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HomeMy WebLinkAboutM2020-0030 - Permitsfi� 1°a City of Newport Beach - Building Division 11p1111111111p11111111p11111111p111p1p11111p111 100 Civic Center Drive, Newport Beach, CA 92660 M 2 0 2 0 0 0 3 0 Permit Counter Phone (949)644-3288 NO CONSTRUCTION NOISE Job Address: 808 VIA LIDO NORDFloor: Suite: Bldg: 0 dlfep Ca A ��sS & Description of Work: SFR REMOVE E) DOCK, INSTALL NEW FLOATING DO 6 (2) T -PILES Inspector Area: 1 $77,400.00 Legal Description: TR 907 LOT 347(AND SELY1/2 LOT 348 Owner: HUBERMAN BERNIE Contractor: Address: 808 VIA LIDO NORD Address: NEWPORT BEACH, CA 92663 $0.00 Phone: 949-631-3121 Phone: State Lic: C-066947 Applicant: MORALES MARISSA Address: 6351 INDUSTRY WAY WESTMINSTER, CA 92660 Phone: 949-631-3121 Special Cond: HIGH DENSITY & LIQUEFACTION Declaration - AREA Issued Date 06/09/2020 Valuation: $77,400.00 Inspection Fee: $297.00 Plan Check Fee $312.00 OT Plan Check Fee: $0.00 Investigation Fee: $0.00 Building Green Fee : $4.00 TOTAL FEE: $1,201.00 PROCESSED BY: PLAN CHECK BY: SWIFT SLIP DOCK/PIER BUILDERS 6351 INDUSTRY WAY WESTMINSTER CA 92683 949-631-3121 Con State Lic:797052 Lic Expire: 07/31/2021 Bus Lic: BT01122734 Lic Exp Date: 11/30/2020 Plan Check Fee : $888.00 HARBOR Permit: M2020-0030 Project No : 0846-2020 Inspection Requests Phone (949)644-3255 Engineer: PETROV PLAMEN Address: 28161 CASITAS CT LAGUNA NIGUEL CA 92677 Phone: 714-717-7542 Designer: Address: Phone: PUB"C WQRK,%--. APPR0\%AL TO I SV J[f: • ° 0) "TJ F1 0 Do Longshoremen's and Harbor Workers' Compensation Carrier: AMERICAN EQUIT Policy No: ALMA01661-04 Expire : 1213112020 $0.00 Plan Dep - Counter Review: $0.00 Plan Dep - Zoning Plan Check: $0.00 Plan Dep- OverTime Plan Check: $0.00 OTHER DEPARTMENTS: L,INSPEFeTION- _ PERMtT EXPIRE5 180OA'S AFTER 45S`dlCF O�[A..VA1J4 WSPECT/ON °o0 000 0 0 0. Fee Due at permit Issuance: $313.00 UV FEES Fire Inspection Fee: $0.00 Fire Plan Check Fee: $0.00 Records Mangement: $12.00 Harbor Plan Check Fee: $576.00 Plan Check Fee : $888.00 HARBOR Permit: M2020-0030 Project No : 0846-2020 Inspection Requests Phone (949)644-3255 Engineer: PETROV PLAMEN Address: 28161 CASITAS CT LAGUNA NIGUEL CA 92677 Phone: 714-717-7542 Designer: Address: Phone: PUB"C WQRK,%--. APPR0\%AL TO I SV J[f: • ° 0) "TJ F1 0 Do Longshoremen's and Harbor Workers' Compensation Carrier: AMERICAN EQUIT Policy No: ALMA01661-04 Expire : 1213112020 $0.00 Plan Dep - Counter Review: $0.00 Plan Dep - Zoning Plan Check: $0.00 Plan Dep- OverTime Plan Check: $0.00 OTHER DEPARTMENTS: L,INSPEFeTION- _ PERMtT EXPIRE5 180OA'S AFTER 45S`dlCF O�[A..VA1J4 WSPECT/ON °o0 000 0 0 0. Fee Due at permit Issuance: $313.00 UV DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) 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, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant fc 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 an Fessions 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 c 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 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 th rovements 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 c 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 no' ly 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). J 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 improvements covered by this permit, I cannot Iegall all a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business an rofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. ignature 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 (com Fin tri Sesfipri.7400) of Division 3 of the Busin s n of Si Code, license is in full fora nd effect. License Class License No. Date GV Contractor Signature ONGSHOREMEN'S & HARBOR WORKERS' COMPENSATION DECLARATION ARNING: FAILURE TO SECURE LONGSHOREMEN'S & HARBOR WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENA IES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS 100,OODI, IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 8703 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I 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, for the performance of the work for which this permit is I. My rkers' comp tion insurance mer and policy number are: r Policy Number Expiration Date of Agent Phone # I certify that, in the performance of te work for which this p%pisi issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, an, that, if I should become subj a wore ' com-pnensation ns of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. rture of Applicant:1 l LENDING 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 Cade). Lender's Name Lender'sAddress By 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 in anon I have provided is correct. I agree to comply with all applicable ci an county ordinances and state laws relating to building construction. I authorize rep en ti es thi�city or al,, to enter the above -identified property for inspection purposes. CT•tifsh`1 PERMIT EXTENDED Fr7st[��a7 Print Name: FEDERAL REGULATIONS PART 61 OFTITLE40AND • AQMD RULE 1403. XI i Sg6MIT11;DASBESTOS NOTIFICATION TO: .'.• tiPA• '•• ••• g.4QQ�D.. . Tl ASBESTOSUO7IR 077WS NOT APPLICABLE TO PROPOSEDDEMOLITI N. OCCIIPANCYISSUED