HomeMy WebLinkAboutM2023-0062 - Permits�eWP a City of Newport Beach IIII I I II I III I I II I I II Harbor Permit : M2023-O062
Community Development Department - Building Division
1 DO Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2023-2115
Permit Counter Phone: (949) 718-1888 Work Class: Repair
c9tiFo a�,�r newportbeachca.gov/civic Issued Date: 09120/2023
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 : 759 VIA LIDO SOLD Legal Desc : N TR 907 BLK LOT 36
Description: SFR R/R (E) FLOATING DOCK LIKE -FOR -LIKE. NO PILE WORK. (E) GANGWAY AND PIER TO REMAIN.
Owner: BARTO JANICE D TR
Address: 2633 CHERRY AVE SIGNAL HILL, CA 90755
Phone: (949)500-2300
Applicant: MARISSA MORALES
Address : 6351 INDUSTRY WAY WESTMINSTER, 92683
Phone: (949)631-3121
Contractor:
SWIFT SLIP DOCK/PIER BUILDERS
Architect
Address :
6351 INDUSTRY WY WESTMINSTER, CA
Address
92683
Phone:
(949)631-3121
Phone:
Con State Lic
: 797052
State Lid
Lic Expire :
07/31/2025
Bus Lic:
BT01122734
Engineer:
Bus Lic Expire : 11/30/2023
Address
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 : X
Use Zone : R-1 - Single -Unit Residential
Processed By: 4 A
SPECIAL CONDITIONS: HIGH DENSITY & LIQUEFACTION ZONE
Phone
Designer:
Address
Phone :
PLAMEN BORRISOV PETROV
28161 CASITAS CT CASITAS CT LAGUNA
NIGUEL, CA 92677
(714)717-7542
Construction Valuation : $50,000.00
TION
I hereby affirm under penalty of perjury that I am exempt iromthe COntra.CtOrs' State License Law for the reason(5) Indicated below by the checkmark(s) I have placed next to the applicable Item(:
coon 70315, Business and Professions Code: Any city or county that requires a permato construct, after. improve, demolish, or repair any structure, prior to is Issuance, also requires the applicant
permIto file a signed staterrentthat he or she is It ensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business a
Fes slrns Code) or that he or she R exempt from It ensure ano Me basis for the alleged exemption- Any Vold lDn of Section 7031.5 by any applicant for a pen t subjects the applicant to a civ ll penalty
more than five hundred dollars ($500).
I, as ownerof the property. ormy employees with wages as their sole compensation, will. do (_) all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 704
.Iness 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 I
rovements are not intended or offered for sale. If.. however, the building or Improvement is sort within one year of completion, the Owner-Bunder will have the burden of proving that It was not built
roved for the purpose of sale).
I. as owner of the property. am exclusuely contracting with licensed Contractors to construct the project (Section 7044. Business and Professions Code: The Contractors' State License Lay does n
ty to an owner of property Who builds Orimproves thereon, and who contracts orthe projects with a licensed Contractor pursuant to the Conlrac tors' State License Law).
I am exempt from licensure under the Contractors' State License Law for the following reason_
my signature below 1 ac Mow ledge that, except for my personal residence in which I must have rasped for at least one year prior to completion of theimprovements covered by this permit. I cannot lei
a structure that I have built as an owner -builder if t has not been constructed in Its entirety by licensed contractors. I understand that a copy of the.appicable law, Section 7044 of the Business
fessions Code, is available upon request when this application is submitted or at the fdlow ing Web ste:rittpillwww.leginlo.ca.gov/calaw.htrti-
ialum of Property Cw ner or Authorized Agent Date
LICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury mal I am licensed under provisions of Chapter 9 (Comm cing wit Se tlot 7000) of Division 3 of the Busines n s e, my license is in tut. Torte
and effect. License Gass License No Date ZC 2 Contractor Signature
LONGSHOREMEN'S 8. HARBOR WORKERS' COMPENSATION DECLARA 101
WARFAILURE TO SECURE LONGMUREWN-59 HARBDR WORKERS' L ON COVERAGE IS LNLOWFD\
N{NG: A11D SFALLSU5JECT AN ENIPLOYER TO CRIMINAL RENALTE AND MIL FINES UP TOONE HUN OREDTHODSIND DOLLARS
t5100,000i, IN ADDITION TO THE COST OF COIW' NSATioN, DAEW GES AS MOVED ED FOR N SECTION 3 % OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm under penally of perjury one of the foil owing
declarations.
❑ 1 nave and wi'.II mai In Longshoremen's and Harbor 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' compensation insurance Cartier and policy number are:
Name of
Ll I certify that, in the per
agree that, if I. should beco S
Signature of Applicaril
DECLARATION
Expiration
cone #
this permit is Issued, I shall not employ any person in any manner so as to become subjectto the Workers' compensation laws of California,.
tlofl provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
7 /
I hereby affi on under penaty of perjury that them is a. construction lending agency for the perfomrance of the work forwhich this permit is issued (Section 3097
Lenders Name LendersAddiess
Fly my signature below, I certifyto each of the following:
I am the property owner or authorized to act on the property owners behalf.
I have mad this application and the information I have provided Is correct.
I agree to comply hall appItCity and county ordinances and state laws relating to buildl rig construction.
I authorze repo qt WI S city coye(y to enterthe above -identified property for inspection purposes.
Sianature:
GATE I a
I PERMIT EXPIRED I I
I PERMfTCANCELLED
PERMIT FINAL
CERTI F'CATE OAF
OCCU PANC'Y ISSUED
Print Name:
FEDERAL REGULATIONS PART 61 OF TI 71E40 FIND
AQMD RULE 14(l
❑ 1 SUBA41TT-ED ASBESTOS N077FICATION TO.
❑ EPA
❑ AQMD
❑ ASBESTOS NOTiRCATION 15' NOT APPLICABLE TO
PROPOSED DEMOLITION,
SIGNATURE.
Civil Code),
Date: