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Home My WebLink AboutF2023-0276 - PermitsaEv+PoRT City of Newport Beach III�III�IIII�V�I�IIIIIIIIII�III�IIIIIII�III�I��I��I� II 0� Community Development Department- Building Division F 2 0 2 3 0 2 7 6 COMB permit: F20230276 ,..° 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: PC2023-0337 Permit Counter Phone: (949) 718-1888 Issued Date : 06/08/2023 U c o- r T newportbeachca.gov/civic Inspection Area : FIRE "c,r�,aN` Combination Type - Work Class - Other PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION, BUT NO LATER THAN 3 YEARS FROM ORIGINAL ISSUANCE DATE NO CONSTRUCTION RELATED NOISE ON SATURDAY OR SUNDAY IN HIGH DENSITY AREAS AND NO WORK ON SUNDAY AND HOLIDAYS IN ALL AREAS Job Address : 717 LIDO PARK DR Description: COMM STAND PIPE FOR MARINA Owner: FIRST AMERICAN TRUST CO TR A Address : 717 LIDO PARK DR #1549 NEWPORT BEACH, CA 92663 Phone: Applicant: CHAD LUCAS Address: 8810 SPARLING LANE DIXON, CA 95620 Phone: (707)430-3565 Owner/Builder : Address : Phone Legal Desc : S TWP 6 RGE.10 SEC28 SEC 28 T 6 R 10 AND SEC 33 T 6 R 10 20.98 AC IN Contractor: BELLINGHAM MARINE IND.INC Address : 8810 SPARLING LANE DIXON CA 95620, CA 95620 Phone: (707)678-2385 Con State Lie : 442499 Lie Expire : 07/31/2023 Bus Lie: BT01101867 Bus Lie Expire : 09/30/2023 Workers' Compensation Insurance Carrier: PENNSYLVANIA MANUF. ASSOC. INS.CO. Policy No : 1360395Y W. C. Expire: 11/15/2023 Code Edition : 2019 Fire Sprinklers : NO Type of Construction : Fire Hazard Zone : NO Occupancy Groups : No of Units : 0 Bldg Height: No of Stories ; 0 Building Setbacks : Flood Zone : X, X, X, AE, 8 FT; X; AO 1, X, X, AO 1; X, X Use Zone : PC - Lido Peninsula - Amendment413 i PROCESSED BY: SPECIAL CONDITIONS: Architect: Address Phone: State Lie Engineer: CRAIGFUNSTON Address: 1323 LINCOLN ST BELLINGHAM, WA 98229 Phone: (360)676-2800 Designer: Address : Phone: Construction Valuation : Added/New/Ti sq. ft. Bldg : 0 Alteration sq. ft. Bldg : Added/New sq. ft. Garage: 0 TOTAL sq. ft. : 0 I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the teason(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 in permit to rile a signet} statement that he or she is licensed pursuantto the provisions of the -Contractors' State License Low (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and yofessiors Code) or that he or she is exempt from Boansure 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 two hundred dollars ($500), 1 1, as owner of the property, or my employees with "gas as their sole compensation, will do (_) all of or (_) portions of the work; and the structure is not Intended or offered for sale:(Section 7044, lusiness and Professions Coda: 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 Corner -Builder will he" the burden of proving that it was not built or nproved for the purpose of sale). I, as owner of the property, am exclusively contracting with ficensed Contractors to construct the project (Section 7044, Business and Profossions Code: The Contractors' State License Law does not pply 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). I am exempt tram licensors under the Contractors' State License Low for the following reason: Iy my signature below l acknowledge that, except for my personal residence In which I must have resided for at least one year prior t0 Completion of the Improvements covered by this permit, I cannot legaI4 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 copy of the applicable law, Section 7044 of the Business and Irofessions Code, is. available upon request when this application is submitted or at the following Web site:http:IAVWW.Wginfo.ca.gov/ealaw.htmi. signature of Property owner or Authorized Agent Datgee, �rW ryryryg'' r ICENSED CONTRACTOR'S DECLARATION1'� ��`� hereby affirm under penalty of perjury Vial I am Roomed under provisions of Chapter 9 (commencing with Sectio 7 )of �io�3�rf the Business and P i C ////�/ nsa is t it force Intl effect. License Class License. No Dat Contractor Rgnatu VORKERS' COMPENSATION DECLARATION il IARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE le UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PERAATWE AND cwB. EWES UP TO ONE HUNDRED , HOUSAND DOLLARS R0100,000), IN ADDITION TO THE OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3705 OF THE LABOR CODE, WTEREST, AND ATTORNETB FEES. hereby affirm under penalty of perjury one of the following declarations: 3 1 have and will maintain a oerbficate of consent to soli -insure for workers' compensation, Issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for IN pflonnance of the work for which this permit is issued. Policy No. 41'hov_e 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' compansatior nsursore carrier and policy number we: ;tinier Policy Number Expiration Dale dame of Agent Phone ff =1 certify that, in the peoPrmance of the Work for which this permit is Issued, I shall not employ any parson in any manner so as to become subject to the work' pensation laws of California, and agre, hot, If I should beoo e 6 bj rho k pensation pro ions of Section 3700. of the Labor Code, I Shall forthwith comply with those provisions. I 23 Agnalure of APPlican� j Dal XCLARATION REG G CtN STRUC N LENDING AGENCY hereby affirm under p atry that there Is. a construction leading agency for the performance of the work for which this permit Is issued (Section 3097 Gdv Code), _tinder's Name Lender's Address 3y my signature below, I car* to each of the following: I am the property owner or authorized to act on theproperty owner's behalf. I have read this application and the information I have PtAvided is correct. I agree to comply with all applicable city and Coo ty ordinances and a laws relating building construction. I authorize representatives of this city or County' IT r t v 4d "rope inspection purposes. , G l � I / 0 e r-i4 3i mature of Pr artOwner or Authorized m 7 Pnnl Pro a owner's or Authorized Agent's Name I v e rVt,\ ACTION DATE: BY E % ARATION OF COMPUANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGU TIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED _ T.TLAMITTW ASBESTOS NOTIFICATION TO PERMIT CANCELLED v v. _ v LlActiou PERMMENTENOEO PERMri FINAL UASEIESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATE OF PROPQSFO DEMOLITION OCCUPANCYISSUEO 51uNr,TURE.