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Home My WebLink AboutXR2023-1395 - PermitsaEWPpRT City of Newport Beach IIIIIIIIIIIIIIIIIIIIIIIIIII IIIIIIIIIIIIIIIIIIIII II COMB Permit XR2023-1395 o'< @ Community Development Department- Building Division X R 2 0 2 3 1 3 9 5 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : 1056-2021 Permit Counter Phone: (949) 718-1888 Issued Date : 05/25/2023 Ue.r newportbeachca.gov/civic Inspection Area : 1 C4C�FORN`r Combination Type - SFP Work Class - Other PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION, BUT NO LATER THAN 3 YEARS FROM ORIGINAL ISSUANCE DATE NO CONSTRUCTION RELATED NOISE ON SATURDAY OR SUNDAY IN HIGH DENSITY AREAS AND NO WORK ON SUNDAY AND HOLIDAYS IN ALL AREAS Job Address: 413 EDGEWATER PL Legal Desc : A TR BALBOA BAYSIDE TR BLK 2 LOT 8 BALBOA BAYSIDE TR LOT 8 B LK 2 ALL -INC BET SAME & Description: SFR BLOCK WALL (INSIDE P/L) 6" X 40' MARKERS ON SITE Owner: BH BELGRAVIA LLC Contractor: BURKHART BROTHER'S CONSTR INC Architect Address : 2312 E NOTTINGHAM ST Address : 12 BALBOA COVES Address SPRINGFIELD, MO 65804 NEWPORT BEACH, CA 92663 Phone : Phone : (949) 508-8478 Phone Con State Lic : 905510 State Lie Lie Expire : 10131/2023 Applicant: BURKHART BROTHER'S CONSTR INC Bus Lie : BT30026859 Engineer: Address : 12 BALBOA COVES Bus Lie Expire : 03/31/2024 Address NEWPORT BEACH, CA 92663 Phone: (949) 508-8478 Workers' Compensation Insurance Phone: Carrier: SECURITY NATIONAL INS CO Owner/Builder : Policy No: SNP1426534 Designer: Address : W. C. Expire: 2/1/2024 Address Phone: Phone: Code Edition : 2022 Fire Sprinklers : NO Construction Valuation : $5,000.00 Type of Construction : V-B Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg : 0 Occupancy Groups : U No of Units : 1 Alteration sq. ft. Bldg : Bldg Height: No of Stories : 0 Added/New sq. ft. Garage : 0 TOTAL sq. ft. : 0 Building Setbacks : Front: 7, Side: 3, Side: 3, Rear: 5 Flood Zone : AE, 8 FT; X; AO 1 Use Zone : R-2 - Two-Unesidential PROCESSED BY: SPECIAL CONDITIONS: 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 iteri iection 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 re permit to rile a signed statement that he or she is licensed pursuant to the previsions of the Contractors' State License Law (Chapter 9 (commencing With Section 7000) of Division 3 of the Business and rofessions 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 pormit subjects the applicant to a civil penalty of of more than five hundred dollars ($500). 1 I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U portions of the work, and the structure is not Intended or offered for sale (Section 7044, usiness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' nr personal effort, builds or improves the property, provided that the nprovemenls are not Intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -Sunder will have the burden of proving that it was not built or nproved for the purpose of sale), 11, 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 pply 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 I am exempt from licensure under the Contractors' State License Law for the following reason: y 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 legally all 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 rofessions Code, isavailable upon request when this application is submitted or at the following Web site:httpJiwww.leginto.ca.govlcalaw.htmi. Ignature of Property Owner or Authorized Agent _...... Date ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license. is In full force nd effect. License Class License No Date S Contractor Signatu PORKERS' COMPENSATION DECLARATION ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HONOR THOUSAND DOLLARS (S100,000), IN ADDITION TO THE DST OF COMPENSATION, DAMAGES AS PROVIDED FOR W SECTION 3706 OF THE LABOR CODE, INTEREST, ANb ATTORNEY'S FEES, affirm under penally of perjury one of the following declarations: have and Will maintain a certificate of consent to self -insure for workers' compensation, Issued by the Director of Industrial Relations Be provided for by Section 3700 of the Labor Code, for pence of the work 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: Policy Number Expiration Date of Agent Phone B- 1t Certify that, in the performance of the work for which this permit is Issued. I shall not employ any person it) any manner so as to become subject to the workers' compensation laws of California, and tat, it I should become subject to the workers' Gompensatfon provisions of Section 3700 of the Labor Code, tshall forthwith comply With those provisions. / Iignature of Applicant IECLARATION REGARDIO CONSTRUCTION LENDING AGENCY 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). ender's Name - Lender's Address ly 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 stale laws relating to building construction. I authorize representatives of this city or county j6 artier the above-identlfled property for Inspection purposes. inn;;turc ni PmnwHV flwnsr nr AutNnfi>nd Anent A( �1 1 — Print Prnnartv (lwnar'c nr Anrhrei>wN AnwnYc /Z( 164'r DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND At RULE PERMIT EXPIRED LJ I SUBMITTED ASBESTOS NOTIFICATION TO PERMITCANCELLED PERMIT EXTENDED �J-rEPA PERMIT FtNAt CERTIFICATE OF OCCUPANCYISSUED G[z(Z3 T-uAOMD tJAS13ESIOS NOTIFICATION:15 NOT APPLICABLE TO PROPOSEDDEMOLITION I SIGNATURE: Date