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:
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APPR0\%AL TO I SV J[f: • °
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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
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Fee Due at permit Issuance: $313.00
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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
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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:
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Tl ASBESTOSUO7IR 077WS NOT APPLICABLE TO
PROPOSEDDEMOLITI N.
OCCIIPANCYISSUED