The URL can be used to link to this page

Home My WebLink AboutM2007-0035WORKSHEET FOR BUILDING I FIRE PERMIT APPLICATION 172 -St( CITY OF NEWPORT BEACH IARBOR RESOURCES W, BUILDING DEPARTMENT r"ITY OF NEVORT BEACH PLEASE PRINT OR TYPE @I 1. PROJECT ADDRESS (NOT MAILIN.G ADDRESS) 0 LEGAL DESCRIPTION No. UNITS LOT BLOCK TRACT 11 2. DESCRIPTION OF WORK piace, -esli if k e, USE 4 # OF STORIES VALUATION A- NEW ADD R ALTER DEMO SQ FT fna-qv. (NEW/ADDED/EXTG) Check Appropriate Box for Applicant F-1 3. OWNER'S NAME LAST el FIRST 4n OWNER'S ADDRESS OWNER'S E-MAiL ADDRESS 1, a r-111 0 CITY STATE ZIP PHONE NO. CA 2��i�,o �il-ll 6 -7S- n 4. AR,6ifMElI3m+/DESIGNER'S NAME N-t� LIA I ST FIRST LIC. NO. - d&- - P--, Li C", - ARCH ITECT/DES I GN ER'S ADDRESS ARCH ITECT/DESIGN ER'S E-MAIL ADDRESS P, 0 , 1-31 CITY STATE ZIP PHONE NO. t "I(.,- �20 qq,,-2.qq- qtj-c-) f 5. ENG19EER'S NAME 51�e (- -1) e s i 0, U,\ LAST r 0 u p FIRST STATE LIC. NO. . �--OL� I ENGINEERS ADDRESS ENGINEER'S E-MAIL ADDRESS C;� R001 CITY STATE ZIP 9g/:s i PHONE NO. 310 4S) 3 's r-0 7-r> Ej 6 CQNTRACTOR'S NAME -1sQr-Wff-"- BUSINES-Srdt!"�--'�' STATE LIC. -I 0VI, co I No. H Class CONTRACTOR'S ADDRESS CONTRACTOR'S E-MAIL ADDRESS c) I It q �� t') r) o CITY I E pot—) ZIP -q IPRON Np. OFFICE USE ONLY (f t4tyy V PERMIT NO. TYPE OF CONSTRUCTION PLAN CHECK NO. ZR> 4 - PLAN CHECK FEE $ OCCUPANCY- GROUP PLAN CHECK ENG`21�7 I . —Fo—rmsABldg_,application 8127104 7 2 53 9 Ae J -u 'Pod .4 Oct 10 VICINITY SkETCH CWPORT .15Ay;,CAL-.lFQMHlA FA cr Ore lles-itod: /;I -f�y' a,17Ce'PiP.170 AO 4ei W "V97,17 ZOMW-LOW m7es 4w, NOW % 71 -4 4-A J�AAJVA 1� 4- "' wd 53 9 Ae J -u 'Pod .4 Oct 10 VICINITY SkETCH CWPORT .15Ay;,CAL-.lFQMHlA FA cr Ore lles-itod: /;I -f�y' a,17Ce'PiP.170 AO 4ei W "V97,17 ZOMW-LOW m7es 4w, NOW % 71 -4 4-A J�AAJVA 1� 4- "' wd 72 --SI 0 OOV 'Ynv'pOIr 0 coo e 41 Ot O"el "0 JTY'SkETCH V�PORT .15AV; CALI PCIZ141A ..C*paA'6-T. below "ecr"y I O -z' Pkai 'O'r Mepv'00'-�' Bay — — — ----------- j -n Ex 157104. NO -W -noo NaW 10W "T V6 I-d�014 W'' —.4 /2 Z-TT�- U�ft 2L: �"S Ouz) pl- 4 Aj RANDA4-1— t CITY OF NEWPORT BEACH FIRE MARINE DEPARTMENT HARBOR PERMIT APPLICATION (Please print all information) 1. Aliplicant (Propfirfy, Own r) Address Telephone i��o 10 ___, fZ &L[20 ZZ2 — " f& T Project Address (Street Address) Harbor Permit Number 3. New Construction Revision _L� Maintenance Dredging A -e -� 1 4. Fee Check No. I?ol Date �y 5. Brief Description of Proposed Work: 0- 6. Submit 8 1/2" x 11 " Drawings (3), Include: I . Location and dimension of proposed structure. 2. Location of bulkhead. 3. Location of property lines and lot size. 4. Location of channel markers within 200 feet of proposed project. 5. Existing ground profile, and area and profile of any dredging with elevations showing depth relative to MLLW. 6. Elevations of top and bottom of piles and bulkheads with respect to MLLW. 7. Any special conditions affecting the construction or affecting boating operations. 8. Owner Builder/Contractor Declaration/Insurance Information. 7. Owner -Builder Declaration must be co pie d n re erse side of this sheet) 8. Applicant's/Agent's Signature: Date: 9. Work can begin once the City has received evidence of the following additional approvals and you have been notified to proceed. If you begin prior to the notice you will be in violation of the Newport Beach Municipal Code and subject to penalties. 10. Your permit will not be final until we have conducted an on site inspection once construction is completed as per Municipal Code, Section 17.24, if we have not been contacted for a final inspection. OF C USE ONLY Approval in Concept. Approval of the City of Newport Beach Council. Approval of the Army Corps of Engineers Approval of the California Coastal Commission. Approval of the City's Public Works Department. I-V Approval of the City's Building Department. Approval of County of Orange. K-'s ued. (Permit is stamped drawing. Z Sist*e Inspection. (call 644-3043 for appointment) Site Re -inspection Conditions: Date A /-/ Xlf 7 Date Date Date Date 10 Date Date Date&22-27 Date//'-- W—f 7 Date OWNER -BUILDER DECLARATION I hereby affirm that I am exempt from the contractor's license law for the following reasons: (Sec. 7031d.5, Business and Professions Code). Any City or County which requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for such permit to file a signed statement that he is licensed pursuant to the provision of the Contractors License Law (Chapter 9, commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he is exempt therefrom 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 for not more than five hundred dollars ($500). — 1, as owner of the property, or my employees with wages as their sole compensation, will do the work, and the structure is not intended or offered for sale (Sec. 7044, Business and Professions Code: The Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who does such work himself or through his own employees, provided that such 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 he did not build or improve for the purpose of sale.) — 1, as owner of the property, am exclusively contracting with licensed contractors to construct the project (Sec. 7044, Business and Professions Code: T he Contractor's License Law does not apply to an owner of property who builds or improves thereon, and who contracts for such projects who builds or improves thereon, and who contracts for such projects with a Contractor'(s) License pursuant to the Contractor's License Law). I am exempt under Sec. of Business and Professional Code -for this reason: Owner's Signature: Date: Contractor: Address: License class State Board No. LICENSED CONTRACTOR'S DECLARATION Telephone: 7,2--3— I W12 Of- "I ", OZ: � i 1 11 M112"'_111 r, V I hereby affirm that I am license#*der prov'�Ons of Chapter 9 (commencing with Section 7000) of 'r Division 3 of the Business an fe ' ns e and my license is in full force and effect. I— Contractor's Signature Date: C4;T",1 lei /4�1 )2�41—IPA L. Z— /.2 S Ma ne Consultincp Design / cqf -6— P)1-1"6� �,,4Z—C,. lo -C,-97 -5 1770 ow j"I 5 7k,4 /A�0 BLIC JWGFIKS DEPART M -ENT NO EXCEPT163 TAKFJY DATE JS�ALL BE OWIE IN �CCORDANCE WITH 'IFICATIO�,JS FOR PUBLIMC a CTION AND IS SUBJECT TO ITY INS A D a ato . * 0 & tp OF CA OWL d v 0001�� 7— Z_ Z_ / 7 7- Z 7 F, 9, 7 —77- 2:57 14 L # Iwo ST CONS, (Y) Z— 1770 ow j"I 5 7k,4 /A�0 BLIC JWGFIKS DEPART M -ENT NO EXCEPT163 TAKFJY DATE JS�ALL BE OWIE IN �CCORDANCE WITH 'IFICATIO�,JS FOR PUBLIMC a CTION AND IS SUBJECT TO ITY INS A D a ato . * 0 & tp OF CA OWL d v 0001�� 7— Z_ Z_ / 7 7- Z 7 F, 9, 7 —77- 2:57 14 L # T DATE E:3 Accounts Payable General Services Administrative Services = Human Resources Arts = Mayor Building M.I.S. City Attorney Planning City Clerk Police City Manager Public Works/Engineering City Manager (Assistant) Public Works/utilities Community Services Revenue Fire & Marine FROM JMNACTION [:]AS REQUESTED OREVIEW E]INFORMATION WCOMMENT JWFILE STATE OF CALIFORNIA—THE RESOURCES AGENCY PETE WILSON, Governor CALIFORNIA COASTAL COMMISSION SOUTH COAST AREA PO Box 1450 (a 200 Oceangate, I Oth Floor LONG BEACH, CA 90802-4416 NOTICE OF PERMIT WAIVER EFFECTIVENESS RECIEIVE0 By PLANNING DEPARTMENT ."ITY OF NEWPORT BEAC14 DATE: September 15, 1997 TO: Frank Randall SE111) 17 1997 PIA FROM: Peter M. Douglas, Executive Director SUBJECT: Waiver De Minimis Number 5-97-268-W Please be advised that Waiver Number 5-97-268-W, which was reported to the Commission on September 9, 1997, became effective as of that date. Any deviation from the application and plans on file in the Commission office may require a coastal development permit for the entire project. APPLICANT- Frank Randall LOCATION: 511 Via Lido Soud, Newport Beach (Orange County) (APN(s) 423-205- 01) DESCRIPTION: Relocate an existing boat dock, pier, and gangway approximately 30 feet west of its existing location. The dock to be relocated is a U- shaped dock, 60 feet in length and 27 feet wide. The pier is 23 feet long with a 10 foot by 14 foot platform. The new dock will be slightly modified by adding a 5 foot wide knob on the western side and attaching the gangway to the knob. Should you have any questions, please contact our office. Sincerely, PETER M. DOUGLAS Executive Director By: MEG VAUGHN Coastal Program Analyst dt CALIFORNIA COASTAL COMMISSION STAME OF CALIFORNIA - TME RESOURCES AGENCY PETE WILSON, Govemor CALIFORNIA COASTAL COMMISSION South Coast Area Office 200 Oceangate,-10th Floor Long Beach, CA 90802-4302 Date: Auciust 26. 1997 (562) 590-5071 TO: Swift Slia., attn: Karen Torkildson .8 t reet ,Newport Beach. CA 92663 --_,`1SUBJ ECT: _'Waiiif of Coastal Development Permit Requirement/De Minimis 'o 30624.7 of the Coastal Act Based on your project plans and information provided in your permit application for the development described below, the Executive Director of the Coastal Commission hereby waives the requirement for a Coastal Development Permit pursuant to Section 13238.1, Title 14, California Administrative Code. If, at a later date, this information is found to be incorrect or the plans revised, this decision will become invalid; and, any development occurring must cease until a coastal development permit is obtained or any discrepancy is resolved in writing. WAIVER #_L -27-2U APPLICANT: Frank Randall LOCATION: 511 Via Lido Soud, Newport Beach, Orange County PROPOSED DEVELOPMENT: Relocate an existing boat dock, pier, and gangway approximately 30 feet west of its existing location. The dock to be relocated is a U-shaped dock, 50 feet in length and 27 feet wide. The pier is 23 feet long with a 10 foot by 14 foot platform. The new dock will be slightly modified by adding a 5 foot wide knob on the western side and attaching the gangway to the knob. RATIONALE: The proposed development will have no adverse impacts on coastal access or resources, is consistent with the City's certified LUP, and the Chapter 3 policies of the Coastal Act. This waiver will not become effective until reported to the Commission at their September 9-12, 1997 , meeting and the site of the proposed development has been appropriately noticed, pursuant to 13054(b) of the Administrative Code. The enclosed Notice Card shall remain posted at the site until the waiver has been validated and no less than seven days prior to the Commission hearing. If four (4) Commissioners object to this waiver of permit requirements, a coastal development permit will be quired. C/-14 9 1 - --- AU� - _4;� �_ by: CHARLES DAMM South Coast District Director cc: Commissioners/File 9455F 10 230 Do' cl ;o/ VICINITY SkETCH �ILV�Pasm 15.4Y; 'CALIP40ftNIA jorry:., —ILC5 41ow "vern Iawme-low way4e, thlG SOC-11617"OC �VeW,001- 7' 60y. 7T 5r -'A 4 - SIP" 01, 10 pos I no tj Now . Rapaocs C4,-ath Dis +,ic;t ioff icel N Ap 0'�ri D Via 10WOU4 V, I V E AUG 1997 Date t no CAL�Fo?,Nl COASTA I I I Nc,�� 12- Z L �-zt 22� L- -P &MARINE DEPT. uz� IIEWPORT OM -2FA�tJ K RAAJ DA 1� I -- A L .4 5 45 e -'oq 4-C, 7--;� 64, ov, Fr V-) c(I"A W= �AZ 4_11:57;0 AV 77 Gib C> C, 1�z Pic, C, -V, (I Orl AfOR W�s? Arrry VICINITY SKETCH i"4.r jarry z-*, �-4-4j P5A ',r, CALfFCyMNfA FE W PO Rr cx-e /,7 111CWt C717C/ C201 -7074e below Awe- Z -W-," &,OW kla7o, W/- I-C717YC /0 reRe"e. — / &),Voo, Sec,1161? 0/ A/ L zo. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . con_ T k A/Z 0 V4A -r -77:�A C. 7..- F cq .0 7T, 1�7 TO F4 DATE Accounts Payable General Services Administrative Services Human Resources Arts Mayor Building M.I.S. City Attorney Planning City Clerk Police City Manager Public Works/Engineering City Manager (Assistant) Public Works/Utilities Community Services Revenue Fire & Marine FROM- JIACTION F-1 AS REQUESTED JOREVIEW FlINFORMATION I§COMMENT JWFILE