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HomeMy WebLinkAboutM2023-0040 - Permits�EWPpRT City of Newport Beach IIII I I I III II II I II II II Harbor Permit : M2023-0040 o� q I Community Development Department -Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2023-1654 s Permit Counter Phone: (949) 718-1888 Work Class : Other c _ S newportbeachca.gov/civic Issued Date : 07128/2023 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: 642 VIA LIDO NORD Legal Desc : N TR 907 BILK LOT 58 Description: SFR REMOVE AND REPLACE FLOATING DOCK, GANGWAY AND PIER IN NEW CONFIGURATION. REPLACE (2) CONCRETE T-PILES UNDER PIER, RELOCATE (3) 14" MARINA PILES Owner: BASH INVESTMENTS LLC Address: 642 VIA LIDO NORD NEWPORT BEACH, CA 92663 Phone: (713)503-5908 Applicant: MARISSA MORALES Address: 6351 INDUSTRY WAY WESTMINSTER, 92683 Phone : (949) 631-3121 Contractor: SWIFT SLIP DOCK/PIER BUILDERS Address : 6351 INDUSTRY WAY WESTMINSTER, CA 92683 Phone: (949)631-3121 Con State Lie : 797052 Lie Expire : 07/31/2025 Bus Lie : BT01122734 Bus Lie Expire : 11/30/2023 The Longshore and Harbor Workers' Insurance Carrier: GREAT AMERICAN ALLIANCE INS CO Policy No : WC173816805 Policy Expire : 12/31/2023 Code Edition : 2022 Fire Sprinklers : NO Type of Construction : Fire Hazard Zone : NO 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: 15-T SPECIAL CONDITIONS: Architect Address Phone: State Lie Engineer: PETROVPLAMEN Address: 2B161 CASITAS CT LAGUNA NIGUEL, CA 92677 Phone: (714)717-7542 Designer: Address: Phone: Construction Valuation : $85,000.GG No CONSTRUC-rION WORK , ON SATURDAYS 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 item(s) (Section 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 for the 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 and Professions Code) or that he or she is exempt from Ilcensure and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicantto a civil penalty of not more than five hundred dollars ($500). 13 1, 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, Business 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 improvements 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 improved for the purpose of sale). 0 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 apply 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). El I am exempt from licensors under the ContractorsStale License Law for the following reason: By 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 legally sell 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 and Professions Code, is available upon request when this application is submitted or at the following Web site:http:ll%mw.leginfo.ca.gov/calaw.htmi. Signature of Property Owner or Authorized Agent _ Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and rote on d , n my license is in full force and effect. License Class License No Date � i Contractor Sin lure WORKERS' COMPENSATION DECLARATION c WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUWECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL PINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 0706 OF THE LABOR CODE, INTEREST, AND ATTORNEYa FEES. I hereby affirm under penalty of perjury one of the following declarations: © I have and will maintain a cerificate 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 IN pgrformance of the work for which this permit is issued. Policy No.. have and will maintain 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' ranee carrier and policy number are: Policy Number of Agent Date 11 certify that, in the performance of the work hich this pormit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agref tat, if I should oecome > • the art com ensalion provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ignalure of Applca. Date ECLARATION REGARDIN ON57 UCTI ND G AGENCY 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). enders Name _ Lender's Address y nay signature below. I .:ertify to each of the following: I in, hie property Owner or authorized to acton the property owner's behalf. I have read this application and the information I have provided is correct. I. agree to comply with ail applicable city and unty ordinances and state laws relating to building construction. I aurhorize representatives of this city or o unty to Pier, ab ye -Identified property for inspection purposes. I'onatw e of ProearN Ov. Per or Authorized Agent — Pint Property Owner's or Authorized Agent's Name 1 t tL'�r1,��1 it I� 4 pate_ I `Y/I2 DATE l BY Ni.fiECLARATIONbF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY f j RFOLLATIONS PART 61 OF TITLE 40 AND AQMD RULE PERM, LXPREO p 4 L_)IISUBMITT€DA50ESTOS NOTIFICATIONTO _- IIpIppLL PERMITIANCr11 0 EPA ^ERAVI ,XTENDfD ]- ( PERMITFINAt I BESTO'�IF TION S APP IC-_E fG CERTIFICATE OF �! 1 PROPOSE4 MOL 10 OCCUPANCY ISSUED I SIGNATURE: