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Home My WebLink AboutM2023-0010 - PermitsCity of Newport Beach IIII I I II I III II II II I II 111Harbor Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 u yer, i Permit Counter Phone: (949) 644-3288 c " r Inspection Requests Phone: (949) 644-3255 9t�FUPN` newportbeachca.gov/inspections Permit : M2023-0010 Plan Check No : PC2023-0337 Work Class : Other Issued Date : 04/19/2023 Inspection Area : 7 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 : 717 LIDO PARK DR Legal Desc : S TWP 6 RGE 10 SEC 28 SEC 28 T 6 R 10 AND SEC 33 T 6 R 10 20.98 AC IN Description: COMM REPLACEMENT/RECONFIGURATION OF SOUTH PORTION OF ANCHORAGE WAY MARINA Owner: FIRST AMERICAN TRUST CO TR A Contractor: BELLINGHAM MARINE IND INC Architect Address : 717 LIDO PARK DR #1549 NEWPORT BEACH, Address : 8810 SPARLING LANE DIXON CA 95620, Address: CA 92663 CA 95620 Phone : Phone : (707) 678-2385 Phone Con State Lie : 442499 State Lie Applicant : BELLINGHAM MARINE IND INC Lie Expire : 07/31/2023 Address : 8810 SPARLING LANE DIXON CA 95620, CA Bus Lie : BT01101867 Engineer : CRAIG FUNSTON - - 95620 Phone: (707) 678-2385 Bus Lie Expire : 09/30/2023 Address : 1323 LINCOLN ST .13116 INGHAlvt, WA 98229 The Longshore and Harbor Workers' Insurance Phone: (360) 676-2800 ' ' Carrier: PENNSYLVANIA MANUF. ASSOC. INS.CO. Policy No: 1360395Y Designer Policy Expire : 11/15/2023 Address:,,,,, Phone: Code Edition : 2022 Fire Sprinklers : NO Construction Valuation : $650,000.00 Type of Construction : Fire Hazard Zone : No ... . Occupancy Groups: U Building Setbacks Flood Zone Use Zone : Processed By: X, X, X, AE, 8 FT; X; AO 1, X, X, AO 1; X. X PC - Lido Peninsula - Amendment413 SPECIAL CONDITIONS: ! ytl, 4as' 0 NO CONSTRUE' ON NOISE ON THE WEEKEND OWNER -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 tem(s) Section 7031.5. Business and Professions Code: Any city or county that requires a permit to construct, altar, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for IS, permit to Ple a signed statement that he or she is licensed pursuantto the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and 'rofessions Code) or that he or she is exempt from lieensure 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 of of more than five hundred dollars ($500). 3 I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044, %usiness 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 the nprovements 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 nproved for the purpose of sale). 1 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 not poly 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).. 7 I am exempt from licensers under the Contractors' State License Law for the follovang 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 legall! ell a structure that I have built as an owner -builder if it has not been constructed in itsentirety by licensed contractors. I understand that copy of the applicable law, Section 7044 of the Business and rofessions Code, is available upon request when this application is submitted or at the following Web site:htip:llwww.leginfo.ca.govlcalaw.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 (commencing with Section 70010) of Division 3 of the Business and Professlgns Cod license i orce nd effect License Class License No Date 3 Contractor Signature COMPENSATION DECLARATION iARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, :AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,0001, IN ADDITION TO THE OST OF COMPENSATION, DAMiAGESAS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'SFEES. hereby affirm under penalty of perjury one of the following declarations: I I have and will :Ta'r.:arr a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for th arformance of the work for which this permit isissued. policy No. I,avd and will ,ca:ntain workers' compensation insurance, as required by Section 3700 of the Labor Code., for the performance of the work for which this. permit is issued. My workers' rance carrier and?):'c7 number are: :ie. of Agent _ - _-- Policy Number Date cert'N that, inthe performance of the work for which this permit is issued, I shall not employ any person in any manner se as to become subject to the workers' compensation laws of California, and agre if I should benon,e s4oject to the a Compares ' visions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. i,du s of Applidaht •nnr,nu non Ao ♦in nnnLi I ulnuur•_ nn_cciry ,reby of mn under p?ne'ty 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) Ides s Name L I Lender's Address .ny signatureblow, l certify to each of the following; I am the propE.T f cA,Ier or authorized to act on the property owner's behalf. I have read this application and the information I have provided is correct I agree to comply with.. all applicable city and county ordinances and state laws relating to building construction. I authorize representatives of this city or county to enteeF lh Ebove-id property for Inspection purposes. naturwrif Prarri Owner or Atrlhorized Anent //�_`" �( Print ProoertV Owner's or Autluorized ADent's Name DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE REGULATIONS PART 51 OF TITLE 40 AND AOMD RU LF PERMIT fxpiRED 1 1 1LLI I miTTFD ASBESTOS NOTIFICATION TO PERMIT CANCELLED j �IIE,PA CERPERMJTFINALTIFICATE OF / PPRROPPOSED DEMOLITIO��'EIESTOS Tf'IONIS NOT � OCCUPANCYl55UED .SIGNATURE; A�� 6