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HomeMy WebLinkAboutM2023-0081 - Permits�EwaoRT City of Newport Beach III I I III III III III II Harbor Permit : M2023-0081 p� m Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 9266D Plan Check No : PC2023-2855 D Iy.} i Permit Counter Phone: (949) 718-1888 Work Class : Other 09��( pN�P newportbeachca.gov/civic Issued Date : 12/05/2023 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 : 214 VIA LIDO NORD Legal Desc : N TR 907 BLK LOT 855 Description: SFR R/R FLOATING DOCK AND (2) PILES. INSTALL 3RD PILE. RELOCATE GANGWAY Owner: JORGE VELARDE Address : 53389 VIA BELLAGIO LA QUINTA, CA 92253 Phone: Applicant: MARISSA MORALES Address: 6351 INDUSTRY WAY WESTMINSTER, 92683 Phone: (949)631-3121 Code Edition : Type of Construction Occupancy Groups: Building Setbacks Flood Zone Use Zone : 2022 U Front: 4, Front: 10, Side: 3, Side: 3 AE, 8 FT; X R-1 - Single -Unit Residential Contractor: SWIFT SLIP DOCK/PIER BUILDERS Architect Address : 6351 INDUSTRY WY WESTMINSTER, CA Address 92683 Phone : (949) 631-3121 Phone Con State Lie : 797052 State Lie Lie Expire : 07/31/2025 Bus Lie: BT01122734 Engineer: Bus Lie Expire : 11/30/2024 Address : The Longshore and Harbor Workers' Insurance Carrier: GREAT AMERICAN ALLIANCE INS CO Policy No: WC173816805 Policy Expire: 12/31/2023 Fire Sprinklers : NO Fire Hazard Zone : NO CIO CONSTRUCTION WORK Processed By: SPECIAL CONDITIONS: = ON SATURDAYS Phone Designer: Address Phone: PLAMEN BORRISOV PETROV 28161 CASITAS CT LAGUNA NIGUEL, CA 92677 (714)717-7542 Construction Valuation : $60,000.00 OWNER -BUILDER DECLARAT1..0N I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for thereasons) indicated beiov 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 penult to construct, after. Improve, demolish, or repair any structure, prior to is issuance, also requires the applicant fc the permit to file a signed statement that he or she Is licensed pursuant to the provisions of the ContractorsState License Law (Chapter9 (commencing with Section 7000) of Division 3 of the Business an Professions Code) or that he or she is exempt from It ensure and the basis for the alleged exemption. Any violation of Section 7031.5 by any appllc ant for a permit subjects [he applicant to a civil penalty D not more than five hundred dollars (S500). ❑ I, as owner of the property. ormy 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, 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 th 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 o im droved for the purpose of sale). © 1, as owner ortne property, am exclusively contracting with licensed Contractors to construct the project (Section 7044. Business and Professions Code: The Contractors' State Lcense Law does no appN to an owner or property who builds orImproves thereon, and who contracts forthe projects with a licensed Contractor pursualttD the Contractors' State&License Law). U I am exempt from Ilcensure uhderthe Contractors' State 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 feast one year prior to completion of the improvements cove sel a. structure that I have bull as an owner -bulkier if a has not been constructed In its entirety by licensed contractors_ I understand that a copy of theapplicable law, Professions Code, is available upon request when this application is submitted or at the follow Irrg Web sile:http:lhvww.leginfo.ca.govlcalaw.html. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION of the Business I hereby affirm under penalty of perjury that I am Licensed under provisions of Chapter S (commencing with_tio I 0�0) of Division 3 of the Buyness atjp PrdteCi and rry Ilense is in full force and effect. License Class License No. Date 1��/�I {I'l� Contractor Si naturCt /' Y LONGSHOREMEN'S & HARBOR WORKERS' COMPENSATION DECLARATION I 'C-� WARNING: FAILURE TO SECURE LONGSHOREMEN'S 3 HARBOR WORKERS' COMPENSATION COVERAGE IS UN'. LA'N.FUL, AND SHALL SUBJECTAIN EMPLOYER TO CRFI PE NALT3ES AND CIVIL FINES UP To ONE HUNDRED THOU SANO DOLLARS (STDD,DD3}, IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROV€DED FOR IN SECTION Sr% OF THE LABOR CODE„ INTEREST, AND ATTORNEY'S FEES. I thereby affront under penalty of perjury One of the following I have and will. maintain Longshorenlell's and Harbor worKef6' compensation insurance, as required by Section 3700 of the Labor Code. for the performance of the work for which this petrol Is My workers' compensation insurance carrier and policy number are: Policy Number Expiration Date Agent Phone # If I c enifythat, In theperformance of the work forwhic h this permit is Issued, lshall not em ploy any person in any manner so as to become subjectto the workers' compensation laws of Cal de that I I. should becomp-S00 t to w s' Comp section prov' io�ection 3700 of the Labor Code. I shall forthwith comply with those provisions nature of Applicarma}j`t/\ Day► IZ5 Z D[ARATION REGARD NG CO STRUC ON LEN' GAGENCY I hereby airm under penalty of perjury thatthere is a. construction lending agency fortheperformance of the work forwhich this permit is issued (Section 3097 Lender's Name LendersAddress By my signature below, I certifyto each ofthe following: I am the property owner or authorized to actor the property owner's behalf. I have read this application and the information' I have provided is correct. I agree to co with all appN Ity and county ordinances andstate.lawsreati�ng tobuilding construction. I authorve pre nix IVs is city rgounry toAriterthe above -identified property for Inspection purposes. Signature: PERARITCANCELLED I I I PERMIT EXTENDED PERMIT FINAL CERTf FI CITE CF OCCUPANCYISSJED Print Name: PART 61 OF TITLE 40 ALI ❑ 1SUBA417TED ASBESTOS NOTIFICATION TOr ❑ EPA ❑ AQMO ❑ ASBESTOS NOTIFICATION IS NOT APPLICABLE TO PROPOSED DEMOLITION. 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