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HomeMy WebLinkAboutM2022-0028 - Permits�E`wPO,q� City of Newport Beach 111111111111 Community Development Department- Building Division I I II I II III I I II I II I II II 11111 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 644-3288 Inspection Requests Phone: (949) 644-3255 C9C�Fp PN�P newportbeachca.gov/inspections Harbor Permit : M2022-0028 Plan Check No: PC2022-1819 Work Class: New IssuedDate;Are6/09/2022 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: 748 VIA LIDO NORD Legal Desc : N TR 907 BLK LOT 40 ° Description: REMOVE & REPLACE (E) FLOATING DOCK, NO PILE WORK, (E) GANGWAY AND PIER TO REMAIN Owner: GATES TRUST Contractor: SWIFT SLIP DOCK/PIER BUILDERS Architect:§ Address : 1144 N EASLEY CANYON RD GLENDORA, CA' Address : 6351 INDUSTRY WAY WESTMINSTER, rAddress : • °°,°, 91741 CA 92683 " Phone : Phone: (949). 631-3121 Phone: Con State Lic : 797052 State Lic Applicant: MARISSA MORALES Lic Expire: 07/31/2023 Address: 6351INDUSTRY WAY INDUSTRY WAY Bus Lic BT01122734 r Engineer: PETROVPLAMEN WESTMINSTER, 92683 Phone: (949) 631-3121 Bus Lic Expire : 11/30/2022 Address : 28161 CASITAS CT LAGUNA NIGUEL, CA 92677 Workers' Compensation Insurance Phone: (714) 717-7542 Carrier Policy No: Designer: W. C.,Expire: Address Phone: Code Edition : Fire Sprinklers : NO Construction Valuation : $56,000.00 Type of Construction : - Fire Hazard Zone :_. N - Occupancy Groups: U Building Setbacks : Front: 4, Front: 10, Side: 3, Side: 3 Flood Zone: AE, 8 FT; X Use Zone : R-1 - Single -Unit Residential - --- Processed By:ysc� Public Works Approval: ✓ \� Zoning Approval: Plan Check By: Grading Approval: Approval To Issue: I hereby affirm under penalty of perjury that I am exempt from the Contractor.' State License Law for the r Orion 7031.5:.Business and Professions Code: Any city or countythat requires a permitto. construct, after, I Have placed next to theapplicable ttem(s) and I of 1, as owner of the property; or my employees with wages a$ their sole compensation, will do U all of or{_) porbons of the work, and the structure is not intended or offered for sale (Section 7044, . siness and Professions Code. The Commotors' 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 movements 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 or rroved 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 Codw The Contractors State. License Law does not. sly to an owner of property who builds orimproves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).. Iam exemVtfrutR Licensure under the: Contractors': State License Law for the following reasons my signatures elew I acknowledge that-;;,ex€ept foamy personal residence in which I must have resided for at least one year prior to completion of the improvements covered by this oermit.l.cannot lec sons Ccdg!i$jpQailable. upon request when this application is. submitted orat the fallowing Web site:http:IAw .leginfo.ca.gov/calaw.htrhL are of Property Owner or Authorized Agent Date WISED CORTRACTOR'S DECLARATION e ly affirm YrWar -pwralty of perjury that am licensed under provisions of Chapter {commencing with Section 0 f Division 3:of the Business and Prof sons C a; my Iicel se Is in full force feet. Licamwelass License No Date 2- Contractor Signatur kERS' C,OAWIINSATION DECLARATION G.-fAILURE td SgCURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT. AN EMPLOYER TO CRIMINAL. PENALT AND CIVIL FINES UP TO, ONE HUNDRED THO SAND DOLLARS ($100,000L IN AIANTION To 7I t COMPENSATON, DAMAGES AS PROVIDED FOR IN SECTION SLOE OF THE LABOR CODE, INTEREST, AND ATTORNEY's FEES fi�fffrm under penalty of perjury one of the following declarations: k and WGI'melhtam a certificateof consent toself-insure for workers' compensation, Issued by. the Director of Industrial Relations. as provided for by Section 3700 of the Labor Code, for I Fence of the v o" for which this permit is issued. Policy. No. % and wifi'mafnfain workers' Compensation Insurance as required by Section 3700 of the Labor Code, for the: performance of theworkfor which this permit Is issued. My workers' compensate ice Carrier and policy number are: ". Policy Number Expiration Date car* that, in the part manc a wct ich:thWs permit is issued, I shall not employ any person in any manner go as to become subject to the workers" compensation laws of California, and agre t. if I should becom s ject tot e s m nsati revisions of Section 3700 of the Labor Code, I shall forthwith comply With those provisions. nature of Applicant .. Date- CLARATION RE43 RD C TRUCTION LE DING AGENCY Ireby affirm under penalty o. perjury that there is a construction lendng agency for the performance of the work for which this permit: is issued (Section 3097, civil ode).. Ider's Name Lenders Address. my signature below, I certify to each of the fbllowing: I am the property owner or: authorized to act on the: property owner's behalf. I have read this application and the information I have providedis correct. t agree to comply with all applicable dry and co my 9� Q 'a n taws -relating to building cansiruction. I authorize representatives of this city at cou�tN io intert b kids I rodhrty for Wnsoection oumcses r°- CERTIFICAT60F 1403 USE ONLY All required alarms, latches gates and fences which serve as part of a pool/spa barrier, shall be in place prior to approval to fill pool/spa & shall remain in place & be maintained for the NOTIFICATION IS NOT APPLICABLE TO life of the pool,