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HomeMy WebLinkAboutM2020-0018 - Permits,$ City of Newport Beach - Building Division 4 100 Civic Center Drive, Newport Beach, CA 92660 �$ Permit Counter Phone (949)644-3288 II IIII III ILII VIII ILII III IIINI 0IIII 0IIII 1IIII III II HARBOR Permit: M2020-0018 Project No : 0596-2020 Inspection Requests Phone (949)644-3255 Job Address: 208 VIA LIDO NORD Floor: Suite: Bldg: 0y ®I a G� Description of Work: SFR REMOVE/REMOVE (E) DOCK, GANGWAY, PIER & PILE V ` ATtip®^ Y t I Inspector Area: 1 $0.00 Building Green Fee : $3.00 Legal Description: N TR 907 LOT 858 Owner: POEL JR PETE Contractor: SWIFT SLIP DOCK/PIER BUILDERS Engineer: PETROV PLAMEN Address: 133356 AVENUE 168 Address: 6351 INDUSTRY WAY Address: 28161 CASITAS CT TIPTON CA 93272 WESTMINSTER CA 92683 LAGUNA NIGUEL CA 92677 Phone: Phone: 949-631-3121 Phone: 714-717-7542 State Lic: C-066947 Applicant: MARSSIA/SWIFT SLIP Address: 6351 INDUSTRY WAY WESTMINSTER CA 92683 Phone: Special Cond: HARBOR AIC 0764-2016 Declaration - HIGH DENSITY AREA Issued Date 06/03/2020 Valuation: $75,000.00 Inspection Fee: $297.00 Plan Check Fee $312.00 OT Plan Check Fee: $0.00 Investigation Fee: $0.00 Building Green Fee : $3.00 TOTAL FEE: $628.00 PROCESSED BY: PLAN CHECK BY: Con State Lic:797052 Designer: Lic Expire: 07/31/2021 Address: Bus Lic: BT01122734 Lic Exp Date: 11/30/2020 Phone: Longshoremen's and Harbor Workers' Compensation Carrier: AMERICAN EQUIT Policy No: ALMA01661-04 Fire Inspection Fee: $0.00 $0.00 Fire Plan Check Fee: $0.00 Plan Dep - Counter Review: $0.00 Records Mangement: $16.00 Plan Dep -Zoning Plan Check: $0.00 Harbor Plan Check Fee: $0.00 Plan Dep - OverTime Plan Check: $0.00 Plan Check Fee : $312.00 , P p ° • P Pualc Nt)RK9: o G y q P t• G4� G G E B J APPRZO� AL' TO ISSUE® 1,OT0ER DERP RTI0FVTS: • • G O P 4 Y o lvNPIL IISgPECJIOfq PERMIT EXPIRES 180 DAYS AP" 19SUANW OR F&T I/Af lb INSPECTION Fee Due at permit Issuance: $316.00 rNER-BUILDER 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(: :tion 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 I 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 a 'essions 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 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 (_) portions of the work, and the structure is not intended or offered for sale (Section 704' 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 t 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 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 n 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: ly 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 legall) ell 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 anc 'rofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. signature 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 (comn en ih wi S )ipg_7000) of Division 3 of the Bus! s and r essio a icense is in full force nd effect. License Class License No. Det e 6 LLVV Contractor Signature .ONGSHOREMEN'S & HARBOR WORKERS' COMPENSATION DECLA (ARNING: FAILURE TO SECURE LONGSHOREMEN'S 9 HARBOR WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PE ALTIES ANO CINL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ;100.000). IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 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 My- w re' compdq tion insuranog c riser and policy number are: cl:, C olicy Number Expiration Date Agent -{i,I Phone # I certify th at, `in the performance of tiv work for which this perm[Issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, that, if I should become workers' compensation vision of Section 3700 of the Labor Cade, I shall forthwith comply with those provisions. Iture of Applicants / /—\ A _, — a. _, e,10 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). Lender's Name Lender'sAddress By my signature below, I certify to each of th lowing: I am the property owner or authorized to act on a pro erty owner's behalf. I have read this application and the lrformati I have 4rovided is correct. I agree to com al licable city and county or ina ces and state laws relating to building construction. I authorize a esenta' es of 'ty or cou ty to en r eabove-identified property for inspection purposes. M T it SSa or,L Da Signature: Print Name: - ACTION DATE BY DECLARATIO14 UP COMPLIANCE WITH CODE OF FOR OFFICE USE ONLY FEDERAL REGULATIONS PART 61 OF7I7LE40AND AOMD RULE 1493. .. s :0: i S43*TlEIj A58E-.TTO-INQRFfCATION TO: s` ® s EVA •. ` • • ❑ �AQMR- ` • s ❑ ASBESTOS NOTI€ICARONIS NOT APPLICABLE TO PROPOSEDDEMOLITION. 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