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Home My WebLink AboutM2011-0056Please print 3 copies Worksheet for Building Combo Permit Application City of Newport Beach - Building Department [7.,Building r- Grading f7.Drainage Elec Mech ;';Plum Tenant Name(if Applicable) Suite No 2. Description of Work We .. ......... .............. ........... F -R R ............... ................... .................. ................................ Valuation $ Cc oc relf ... ............... ..... ........ Extg Building SIF Demo Building SF Add/Reconstruct Idg SF F1 ........... ......... ........ ............. ........... Extg Gar sf Demo Garage sf Add/Reconstruct Garage sf # Stories F F TOTAL BLDG SF Cu Yd Cut New Add Alter [7, Demo ............. ............. t TOTAL GARAGE SF Cu Yd Fill ic F7777 Check Appropriate Box for Applicant OFFICE USE ONLY ENERGY P/C FEE $ GRADING P/C FEE $ FIRE P/C FEE $ PERMIT NO. PLAN CHECK NO. Rovd/16,/no ELEC/MECH/PLUM P/C FEE S PLAN (HF(K FFF S -2DOZ-2—o i \ j,s Lfi -'v/7 u f arYt = A ^ plc � Cllr fa iX i ' j 1 t' 1 . �_-v^a=. •'' %'.d�.e r l iLI =-r 77 , lif _ 1 g AL VICINITY SKETCH IV Fi L.I l. _ . rozx. A011kift RE10UR r r— CITY OF NEWPORT BEACH a fi i �G3r4 L�i11 y 1 PL j,s Lfi -'v/7 u f arYt = A June 27, 2011 West Coast Escrow Fax 949.721.5010 CITY OF NEWPORT BEACH 829 Harbor Island Drive, Newport Beach, CA 92659 949-644-3044/Fax 949-723-0589 Re: Pier Permit #175-122 122 Via Lido Nord Escrow # ST -03876 -JM Dear Mariners Escrow, The Harbor Resources division has received the completed & signed application and fee for the pier permit transfer. The pier inspection performed by our office has determined that it meets City standards. For further assistance in this matter, please contact this office at 949.644.3044. Sincerely, 4%sQ A&W Lisa Walters Harbor Resources Jun 23 2011 13:15 P.03 i�. l TRANSFER A .L L LATl O V. i 829 Harbox Uland RrivQ 60 S 1\lewp 949=644-D44' 926.........: **Dat® of Applicatan, 6-17-11 Permit Number: �"J - IZZ **Property Addr&Ss: 122 'via Lido Nbrd, NeWpat-E Ileacb., Ca 92663 **Buyer's Names: Ano En(3�m sim= Billing Address: Jul ! y • � `.5 Telephone No_-. Buyer's Signatures: j I "*Seller's Names: L&UFA ASK rEisENBAca AND zucaaIII s, 11MzsEMP Seller's Signatures: Joint Owner. Signature: 4 **Escrow Company: WEST COAST ESQRDW Phone# **Address 140 NEWPORT cEer NERROIRT BEAcg. CA 92660 1eAtFscrow Humber, ST -03876 -SM __**1=aX:#; C949j 7Z1-5010 Closing Date (Estimate): T July 7, 2011 * *STARRED ITEMS MUST BE COMPLETE TO BEGIN THf_;pl20CESS_ Inspection Date; ° Reinspection Date: Fee Paid= r7v Check No: l?7 f Application Gomplete:�, HarhorResaurces Si tcrre/C)at® Special Conditions: This permit is ravocabte by the City Councii in accordance with TWe f7 of the Newport Roach MUnictpal Code, i HARBOR PERMIT TRANSFER APPLICATION 829 Harbor Island Drive Newport Beach, CA 92660 949-644-3044 **Date of Applicaton:5/26/2011PermitNumber: "Property Address: 122 Via Lido Nord Newport Beach, CA 92663 **Buyer's Names: Anna Berger Billing, Address: Telephone No.: Buyer's Signatures: **Seller's Names: Seder's Signatures: Joint Owner Signature: West Coast Escrow 949-721-5000 **Escrow Company: Phone# **Address. 140 Newport Center Dr. #100 Newport **Escrow Number: ST -03876 **Fax #: 949-721-5010 Closing Date (Estimate): 7/5/2011 y*STARRED ITEMS -MUST BE COMPLETE TO BEGIN THE PROCESS,_ Inspection Date: Reinspection Date: Fes Paid: Check No: -73 Application Complete: Harbor Resources Sign a tumlDa te Special Conditions: This permit is revocable by the City Council in accordance with Title 97 of the Newport Beach Municipal Code. Beach, Chi 92660 "', VtjP H� June 21, 2011 West Coast Escrow Fax# 949.721.5010 Re: Pier Permit #175-122 122 Via Lido Nord Escrow # ST -03876 Dear West Coast Escrow, CITY OF NEWPORT BEACH 829 Harbor Island Drive, Newport Beach, CA 92659 949-644-3044/Fax 949-723-0589 The City of Newport Beach has inspected the above pier and found it to meet City standards. Once we receive the application signed by the buyer and seller the pier will be transferred. Thanks for your help and if you require further assistance in this matter please call 949.644.3044. Sincerely, l sa W &v Lisa Walters Harbor Resources Division WEST COAST ESCROW Date: 5-1� K l City of Newport Beach Marine Department 829 Harbor Island Drive Newport Beach, CA 92660 Attention: Inspector 140 Newport Center Drive #100 Newport Beach, CA 92660 Phone (949) 721-5000 Fax (949) 721-5010 Escrow ## 1 —lJ 77 Please be advised that we have an escrow 12 --� V, i Ot L I for thre property located at • Enclosed please find our check in the amount of $A7 0 00 representing your inspection fee. Kindly complete your inspection at your earliest convenience, and forward your written report to our office. We in turn will provide copies to the Buyer, Seller and [teal Estate Agents. At the close of escrow, we Evill forward the completed pier transfer card to you, along N+ith an additional check for Please do not hesitate to call if you need any additional information. Thank you. ncerely, �,/�/ Escrow Officer, Manager � ��i Harbor Resources Department Date: [ Inspection Requested By: Inspector: ,�-``• S Pier Address: UCL o_r9J Pier Transfe GFI Present Anti -Siphon / Backflow Present Other Comments Eelgrass Reinspection Yes Need None Needed Yes Need Date Time F] Eelgrass Within 15' of Project F] Eelgrass Within 15' - 30' of Project F] No Eelgrass in Project Area Pump Out Pier Location Yes No Operational Recommended Action Encroachmenet Address of Complaining Party Boat Description CF Number Location on Dock Comments / Observations Other Request Map Output Page 1 of 1 http: //www6. city. newport-b each. ca. us/servlet/com. esri. esrimap. Esrimap? S erviceName=n... 06/17/2011 SELLER - SIGN AND RE71URS HARBOR PERAHT TRANSFER APPLICATION 829 ]harbor tslanct Drive Newport Beach, CA 92660 **Date of Aspplicaton: 2/9/05 Permit Number: '"Property Address: -177 VTA LID NORn NEWPORT BEACH, OLS 92663 "Buyer's Names: JOE DWIGHT MACPHERSON Billing Address: 11566 SKYLINE DRIVE SANTA ANA, CA 92705 Telephone No.: Buyer's Signatures; "Seller's Names: JAY Seller's Signatures: U AVSD Joint Owner Signature: 22 a (2nt1>t, --)8aAt **Escrow Company: MARINERS ESCROW CORPORATION **Address 1100 NEWPORT CENTER DR. SUITE1200 NEWPORT BEACH, CA 92660 **Escrow Number: 9,go42-RF **Fax #: 94.9-721-8157 Closing Date (Estimate): 3/30/05 *STARRED ITEMS MUST BE COMPLETE TO BEGIN THE PROCESS. .P�.��.+..�.....�.r.ori.��...�...a:.�..�r:��...:.�r�.�or:......erre+.�.►wi�wr�.wiwror..r....r�. Inspection Date: Reinspection Date: Fee Paid: Check No: Application Complete; Harbor Resources Signature/Data Special Conditions: This permit is revocable by the City Council in accordance with Title 17 of the Newport Beach Municipal Code. 13 R m NN AND RETURN HARBOR PERAHT TRANSFER APPLICATION 829 Harbor isla.xid Drive Newport B e aef t, CA 92660 **Date of Asppliaaton: 2/9/05 Permit Number: **Property Address: 122 VTA T Tno N RQ n NEWPORT BEACH, CA 92663 "Buyer's Names: ,,70E DWIGHT MACPHERSON Billing Address: 11566 SKYLINE DRIVE Telephone No.: Buyer's Signatures: SANTA ANA, CA 92705 "Seller's Names: JAY HARRIS AND MARY ANN BAKER Seller's Signatures: Joint Owner Signature: **Escrow Company:_ MARINERS ESCROW CORPORATION **Address 1100 NEWPORT CENTER DR. SUITE11200 NEWPORT BEACH, CA 92660 **Escrow Number: 280 7 -BF _ **Fax #: 0,ZEA-8157 Closing Date (Estimate): 3/30/05 * *STARRED ITEMS MUST BE COMPLETE TO BEGIN THE PROCESS. ....�r.....•..,—..---:--..r..---.r-----..,.�.rrr rw......�.�.w..rrrw.r�►rwrw,n�wnn�rr�....�.....•v. Inspection Date: Reinspection Date: Fee Paid: Check No: Application Complete, Harbor Resources Signature/Gate Special Conditions: This permit is revocable by the City Council in accordance with Title 17 of the Newport leach Municipal Code. 9LIFORl"` February 14, 2005 Mariners Escrow Corp. Fax 949-721-8157 Re: Pier Permit #175-122 122 Via Lido Nord Escrow # 28042 -BF Dear Sirs: CITY OF NEWPORTBEACH 829 Harbor island Drive, NewportBeach, CA 949-644-3034/Fax 949-723-0589 The City of Newport Beach has inspected the above pier and found it to meet _City standards. Once we receive the application signed by the buyer, seller and joint permittee, if applicable, the pier will be transferred. Thanks for your help and if you require further assistance in this matter, please call 644-3034. Sincerely, LOrr'e Arctse Lorrie Arcese Harbor Resources Division INSPECTION FORM Harbor Resources Department Date: Inspection Requested By: Inspector: Don Duffy Pier Address: •' V'/ L, �� a, 7S_ -/I-?- a-- (;P;ier;Trans:fer Reinspection GFI Present Yes Need None Needed Yes Need Anti -Siphon / Backflow Present Other Comments Eelgrass Yes No Present Pump Out Pier .Location Yes No Operational Recommended Action Encroachmenet Address of Complaining Party. Boat Description -.CF Number Location on Dock Comments / Observations Other Request CITY OF r" =WPORT BEACH FIRE MARINE V`_'1ARTMENT HARBOk—PERMIT APPLICATION (Please print—cui-'information) 172- Ui6 Ltd 0 0e 1. Applicant (Property Owner) Address Tele hone 2. Project Address (Street Address) 3. New Construction -Revision 4. Fee ��10 Check No. 5. Brief Description of Proposed Harbor Permit Number Maintenance_ Dredging l LP /I Date 6. Submit 8 1/2" x 11" Drawings (3), Include: 1). Location and dimension of proposed structure including piles and location of existing structures. on adjacent properties. 2). Location of bulkhead, pierhead and project lines. 3). Location of property lines. 4). Location of channel markers within 200 feet. 5). Lot sizes and lot numbers, if available. 6). Existing ground profile beneath proposed structure. 7). Elevation of top and bottom of bulkheads and piles with respect to M.L.L.W. 8). Area and profile of any proposed dredging with elevations showing depths with respect of M.L.L.W. 9). Any special conditions affecting the construction or affecting boating operations. 10).Complete all information required in information block, bottom of sheet. Note that the OWNER. of the property is the applicant. 11).Drawing size shall be 8 - 1/2" x 11". 12).Scale shall be adequate to clearly show the above information. 13).Existing structures shall be shown in light dashes. New work shall be shown in heavy solid lines. 7. Owner -Builder Declaration must be completed (on reverse side of this sheet) 8. Applicant's/Agent's Signature: -may Date: Joint Permittee Signature (If applicable): Date: 9. Work can begin once the City has received evidence of the following additional approvals and you have been notified to proceed. If you begin prior to the notice you will be in violation of the Newport Beach Municipal Code and subject to penalties. 10. Your permit will not be final until we have conducted an on site inspection once construction is completed as per Municipal Code, Section 17.24, if we have not been contacted for a final inspection. OFFICE USE ONLY Approval in Concept. Approval of the City of Newport Beach Council. Approval of the Army Corps of Engineers Approval of the California Coastal Commission. Approval of the City's Public Works Department. Approval of the City's Building Department. Approval of County of Orange. Electrical and/or plumbing permit (Building Department) Issued. (Permit is stamped drawing) 1/ Site Inspection. (call 644-3043 for appointment) Site Re -Inspection Conditions: Date Date Date Date Date Date Date Date Date —ea Dates-/ 7-00 Date OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the contractor's license law for the following reasons: (Sec. 7031d.5, Business and professions Code). Any City or County which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provision of the Contractors License Law (Chapter 9, commencing with Section 7000, of Division 3 of the Business and Professions Code) or that he is exempt therefrom 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 for not more than five hundred dollars ($500). I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or through his own employees, provided that such improvements 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 he did not build or improve for the purpose of sale). I. as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects who builds or improves thereon, and who contracts for such projects with a Contractor(s) License pursuant to the Contractor's License Law). I am exempt under Sec. of Business and Professional Code for this reason: Owner's Signature: Contractor: Address: License class: State Board No. License Contractor's Declaration Date: Telephone: _ City License No. I hereby affirm that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force and effect. Contractor's Signature Date: 75� r,v ffew(r j r V, e P &P -r -K 7�4"--T -9o7 z-Ul Ell eq VICINITY SKETCH T— lvra:z� PL,4AI o:7— 117 L: 11 I's ffew(r j r V, e P &P -r -K 7�4"--T -9o7 z-Ul Ell eq VICINITY SKETCH T— lvra:z� PL,4AI o:7— CRY OF -O HARBOR POWAMN IS HEREBY GRANTED TO CONSTR= AND MAINiAMf THE FACIIJTY SHOWN ON THE REVERSE HEREOF. AT TIME SItI'E INDICATED, SUBJECT TO THE PROVISIONS OF THE HARBOR PERMIT POLICIES Of NEWPORT BEACH AND ANY SPECIAL CONDITIONS LISTED HE9EON. THIS PERMIT IS NOT TRANSFERABLE WITHOUT THE A' MIFTEN CONSENT OF THE CITY 14ARSM COORDINATOR oz� tiI T, COUNCIL. THE WGHTS GIVEN UNDER rAtS PERMIT ,9E 1:? afca tt_ ONLY AND THIS PERMIT MAY BE REVOKED BY THi IN ACCORDANCE WITH E T7 OF MLd141cl�".'A . C: CITY IIA E(R COORDINATOR PERMIT NO. DATE fyX411 4- BUYER'S NAME -- ADDRESS OF FACILITY: PERMIT # 122 Via Lido Nord MAILING ADDRESS TELEPHONE NO. -;5Avlt— FEECHECK NO. rE F2,69 APPROVED BY: DATE APPLICATION IS HEREBY MADE TO TRANSFER HARBOR PERMIT OCHD ❑ ewitt K McCluggage Jay Harris Baker ENG ❑ ( e E r (ABOVE NAMES TO BE TYPE %� _ COUNCIL ❑ x (/ `' PUBLIC WORKS ❑ SIG T E OF SELLE OF BUY— ER DEPT. SIGNATURE ESCROW ❑ SIGNATURE OF SELLER IGNATURE OF BUYER L INSPECTTION %�: � ?jam � ❑ SIGNATU E OF INTO ER El APPLICAT O PPR V (D �2 CITY HA SPC 0 SPECIAL CONDITIONS: THIS PERMIT IS REVOCABLE BY THE CITY COUNCIL INA ORDANCE 17 OR THE MUNICIPAL CODE WITH TITLE CITY OF NEWPORT BEACH, CALIF. WX Foaw 66-1073 Rev. }MARINERS ESCROW CIVIC PLAZA City of Newport Beach Marine Division Newport Pier Newport Beach, CA 92663 Attn: Wes Armand Re: 122 Via Lido Nord Enclosed please find the following: Our check for $163.00 for the transfer fee. Original signed pier & slip transfer form. A copy of the letter signed by the buyers from marine division. 4 Civic Plaza, Suite 100 Newport Beach, California 92660 Phone(949)729-0199 Fax(949)729-0190 Date: April 14, 2000 Escrow No.: 2 -1975 -MS Should you have any questions or need any further assistance, please do not hesitate to contact the undersigned. Thank you. Civic Plaza 213-5E. ;105 213 589 3105 -EN'S WHOLESALE 178 P02 APR 13 '00 14:55 M Wr "ACM "" AND INARINt DI`PA►RTlV EW IEltarbirra Mil" Coldwell AM*W 2t,21 vart Coat Highway,.q1)to Navrport hm* Ca 926511 Re. Vit Vis Lido Ncwd, pier penttit 17501222 13*w Ms. Mika: '1111! City of Newport Beach fire am MaritK. nepwMem will AcCLmt a h -w -r ligowl by Mr- Illy Raker, buyer pf ilte above -M ntrnrted• prolt:rty. +i. hit Tann"' to ►tM&e the cor"MiOrrs Specified in the lenrr of April ) t). M&rjmrs t3sat+ow C'urtrr,rmion. Thi+ Irtlat required ttplac ing the cli 0rical omWU cove[i MW t+epsirs to the surrfiwr oft)w tl M ing duck. -nic letter w have +wsdirtg to the alf's:tr rbst these tMoin will be doter t:y .luly i S. 7, rtit,til{1 tt3 If you regain: additional infntmafion in rrr:�r6s t"-3043. to Chia rnattrr. ja4ckurail 949) Wes Arv=W KM and Marine 0*@"M=t The underaigned Jay Harris Baiter and Mary Ann Baker, '1'rastee Will repair the aurfate of the floating dock and replace the electrical cutlets covers before the July 15,'2000 date and reciueai that the• Pier Permit 17501221 be tranuferred to them i edict�ly up receipt of the transfer form. 1)` i Jay Harries Baker, Triiatee Mary nn Baker, Trustee 20M00d T 86 ' ON SOTS 68S f: Te < UZd-1d J I f1I J MONDS3 S8aN 16UW 80:2T 00/E Theo ORT B g /w NEWPORT BEACH FIRE AND MARINE DEPARTMENT April 12, 2000 Barbara Miles Coldwell Banker 2121 East Coast Highway, #180 Newport Beach, Ca 92658 Re: 122 Via Lido Nord, Pier Permit 17501221 Dear Ms. Miles: The City of Newport Beach Fire and Marine Department will accept a letter signed by Mr. Jay Baker, buyer of the above -mentioned -property, as his agreement to make the corrections specified in the letter of April 10, 2000, to Mariners Escrow Corporation. This letter required replacing the electrical outlets covers and repairs to the surface of the floating dock. The letter would have wording to the affect that these repairs will be done by July 15, 2000. If you require additional information in regards to this matter, please call 949- 644-3043. Sincerely, �//'o Wes Armand Fire and Marine Department COLDWELL EANKER ID:7147209387 FAx M'-E`'SrSAUl'-`E COLDWELL BANKER Fax: (949) 640-8006 Bus: (949) 644-9060 x159 Direct Line.- (949) 718-1559 page I of To: Attzi- T 0 PJ Y Frain: BARBARA MILES Date: 4/ Time: Re: Comments: H P R 122" ' 00 14:55 Pio .011 P.i'-)l 0 � 5 C-) 6: 4 - lb COLD .• BANKER 21-21 East Coast Highway #180, Corona del Mar, CA 92625 PO. Box 8566, Newport Beach, C.A 92658 CCLD,WELL DANKER RESIDENTIAL BROKERAGE ID:7147209387 PPR 12' 00 14:57 No.01i P.02 o d�a "121 E, COAST HWY, SUITE 180 CORONA DLL IVAR, CA 32625 BUa (949) 644,9060 FAX (649) $40-6006 Indopondently Ownod. And Oporawd By NRT incorporated, NEWPORT BEACH FIRE AND MARINE DEPARTMENT April 10, 2000 - Mariners Escrow Civic Plaza " 4 Civic Plaza, Suite 100 /0�6 Newport Beach, Ca 92660 tD— Re: Harbor Permit #175-122 for the property at 122 Via Lido Nord, Newport Beach, Escrow #2 -1975 -MS Dear Sirs: The City of Newport Beach Marine Department has received a request to transfer Harbor Permit Number 175-122. The facility was inspected by a representative of the Newport Beach Marine Division on April 10, 2000. We cannot transfer the pier permit until the following has/ have been. corrected and WE HAVE BEEN NOTIFIED OF THE CORRECTION: 1. Replace electrical outlet covers on ramp 2. Float surface broken and uneven. The Newport Beach City Council Harbor Permit Policies state: 10.1). "At the time of transfer, all harbor structures shall be inspected for compliance with the City's minimum plumbing, electrical and structural requirements, and the conditions of the existing permit. All structural deficiencies must be corrected prior to transfer of the permit." PLEASE ADVISE THIS DEPARTMENT WHEN THE ABOVE DEFICIENCIES HAVE BEEN CORRECTED. Please call 644-3043 to request a re -inspection. Sincerely, Tony Mel Deputy Chief Marine Environmental Division I� MARINERS ESCROW CIVIC PLAZA City of Newport Beach Marine Division Newport Pier Newport Beach, CA 92663 Attn: Wes Armand Re: 122 Via Lido Nord RE: PERMIT #175-122 4 Civic Plaza, Suite 100 Newport Beach, California 92660 Phone(949)729-0199 Fax(949)729-0190 Date : April 6, 2000 Escrow No. :2 -1975 -MS ENCLOSED A CHECK IN THE AMOUNT OF $165.00 FOR THE DOCK INSPECTION FOR THE PROPERTY 122 VIA LIDO NORD, NEWPORT BEACH. THANK YOU. Should you ave any questions or need any further assistance, please do not hesitate to contact the undersigned. Thank you. Mariners scrow Civic Plaza ii i N III I IRWIN optow mmmoull Ll /57� 1 4-z 410 ro"llo yv- 14, V-5 C11A NNF I 51- A� 15/ % J/ 1e lir.INITY .qKFTCN fS. _,C7Yf ".6 A0 r 7 ,�LAIV /ZP- VIA 41400 IVORD -NeWPOP-r 8jeA6 Cl -'20,r-7- 4t VZ ViL L F-' Co -1 AIX STEVEN BARRETT 2$11 ELDEN ®VE #8 1011 COSTA MESA, 6A 92627 1�400rA,2 ' Pay to the 2 Date—A;,Qr v Order of Ole r IWO' Bank OfAm Dollars Newport Beach Branch #0202 3475 Via Lido R- 2-�-z Newport Beach, CA 92663 (714) 973.8495 For 12 200066 11 ji D, @RI0 20 28 "10 71B 3 4 115 0034000.1. ril -Az k -I CITY OF NEWPORT BEACH FIRE MARINE DEPARTMENT HARBOR PERMIT APPLICATION (Please print all information) C C f (jgao Ste 1. Applicant (Ptooerfy Owner) Address Telephone 2. Project Address (Street Address) Harbor Permit Number 3. New Construction Revision Maintenance Dredging 4. Fee 5 5_7 Check No. / U :) 7 Date q-,7— z --,77 5. Brief Description of Proposed Work: Rebuild icer /0- (7r s) o -2 - ; -Alo 410i ,pf u 6. Submit 81/2" x 11" Drawings (3), Include: 1. Location and dimension of proposed structure. 2. Location of bulkhead. 3. Location of property lines and lot size. 4. Location of channel markers within 200 feet of proposed project. 5. Existing ground profile, and area and profile of any dredging with elevations showing depth relative to MLLW. 6. Elevations of top and bottom of piles and bulkheads with respect to MLLW. 7. Any special conditions affecting the construction or affecting boating operations. 8. Owner Builder/Contractor Declaration/Insurance Information. 7. Owner -Builder Declaration must be co p ed (o r verse side of this sheet) 8. Applicant's/Agent's Signature: Date: �2T" 9. Work can begin once the City has received evidence of the following additional approvals and you have been notified to proceed. If you begin prior to the notice you will be in violation of the Newport Beach Municipal Code and subject to penalties. 10. Your permit will not be final until we have conducted an on site inspection once construction is completed as per Municipal Code, Section 17.24, if we have not been contacted for a final inspection. OFFICE USE ONLY Approval in Concept. Approval of the City of Newport Beach Council. Approval of the Army Corps of Engineers Approval of the California Coastal Commission. Approval of the City's Public Works Department. Approval of the City's Building Department. Approval of County of Orange. Issued. (Permit is stamped drawing. Site Inspection. (call 644-3043 for appointment) Site Re -Inspection Conditions: Date Date Date Date Date Date Date Date Date - Date ..i OWNER -BUILDER DECLARATION hereby affirm that I am exempt from the contractor's license law for the following reasons: (Sec. 7031d.5, Business and Professions Code). Any City or County which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provision of the Contractors License Law (Chapter 9, commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he is exempt therefrom 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 for not more than five hundred dollars ($500). I, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or through his own employees, provided that such improvements 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 he did not build or improve for the purpose of sale.) I, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects who builds or improves thereon, and who contracts for such projects with a Contractor'(s) License pursuant to the Contractor's License Law). I am exempt under Sec. of Business and Professional Code for this reason: Owner's Signature: Date: Contractor:7 Telephone: Address: -30 A/ 0 7-1-66:3 License class _ State Board No. -�,–o a () ? 5 City License No. ® / V %z LICENSED CONTRACTOR'S DECLARATION I hereby affirm that I am license"u der provi ' s of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Pp6fepgions C e an license is in full force and effect. Contractor's Signature Date: —,) CIV,4/YN,ErL ry j la EX. A;?AM 0 rvak-) No L, V/A L)DO IVOIQL) i 'ZP T�)AC T -gor ,/-07- -* a (z Aco VO I - ,9)pp- m Cj U U G At 14,9 VIA 41no Nat�rj PERMISSION IS HEREBY GRANTEE) TO CONSTRUCT AND MAINTAIN THE FACILITY SHOWN ON THE REVERSE HEREOF, AT THE SITE INDICATED, SUBJECT TO THE PROVISIONS OF THE HARBOR PERMIT PouciE3 OF NEWPORT BEACH AND ANY SPECIAL CONDITIONS LWED HEREON. THIS PERMIT IS NOTTRANSFERA&.E WITHOUTTHE WRITTEN CONSENT OF THE CITY HARBOR COORDINATOR CITY COUNCIL THE RIGHTS GIVM UNDER THIS PERMISSIVE ONLY AND THIS PERMIT Y BE B THE CITYGfL IN ACCORDANCE Y i TITLE OF MUNICWM- Mno ..-s�avvra VVVR67N,v%jvn PERMIT NMBRIE WA71ABLE /4�MQX. VLIPCILi/Jhf-�. z2l Q A/ vQaiQ��F r CUT OFf .o/LE LIT ELE�! 9.0 M. L•L•� �NORiYl.J (TYRI CO/VC. R/L Ggd/GGt�gY "'CI -e WA i 30ML.L.I�/t/I! �/QR/<IBGE Ld14 W N. /lig y� I. TIMBER SHALL BE SEL. S HOLES S.F. R RECEIVEI A BRUSH COAT OF CONCENTRATED 2. FIELD CUTS AND BORED ACA OR A G2A, EC EPDXY COATED OR STAINLESS. 3. BRACKETS AND FASTENERS SHALL BE HOT DIP GALVANIZED, ~ SUCH AS UNPAINTED TIMBER � O 4. WALKING SURFACES SHALL HAVE A SKID RESISTANT AF FINISH, PROVIDING PROPER OR GRIT ON TIMBER. v� 5. LOCATION OF PIER, PLATFORM, GANGWAI(,SLIP t3 FLOATS SETBACKS ARE MAINTAINED. PIER, AND HANGER BRACKET DETAILS.=i�2i' 609-L S 612-L FOR GANGWAY, QEv 4.15.6 6. SEE STD. -604-L, RFv 4- % B= at: WHERE PIER IS JOINTLY OWNED BY ADJACENT PROPERTIES, P! C,TFOR� WIDTH MA DATE 3-/- 73 CITY OF NEWPORT TAR PUBLIC WORKS OE SINGLE RESIDENTIAL USE FLOAT WITH PIER APPROVE — USLIC WORKS DIRECTOR R.E. NO. 95 DRAWING NO. 5%D � 6DR � � r 1