HomeMy WebLinkAboutX2019-1397 - PermitsCity of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIII�IIIIIIIIIIIIIIIIIIIII II COMB Permit: X2019-1397 -
b 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 1 9 1 3 9 7
: + Permit Counter Phone (949)644-3288 Project NO ; 0972-2019
of ra Inspection Requests Phone (949)644-3255.
`r"ay,yc1* Combination Type - BLDG - 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 OR NB -
Description: DEMO DETACHED GARAGE 400 SF -
Legal Desc.: NTR 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 e... • °
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NEWPORT BEACH, CA 92660 COSTA MESA, CA 92626 COSTA MESA CA 92626 ... ° • m
.Phone: 'phone: 949-375-6735 Phone: 949-975-0123 State Lic:CO22162
Applicant:. BURKHART BROTHERS CONSTR
Address:. 130 MCCORMICK AVE #107
COSTA MESA, CA 92626
Phone: 949.375-6735
Code Edit: 2016
Type of Construction:
Occupancy Group: U
Added /New sq.ft. Bldg: - - 0
Added /New sq. ft. Garage: 0
No of Stories: 0
No of Units: 1
Bldg Height: 0
Bldg Sprinklers:
TOTAL FEE: $195.48
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Construction Valuation:
$2.000.0
$0.00'
Building Permit Fee:
$104.00
Engineer.
Plan Check Fee: $90.48
. . m
Overtime Plan Ck:
$0.00 .
Address:
.Investigation Fee:
$0.00
:
. e °o
o
Record Management:
$0.00
NMUSD Fee:
Energy Compliance:.
$0.00
Lie Exp Date:. 0313112020
CA Seismic Safety:
.$0.00
�.. •. °
Disabled Access:
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$1.00
TOTAL FEE: $195.48
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Building Setbacks Rear: 1.
Front: /
Left: /
Right: I
Use Zone: Parkina Soso
Excise Tax:
$0.00
Additional Fee ;
$0.00'
Grading Bonds Fee:
Con State Lie: .905510
Engineer.
- $0.00 `.
. . m
•°
•
Lie Expire: 10/31/2019 -
Address:
WQ Insp. Fee:
• m m..
:
. e °o
o
Bus Lie: BT30026859
$0.00
NMUSD Fee:
....
• • °
Lie Exp Date:. 0313112020
Phone:
jX Sj'ate'Lic•- ;,.1
�.. •. °
• ° ° °
Worker's Compensation Insurance
Designer:.
Carrier. SECURITY NATIONAL INS
Address:
0
Policy No: SWC1218229
i,4
Expire: 0210112020
Phone.
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Building Setbacks Rear: 1.
Front: /
Left: /
Right: I
Use Zone: Parkina Soso
Excise Tax:
$0.00
Additional Fee ;
$0.00'
Grading Bonds Fee:
$0.00
Grading PC Consultant:
- $0.00 `.
Grading Permit Fee:.
$0.00
Grading PC Fee:
$0.00
WQ Insp. Fee:
$0.00
Electrical %:
Mechanical %:
Plumbing %:
$0.00
$0.00
$0.00
Plan Check Fee
Special Conditions: FRANCHISED HAULER:
JD DEMO
Planning Department-
Fire Department
. Plan check Fee:
Fire Inspection:
Fair Share
Fire Plan Rev
SJH Trans
Demolition Fee
In -lieu Housing Fee
Building Dept Adm
Public Works Department -
Park Dedication :
$0.00
P/W Plan Check :
$0.00
San Dist:
$0.00
NMUSD Fee:
$0.00
$0.00 Fee Due at Permit Issuance
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
APPROVAL TO ISSUE:
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$195.48
Fire Department
$0.00
Fire Inspection:
$0.00
Fire Plan Rev
$0.00
Demolition Fee
$0.00
Building Dept Adm
General Service
Refund Deposit
Grading Bond:
$0.00 Fee Due at Permit Issuance
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
APPROVAL TO ISSUE:
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$195.48
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury. that I am exempt from the Contractors' State License Law for the indicated below by the checkmark(s) I have placed next to the applicable item(s)
ction 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
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
fessions 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
more than five hundred dollars ($500).
I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044,
,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 the
rovements 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
roved 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 not
ly to an owrleJpj 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 exert WjrpOlicensure under the Contractors'. State License Law for the following reason:
my.signat rre b%low 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 legal
'Ef Ctructure Fha11 have 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
fes sions Cod€,is available upon request when this application is submitted or at the following Web site:hftp://www.leginfo.ca.gov/calaw.htmi.
Tatwre of Prop'erty Owner or Authorized Agent Date
g'NSED 0OVT�CTOR'S DECLARATION
reby affirm`.under-penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section7 ) of ivisi 3 of the Business and ProfeSsioga Co e, and my license is in full force
'effect. Liceinosa Class License No Date Contractor Signature,�.0/ ��—
IRKERS' 60MPENSATION DECLARATION
FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($700,000), IN ADDITION TO THE
:OMPENSATION, QAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
affirm andel pinalty of perjury one of the following declarations:
i 4itrjie and will maintain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section .3700 of the Labor Code, for
foFinance of 1hp.,4grR for which this permit is issued. Policy No.
and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers'
carrier and policy number are:
ne of Agent
certify that, in the performal
, if I should becomo subject
of
Policy Number Expiration Date
which this permit is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws o California, and
pensation provisions of Section 3700 of the Labor Code, I shall forthwith. comply with those provisions. / /I1'i� f I ." / I
CLARATION REt97, Civil RDING CION Cy1ON LENDING AGENCY
�reby affirm under penalty of Iu thaPhere is a construction lending agency for the performance of the work for which this permit is issued (Section 30Code).
ider's Name Lender's Address
my signature below, I certify to etch of the following:
I am the property owner or k0orized to act on the property ow
I have read this application and the information I have provided
I agree to comply with all applicable city and county ordinance$
I authorize representatives of this city or county tqfenter the affil
of ProOerty Owner
ACTION
PERMITCANCELLED
PERMIT EXTENDED
PERMIT FINAL
CERTIFICATEOF
OCCUPANCY ISSUED
to building construction.
Print Prooertv Owner's or
OF COMPLIANCE WITILCODE OF FEDERAL
PART 61 OF TITLE 40 AND AQMD RULE
SUBMITTED ASBESTOS NOTIFICATION TO
PROPOSED
TO
FOR OFFICE USE ONLY