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Home My WebLink AboutM2022-0053 - Permits (3)w,y City of Newport Beach 1pill111111111111111111111111111111111111111111111111111111 j� Harbor Permit :M2022-0053 ,O Community Development Department- Building Division M 2 9 2 2 - 0 0 5 3 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: PC2022-2796 yi► S Permit Counter Phone: (949) 718-1888 Issued Date : 12/09/2022 c7� on"�P newportbeachca.gov/civic Final Date: Work Class - New Permit Status: Reissued 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 : 114 VIA LIDO NORD Legal Desc : N TR 907 BLK LOT 868 TR 907 LOT 868(AND SELY 5 FT LOT 869 Description: REMOVE AND REPLACE DECKING ON FLOATING DOCK, GANGWAY AND PIER ONLY Owner: 114 VIA LIDO NORD LLC Contractor: SWIFT SLIP DOCK/PIER BUILDERS Architect Address : 114 VIA LIDO NORD NEWPORT BEACH, CA Address : 6351 INDUSTRY WY WESTMINSTER, CA Address 92663 92683 Phone: (630) 531-5077 Phone: (949) 631-3121 Phone: Applicant: SWIFT SLIP DOCKIPIER BUILDERS Lic Expire: 07/31/2025 Address; 6351 INDUSTRY WY WESTMINSTER, CA 9268: Bus Lic : BT01122734 Phone: (949) 631-3121 Bus Lic Expire : 11/30/2024 The Longshore and Harbor Workers' Insurance Carrier: GREAT AMERICAN ALLIANCE INS CO Policy No: WC173816805 Policy Expire: 12/31/2024 Code Edition : 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: k m SPECIAL CONDITIONS: Engineer: PETROVPLAMEN Address: 28161 CASITAS CT LAGUNA NIGUEL, CA 92677 Phone: (714)717-7542 Designer: Address Phone : Construction Valuation $24,000.00 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reasons) indicated Delow by the chef: mark(s) I. have placed next to the applicable item(. (Section 7034_5. Business and Professions Code: Any city orcounty that. requires a permit to construct, after, improve, demolish, or repair any stmctuie, priorto its Issuance, also requires the applicant the permit to file a signed statement that he orshe is licensed pursuantto the provisions of the ContractorsState License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business a Professions Code) or that he or she Is exempt from licensure and the basis for the alleged exemption Any mo[ation of Section 7031.5 by any applicanifor a permit subjects the applicant to a civil penalty not more than five hundred dollars ($500). ❑ L. as owner of the property. or my employees with wages as their. sole compensation, will. do U all of or (_) portions of the work, and the structure is not intended or offered for sale ( Section 704 Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who,. through employees' or personaleffort, builds or improves theproperly, provided that 1 improvements are not intended or offered mrsate. N, however, the building or improvement is sold within oneyear of completion, the Owner -Builder will have the burden of proving that it was not built enproved for the purpose of sale). ❑ 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 n apply to an owner of property who builds or improves thereon, and who Contracts forthe projects with a licensed Contractor pursuant to the Contractors' State License Law). I am exempt from Gcensure underthe Contractors' State License. Law for the.. following reason_ my signature. below I acknowledge that, except for my personal residence in which I must have resident for at least one yearprlor to completion or the improvements covered by this permit, I a structure that I have built as an owner builder If a has not been con50uCted in its entirety by [tensed contractors_ I understand that a copy of the appicable law. Section 7044 of the �fessions Code. Is available upon request when this application is submitted or at the following Web ste:http:ilwww.leginto.ca.gov/calaw.htrN nature of Property Owneror Authorized Agent Date 10ENSED CONTRACTOR'S DECLARATION hereby am" under penalty of perjury that I am licensed under provskma of Chapter 9 (co irk } ection 7000) of Division 3 ofthe ems` ess a Pr sron. e, and m y license is n full fore{ no effect: License Class License No. Date U Contractor Signatulr .ONGSHOREMEN'S & HARBOR WORKERS' COMPENSATION DECLARATION IARNING; FAILURE TO SECURE LONGSHOREWN'S & HARBOR WORKERS' CONWEN NATION COVERAGE 15 UNLPWFUL,AND. SHALL SUBJECT AN ENWL0YER TO CR{MNPL PE NALmES ANOCML FINES UP TO ONE HUNDRED THOU SAND DOLLARS KUD HIDI. IN ADDITION TO THE COST OF CONWENSATTON, DAMAGES AS FROVIOED FOR N SECTION 3105 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affml under penalty of perjury one of the following kI have and wilt maintain Longshoremen's and Harbor workers' compensation insurance, as required by Section 3700 of the Labor Code, forthe performance of the work for which this permit is su My workers' compensation insurance carver and policy number are: arrler Policy Number Ex p[ralien Date I certify that, in t rfornence e work forwhich this pemmit is issued, j shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, that, N I should om tit W FK ' ccomr�ensatlon prove ions of Section 3700 of the Labor Code, I shall forthwith canply with those provisions. t, Lture of Appii ant: I \ V �� _ . i I / 6 1 %Ll I hereby affirm under penalty of perjury thatthere is a construction lending agency forthe performance of the work forwhich this permit. is Issued (Section 3097 Lender's Name Lender'sAddress By my signature ttelow, I certifyto each of the following: I am the property owner m authorized to act on the property owners behaN. I have read this application and the information r have provided is correct - I agree to comply with all applic city am county ordinances and state. laws relating to building construction. I authorize repreSept7G.Yes of is city rcounty toenterthe above -identified property for inspatio�Lpurposes. t^ t ACTICPN I PERMIT CANCELLED PERMIT FINAL Print Name: FEDERAL REGULATIONS PARTS? OF T17LE40AND AQMD RULE 1403. ❑ I SUBMITTED ASBESTOS NOTIFICATION TO: ❑ EPA ❑ AQMD ❑ ASBESTOS NOTIFICATON IS NOT APPLICABLE TO PROPOSED DEMOLITION. SIGNATURE OCCL€PANCKIFSVEQ Civil Code). Date: