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Home My WebLink AboutX2019-1396 - Permits11tr City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIII�IIIIIIIIIIIIII�I IICOMB Permit: X2019-1396 100 Civic Center Drive, Newport Beach CA 92660 X 2 0 1 9 1 3 9 6 Project No :0972-2019 Permit Counter Phone (949)644-3288 +7* Inspection Requests Phone (949)644-3255. "ea,auxT Combination. Type - BLDG PLUM Issued Date : 04130/2019 - 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 from 8:00 a.m. to 6:00 p.m. No work on Sundays or Holidays Job Address: 2404 CLIFF DR NB. :Description: DEMO SFR 1,448 SF (3 BEDROOMS) - Legal Desc.: N TR 919 BLK 3 LOT 5 Owner: TRIMAR PROPERTIES Contractor: BURKHART BROTHERS CONSTR Architect: TEALE MARK Address: 2015 SHIPWAY DR Address: 130 MCCORMICK AVE #107 Address: 2900 BRISTOL ST BLDG A203 NEWPORT BEACH, CA 92660 COSTA MESA, CA 92626 COSTA MESA CA 92626 .... Phone: Phone: 949.375.6735 Phone: 949-975-0123 State Lic:CO22162 , - e• ° Applicant: BURKHART BROTHERS CONSTR Con State Lie: 905510 Engineer: e • • a • o Address:- 130 MCCORMICK AVE#107 .Lie Expire: 10/31/2019 Address: • `!n 9 ,;, °o •O • m m COSTA MESA, CA 92626 Bus Lie: BT30026859 i 1; ! ` ,.; �i ` r ""$" •+• • ° ° Phone: - 949-375-6735 'Lie Exp Date: 03131/2020 Phone: estate Lie::=%p�`'^ / •;.R• eemoo Code Edit ' 2016 Worker's Compensation Insurance .Designer. �. # s m v Type of Construction; V-B Carrier: SECURITY NATIONAL INS Address: Occupancy Group: R3 Policy No: SWC1218229 ...... Added /New sq.ft.. Bldg: 0 _ Expire: -02/0112020 Phone:° Added/New sq. ft. Garage: 0 mmem •m•c. No of Stories:. -1 - Building Setbacks. Rear:./ Special Conditions: FRANCHISED HAULER: No of Units: 1 Front: / - JD DEMO - Bldg Height: 0 Left:. / ` - Bldg Sprinklers: Right: / Flood Zone:: - Use Zone: Parking Spaces: 0 Fire Hazard Zone N Construction Valuation: $8.000.00 - 'Building Permit Fee: $103.00 Excise Tax: $0.00 Planning Department- Fire Department Plan Check Fee: $208.00 Additional Fee : $0.00 Plan check Feer $90.00 �. Fire Inspection:. $0.00 Overtime. Plan Ck $0.00 Grading Bonds Fee: $0.00.. Fair Share: $0.00 Fire Plan Rev $0.00 Investigation Fee: $0.00 Grading PC Consultant: - $0.00 SJH Trans : $0.00 Demolition Fee Record Management: $4.00 Grading Permit Feer $0.00 In-lieu Housing Fee: $0.00 Building Dept Adm.:. $26.00 Energy Compliance: $0.00 Grading PC Fee: $0.00 Public Works Department - General Service $210.00 - CA Seismic Safety: $0.00 WQ Insp. Fee: $0.00 Park Dedication : $0.00 Refund. Deposit $1,127.00 Disabled Access: $0.00 P/W Plan Check : $0.00 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical W $0.00 San Dist: $0.00 Building Green Fee : $1.00 Mechanical %: $0.00 - NMUSD Fee; $0.00 $0.00 Plumbing %i $9.27 $0.00 TOTAL FEE : $1,778.27 Plan Check Fee: $0.00 Fee Due at Permit Issuance : $1,778.27 PROCESSED BY: - PUBLIC WORKS APPROVAL:' ZONING APPROVAL: - PLAN CHECK BY: GRADING APPROVAL: APPROVAL TO ISSUE: �`�J./ • "' OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(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 the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt from licensure 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,. not more than five hundred dollars ($500). ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) portions of the work, and thestructure 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 the 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 or improved for the purpose of sale). ❑ 1, 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 not apply to an owVj ptproperty 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 frarri licensure under the Contractors' State License Law for the following reason: By m Yeignatuje, yelow I acknowledge that, except for my personal residence in which I must have resided for at least one year. prior to completion of the improvements covered by this permit, I cannot Iegall I%11 a structure the PI�gave built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and Professions Code, Is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.govlcalaw.html. Signature of Propbrty Owner or Authorized Agent Date LICENSED QOWTRACTOR'S DECLARATION I%rebq affirmgmd0l'penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70 0f2 � the Business and Profs si s ode, my Iicens 'S�all.frZe bnd@ffect. License Class License No Date "/ Contractor Signature K(AkcRS' COMPENSATION DECLARATION Ir V MAKING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMI L PENALTIES AND CIVIL FINES UP TO ONE HUN ED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE 809AOFCOMPEN84TION, RAMAGES AS PROVIDED FOR IN SECTION 0700 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I:hereb;afFlrm drTAT (gnalty of perjury one of the following declarations: I InNe and wvlF margtstain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for th ooeelNbfrllance of th"ork for which this permit is issued. Policy No. I¢If�Haya 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' compensatio insurance carrier and policy number are: Carrier Policy Number Expiration Date Name of Agent Phone # ❑1 certify that, in the performan of the work for which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' co nsation laws of California, and agre that, if I should become su jec 0 workers' compensation provisions of Section 3700 of the Labor Code, 1 shall forthwith comply with those provisions. _ Signature of Applicant Date DECLARATION REG DIN CONSTRUCTION LENDING GENC I hereby affirm under 0enalty of perjury that there is a constr ending agency for the performance of the work for which this. permit is issued (Section 30� ,Civil Code). Lender's Name I Lender's Address By my signature below, I certify to each of the following: I am the property owner or authorized to act on the property owner's behalf. � 11 �• I have mad this application and the information I have prMed is correct. I agree to comply with all applicable city and coun o a es and state laws relating to building construction. I authorize representatives of this city or county r h a - tified property for inspection purposes. 3g Signature of Property Owner or Authorized Agent - rint Property Owner's or Authorized Agent's Nam ate v 1111 ACTION DATEBY DECLARATION OF C PLIANCE WIT ODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 1OF TITLE AND AQMD RULE PERMITEXPIRED I SUBMITTED ASBESTISS NOTIFICATIONTO ' PERMITCANCELLED pA PERMIT EXTENDED D - PERMITFINAL ASBESTOS TIFICA NI ]CABLE TO CERTIFICATE OF PROPOSEDE OLITI OCCUPANCYISSUED SIGNATOR a � N p $ d O N Q ac Ra00 v N a x m z 0 4i V p 6 F W O