burden of proving that it was not built or
roved for the purpose of sale).
1, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 704Q Business and Professions Code- The Contractors' State License Lax does not
Iy to an Owner of pmperty who builds or improves thereon, and w ho contracts forthe projects with a licensed Contractor pursuart to the Contractors' State License Law).
I am exempt from kensure underthe COntractors' State License Law for the following reason:
my signature below I acknowledge that, except formy, personal residence in which I must have resided for at least one yearpror to completion of the Improvements co
a structure that I have built as an owner -builder if t has Hot been constructed nits entirety by licensed contractors. I understand that a copy of the applicable law
fessons Code, s available upon request when this application is submitted or at the follow ng Web site-http //www.leginfo.ca.gov/calaw.htm.
nature of Property Ow Her or Authorized Agent Da
of the Business
LICENSED CONTRACTOR'S DECLARATION
I hereby alarm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Davison 3 of the Business and Professions Code, and ray license is On full farce
and effect License Class License No. Date Contractor Signature
LONGSHOREMEN'S & HARBOR WORKERS' COMPENSATION DECLARATION
WARNING: FAILURE TO SECURE LONGSHORENENS S HARBOR WORKERS' CONPENSAIION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIh1NAL PENALTIES AND CML FINES UPTO ONE HUNDRED THOU SAIID DOLLARS
I5100,000i, IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FORM SECTION YOB OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following
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 permit Is
My workers' compensation Insurance carrier and policy number are:
Policy Number Expiration Date
Agent Phone #
I certify that, in the performie of the work for w hich this permit is issued, I shall not em ploy any person n any manner so as to become subject to the workers' compensation law s of Caifomia.
that, I I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those piovsions-
Iture or Applicant:
I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
Lenders Name Lender's Address
By mysignature below, I certifyto 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 Information I have provided is correct.
I agree to comply with all applicable city and countyordinances and state laws relating to building construction.
I authorize representatives of this city orcourdy to enterthe abov identlfied property for inspection purposes.
Sjanature:
ACTION I DATE I BY
I PERMIT EXPIRED I I I
I PERMIT CANCELLED I 1 I
PERMIT FINAL
CERTIFICATEOF
OCCUPANCYISSUED
Print Name:
FEDERAL REGULATIONS PART 61 OF T17LE40 AND
AQMD RULE 1403.
❑ 1 SUBMITTED ASBESTOS NOTIFICATION TO:
❑ EPA
❑ AQMD
❑ ASBESTOS NOTIRCAIIONIS NOT APPLICABLE TO
PROPOSED DEMOLITION_
SIGNATURE:
Date:
CITY OF NEWPORT BEACH
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING DIVISION
100 Civic Center Drive I P.O. Box 1768 1 Newport Beach, CA 92658-8915
www.newportbeachca.gov 1 (949) 644-3200
Structural Observation Report
Project Address: / VeAjl' I
V;r:, tde 5o,-4
Report Date:
0/—ro Z,Y-y
CNB Inspector Name:
CNB Permit #
,9,.ae
Building Owner Name:
MI: Andy.,,.
Owners Mailing Address (if different from site);
Owner's Telephone*
CNB Plan Check #:
G�6p-iel
Full Name of Structural Observer (SO):
SO E-mail Address:
SO Telephone #:
SO License I Reg. #:
(jec r� fic.u-✓)a} a✓1
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- X4S-S2f-63va
e;LI
PLEASE INDICATE STRIICTI IRAI PI FMCIJTc Akin nn\I&MC Tin\IC neceevon r..6__r. .,.._r:__u_ 4L---- I
FOUNDATIONS
SHEAR WALLS
FRAMES
DIAPHRAGMS
(Floor/Roof)
INDICATE LOCATION(S)
OBSERVED
DATE
OBSERVED
❑ Conventional
Footin s & b
❑ Concrete /
❑ Steel j
❑ Concrete
❑ Mat Fo dation,
Prestr ed Concrete
❑ Masonry
❑ Concrete
❑ Steel Deck
❑ aissons, Piles,
Grade Beams
❑ Wood or Manuf.
Shear Panels
❑ Masonry
❑ Wood
Cher: De;~
P,fet
❑ ,Other
/
❑ Other:
❑ Othbr
4 P IeS, L�g Yeri h' �J (,
far rf/ hu'—•
to. L ZY
4fEMS CHECKED ABOVE ARE APPROVED AND WITHOUT DEFICIENCIES.
❑ OBSERVED DEFICIENCIES AND COMMENTS:
❑ REPORT CONTINUED ON ATTACHED PAGES
❑ FINAL STRUCTURAL OBSERVATION REPORT:
The structure generally complies with the approved construction documents, and all observed deficiencies were corrected.
I declare that the following statements are true to the best of my knowledge.
1 I am the licensed design professional retained by the owner to be in responsible
charge of the structural observation;
2 I, or another licensed design professional whom I have designated above and is under
my responsible charge, have performed the required site visits at each significant
construction stage to verify that the structure is in general conformance with the
approved construction documents;
3 1 understand that all deficiencies which I have documented must be corrected, prior to
final acceptance of the structural systems by the City of Newport Beach. Building
Division,
STAMP OF
C 76761 v2
EXP(1-3r-laLS
CIVIL
OBSERVER
STRUCTURAL OBSERVATION 9E T WAIVE ANY REQUIREMENTS FOR BUILDING INSPECTION BY AUTHORIZED EMPLOYEES OF THE CITY OF NEWPORT BEACH.
f �,� se�aw.l��u..u�.ii✓+wn5lmuwium
City of Newport Beach Special Inspector Manual
CITY OF NEWPORT BEACH
COMMUNITY DEVELOPMENT DEPARTMENT
BUILDING DIVISION
100 Civic Center Drive I P.O. Box 1768 1 Newport Beach, CA 92658
www.newportbeachca.aov 1 (949) 644-3200
SPECIAL INSPECTION REPORT
Project Address: 941 Via Lido Soud Newport Beach,Califomia
Permit Number: M2024-0039
Inspection Type (s): Epoxy I
Inspection Date (s): B-21-24
( ) Periodic (0) Continuous
Describe Inspection, Including Location(s):
Arrived on site to provide a continuous inspection for the installation of (6)3/4" SS all threads
mbedzl[m" sto exlstlrTg�arseretewaltwltfr8" etvrb d:platTs catl fnr atltlltti7malY6tls percontractors
five anh, •^stalled -using -Simpson -set 3G-epo)*Mkg -performed-back-of-Res denc®-dock
• Do not app ie oad after cunng time hour •• per manufacture instructions . ote;Fpoxy set- expl--17-2 on Ition of work
asmired-hrLshed.and_ air blasted per manufacture instructions.
List Tests Made: •'
N/A
Total Inspection Time Each Day:
Date: B-21-24
Hours, ` B h,
I Plans call for additional 3/4" all threads per contra direction only (6) 1
To the best of m knowledge, the work inspected was in accordance with the Building Division approved design drawings,
specifications anr�applicable workmanship provisions of the U.B.C. except as noted above.
Special Inspector Signature:
Date:
Z
B-21-24
Print Full Name:
Newport Beach Registration No.:
Eric Maldonado
Inspection No. NB-0781
Speclallnspedia Report 0813 12015
67