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Home My WebLink AboutXR2022-3322 - PermitsCity of Newport Beach Q ��WPOQT C @�Community Development Department- Building Division �^ 100 Civic Center Drive, Newport Beach, CA 92660 u r1 Permit Counter Phone: (949) 644-3288 Inspection Requests Phone: (949) 644-3255 CqG/F00.N\P newportbeachca.gov/inspections Combination Type - SFP PLUM Work Class - Other COMB Permit: XR2022-3322 X R 2 0 2 2 3 3 2 2�� I Plan Check No : PC2022-2579 Issued Date : 1212112022 Inspection Area : 3 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: 1424 GALAXY DR Legal Desc : N TR 4224 BILK LOT 78 Description: SFR DEMO EXIST'G INTERIOR POOL 150 SF METHOD "B" INCL SEWER CAP Owner: OCEAN MANOR GROUP LLC Contractor: BURKHART BROTHERS CONSTR Architect : ..... Address : 3235 E OCEAN BLVD Address : 12 BALBOA COVES Address LONG BEACH, CA 90803 NEWPORT BEACH, CA 92663 Phone : Phone : (949) 375-6725 Phone: Con State Lic : 905510 State Lic Lic Expire : 10/31/2023 Applicant: BURKHART BROTHERS CONSTR Bus Lic : BT30026859 Engineer Address : 12 BALBOA COVES Bus Lic Expire : 03/31/2023 Address : . , • • • ;;; NEWPORT BEACH, CA 92663 Phone (949) 375-6725 Workers' Compensation Insurance Phone: ; : Carrier: SECURITY NATIONAL INS CO Owner/Builder : Policy NO: SWC1373426 Designer Address : W. C. Expire: 2/1/2023 Address Phone: Phone: Code Edition : 2019 Fire Sprinklers : NO Construction Valuation : Added/New/TI sq. ft. Bldg : $6,000.00 0 Type of Construction : V-B Fire Hazard Zone : NO 1 Alteration sq. ft. Bldg : Occupancy Groups : U No of Units : No of Stories : 1 Added/New sq. ft. Garage: 0 Bldg Height : TOTAL sq. ft. : 0 Building Setbacks : Front: 20, Side: 6, Side: 6, Rear: 6 Flood Zone : X Use Zone: R-1-6000 - Single -Unit Residential (6000 indicates minimum lot area) PROCESSED BY: �� n SPECIAL CONDITIONS: 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 items) (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 lie or she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section TODD) of Division 3 of the Business and. Professions Code) or that he or she is exempt from licensors and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant fora permit subjects the applicant to a Civil penalty of not more than five hundred dollars ($500). El I, as owner of the property, or my employees with wages as their sole compensation, will do U... all of or L) portionsofthe 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 $old within one year of completion, the Owner -Builder will have the burden of proving that It was not built or 'mproved for the purpose of sale). 13 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 Iicensure under the Contractors' State License Law for the following reason: By my signature below I acknowledge [bat, 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, !.cannot Iegall, sell a structure that I have built as an owner -builder if it has not boon constructed in its entirety by Iiconsad contractors. I undorstand that a copy of the applicable law, Section 7044of the Business and 'rofessions Code,, is available upon request when this application is submitted or at the following Web site:hltp://www.leginfo.ca.gov/calaw.html, Signature of Property Owner or Authorized Agent _ Date. LICENSED CONTRACTOR'S DECLARATION hereby affirm ul,ce p,:.nalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 700o f ivision 3 of the Business and Profess! ns Cot; an my ' e le is in full force and effect License Class License No Date Z Contractor Signature A" L.l NORKERS' COMPENSATION DECLARATION VhRN16G: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLGYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN AODtTION TO THE :ONT OF CCMPEMSA1ION, DAMAGES AS PROVIOED FOR IN SECTION 3T06 OF THE LABOR CODE, INTEREST, AND ATTpRNEY'S FEES- herehy affirm µr,der penalty of perjury one of the following declarations: I have and will maintain a certificate Of consent to seINnsure for workers' compensation, Issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for th, )nrrcrmanco of the'%r•re for which this permit Is issued. Policy No. i2.ve 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' ran^e carrier and policy number are: Policy Number Expiration Date r,a of Agent I certify that, iC the performance of the work for which this permit is issued, I shall not employ any person in BOY manner so as to become subject to the workers' compensation laws of California, and agre It, if I should become subj e. to the workers' com Lipp provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. mature of Applicant C./'1Y 1 :CLARATION REGARPI CONSTRUCTION LENDING AGENCY Date. areby 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). Tdars Name Lender's Address 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 coo I agree to comply with all applicable city and cool pittances and ate ws relating to building construction. I authorize representatives of this city or count o terthe boy a party for Inspection purposes. `• + -�(`{ ,, mature of Property Owner or Authorized Agent /Y/74/;9110 Print Property Owner's or Authorized Aoent's Name �ViGvl4,o 1 `�Y. YL ACTION EXPIRED PER,WIT EXTENDED PERMfT FINAL CERT0CATE OF OCCUPANCY155UED DATE. BY --l"DECLARATIONbF COMPLIANCE WITH CODE OF FEDERAL pI REGULATIONS PART 51 OFTITLE 4CAND AQMD RULE 1403 NOTIFICATION TO LJ ASBESTOS NOTIFICATION 15 N07 APPLICABLE TO PROPOSED DEMOLITION FOR OFFICE USE ONLY