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Home My WebLink AboutX2022-0192 - Permits4 w;. City of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Combination Type - SFP MECH ELEC PLUM COMB Permit: X2022-0192 Project No : 0184-2022 Issued Date : 021281 22 Inspection Area :; PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 02/28/2025 OR PERMIT WILL BE INVALID 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: 1038 GOLDENROD AVE NB Description: SFR REMODEL 481 SF KITCHEN, (2) BATHS, LAUNDRY. REMOVE/REPLACE STAIR GUARDRAIL. NEW STEEL BEAWPOST Legal Desc.: N TR 2202 LOT 62 Owner: ABBOTT ALEC/SHARON Contractor: BURKHART BROTHERS CONSTR Architect: Address: 1038 GOLDENROD AV Address: 12 BALBOA COVES Address: NEWPORT BEACH CA 92625 NEWPORT BEACH CA 92663 Phone: Phone: 949-375-6725- Phone: State Lic: Applicant: WYATT ROBERT Con State Lic: 905510 Engineer: GIBBS ERIK Address: 12 BALBOA COVES Lic Expire: 1013112023 Address: 25991 AVENIDA MARIPOSA NEWPORT BEACH CA 92663 Bus Lic: BT30026869 SAN JUAN CAPISTRANO CA 92675 Phone: 949-374-4191 Lic Exp Date: 0313112022 Phone: State Lic:C-081137 Code Edit : 2019 Type of Construction: V-B Occupancy Group: R3/U Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 2 No of Units : 1 Bldg Height: 0 Bldg Sprinklers: N Flood Zone: X Building Permit Fee: $679.00 Plan Check Fee: $590.73 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $18.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee : $2.00 TOTAL FEE: $1,477.53 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Worker's Compensation Insurance Carrier: SECURITY NATIONAL INS Policy No: SWC1373426 Expire: 02/0112023 Building Setbacks Excise Tax: Additional Fee Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: Electrical %: Mechanical W Plumbing %: Rear: / Front: I Left: I Right: / irking Spa $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $47.53 $27.16 $61.11 0 Designer: BURKHART BRYAN Address: 1382 VALENCIA#F TUSTIN CA 92780 Phone: 949-677-8701 Special Conditions Planning Department - Plan check Fee Fair Share SJH Trans In -lieu Housing Fee: Public Works Department - Park Dedication : $0.00 PAN Plan Check : $0.00 San Dist: $0.00 NMUSD Fee: $0.00 Fire Department $52.00 Fire Inspection: $0.00 $0.00 Fire Plan Rev $0.00 $0.00 Demolition Fee $0.00 Building Dept Adm $0.00 General Service $0.00 Refund Deposit $0.00 Grading Bond: $0.00 $0.00 $0.00 Plan Check Fee : $642.73 Fee Due at Permit Issuance : $834.80 a °P6TBL4C.WpRKS APPROVAL: PLAN CHECK BY: , APPROVAL TO ISSUE: o 0 0 0 0 e c o0 0 0 rl_ 0 0 LU p� lr d 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 U all of or L) portions of the work, and the structure 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). ❑ 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 apply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). ❑ 1 am exempt from licensure under the Contractors' State License Law for the following reason: By my signature below 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 legalh sell a structure that I 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 Professions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70OLef DiVision 3 of the Business and Pr s ons ode, and my license is in full force and effect. License Class License No DataN 2 7- Contractor Signatur WORKERS' COMPENSATION DECLARATION NARNING: 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 ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: ❑ 1 have 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 th performance of the work for which this permit is issued. Policy No. have and wil�ntain 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' Date Name of Agent t�- (� LilPhone # I certify that, in the performance 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' compensation laws of California, and agre that, if I should become subject to th workers' comnsation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Signature of Applicant Dye G/ y8'�2Z DECLARATION REGARDITRUCTION LENDING AGENCY ---lll I hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). Lender's Name 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. I have read this application and the information I have provided is correct. I agree to comply with all applicable city and county ordinances and state laws relating to building construction. I authorize representatives of this city or county to an 'above -identified property for inspection purposes. Signature of Property Owner or Authorized Agen Print Property Owners or Authorized Agent's NamA slo?e4cerTJbi Date Z ACTION DATE BY RATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGU TIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 ••• •°• • ••• • PERMITEXPIRED ISUBM ED ASBESTOS NOVFIreATICrJTQ ° • ° "• PERMITCANCELLED EPA � ... `e` `e` `• • `• `• PERMIT EXTENDED QMD` PERMITFINAL _a'-Z - SBESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATE OF PROPOSED O 0 •.• •�• •�• . ° ." „• OCCUPANCY ISSUED SIGNATU ° ` ` ° • ` • o o• e aoo as `an - o eao oa