HomeMy WebLinkAboutX2022-0918 - PermitsCity of Newport Beach - Building Division ������������p��1111111p111111p111p11111111111Jill
100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 2 2 0 9 1 6
Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255 NO CONSTRUCTION NOISE
`:�,+„yw•* Combination Type - BLDG
COMB Permit: X2022-0918
Project No: 1056-2021
Issued Date : 0313012022
Inspection Area : 1
BY 012025 OR PERMIT WILL BE INW
PERConstrul
ction Hours.SMonday s Friday 7.•00 a.m. toA6.30 p.m. anldN aT f�iQ81tldC1:1�1f61T
IN�IM.
No3work on Sundays or Holidays
Job Address:
413 EDGEWATER PL NB
Description:
DELTA 1, RETAINING WALL 18"x 62 LF, 3'4"x 60 LF (INSIDE P/L, MARKERS ON SITE)
Legal Desc.:
Owner:
COLLINS JIM Contractor: BURKHART BROTHERS CONSTR
Architect:
Address:
2025 W BALBOA BLVD Address: 12 BALBOA COVES
Address:
NEWPORT BEACH CA 92663 NEWPORT BEACH CA 92663
Phone:
949-689-0575 Phone: 949-375-6725
Phone:
State Lic:
Applicant:
GUIDERO BILL Con State Lic: 905510
Engineer:
MANSHADI FARHAD
Address:
425 30TH ST STE 23 Lic Expire: 10/3112023
Address:
1800 E 16TH ST UNIT B
NEWPORT BEACH CA 92663 Bus Lic: BT30026869
SANTA ANA CA 92701
Phone:
949-675-2626 Lic Exp Date: 03/31/2022
Phone:
714-835-2800 State Lic:C-036840
Code Edit: 2019
Type of Construction: VB
Occupancy Group: U
Added /New sq.ft. Bldg: 0
Added /New sq. ft. Garage: 0
No of Stories: 0
No of Units : 0
Bldg Height: 0
Bldg Sprinklers:
Flood Zone: A01
Building Permit Fee: $161.00
Plan Check Fee: $140.07
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management:
$2.00
Energy Compliance:
$0.00
CA Seismic Safety:
$0.00
Disabled Access:
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$1.00
TOTAL FEE: $508.07
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Worker's Compensation Insurance
Carrier: SECURITY NATIONAL INS
Policy No: SWC1373426
Expire: 02101/2023
Building Setbacks
Use Zone:
Excise Tax:
Additional Fee
Grading Bonds Fee:
Grading PC Consultant
Grading Permit Fee:
Grading PC Fee:
WQ Insp. Fee:
Electrical %:
Mechanical %:
Plumbing %:
Rear: 5'
Front: 7'
Left: 3'
Right: 3'
'arking Spac
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$152.00
$0.00
$0.00
$0.00
Designer:
Address:
Phone:
Special Conditions: REV22-0565
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 : $0.00 Fee Due at Permit Issuance : $508.07
•• • .• • •HUBLIC.WORKS APPROVAL:
+ ' PLAN CHECK BY:
APPRQVAL TO ISSUE:
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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 U 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 legally
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.htmi.
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 00 f D'�ion 3 of the Business aril P f s o � nd my license is in full force
and effect. License Class License No Date �'-5 `LZ 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 I$100,0001, IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
I hereby affirm under penalty of perjury one of the following declarations:
and will maintain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for
a of the work for which this permit is issued. Policy No.
have and will majeCdiq workers'
rance carrier and olic umber
ie of Agent .�E50
certify that, in the performance of the
. if I should become subiect4o the wG
of Applicant
as requj$e(1 by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers'
Date
I
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
compensation Drovisions of Section 3700 of the Labor Code. I shall forthwith comply with those orovisions.
CLARATION RECTRRD$NG CONSTRUCTION LENDING AGENCY
:reby 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
Ider's Name Lender's Address
my signature below, I certify to each of the following:
1 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 aQ5,state laws relating to building construction. I authorize representatives of this city or county r thproperty for inspection purposes.
nature of Prooertv Owner or Authorized Aoen Print ProDertv Owner's or Authorized ADent's Name �
Civil Code).
ACTION
DATE
BY
DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
1403
FOR OFFICE USE ONLY
PERMIT EXPIRED
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