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HomeMy WebLinkAboutX2021-1197 - Permits�wro4h City of Newport Beach - Building Division o� 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 Combination Type - SFP ELEC GRAD MECH PLUM Job Address Description: Legal Desc.: Owner: Address: Phone: Applicant: Address: Phone PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETE Construction Hours: Monday - Friday 7:00 a.m. to 6:30 p.m. and Saturday from 8:00 a.m. to 6:00 413 EDGEWATER PL NB NEW SFR 2234 SF W/ J.A.D.U. 421 SF W/ATT GARAGE 426 SF COLLINS JIM 2025 W BALBOA BLVD NEWPORT BEACH CA 92663 949-689-0575 GUIDERO BILL 425 30TH ST STE 23 NEWPORT BEACH CA 92663 949-675-2626 Code Edit : 2019 Type of Construction: V-B-SPR Occupancy Group: R3/U Added /New sq.ft. Bldg: 2655 Added /New sq. ft. Garage: 426 No of Stories: 3 No of Units : 1 Bldg Height: 0 Bldg Sprinklers: Y Construction Building Permit Fee: $5,855.00 Plan Check Fee: $3,297.00 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management : $78.00 Energy Compliance: $303.00 CA Seismic Safety: $68.25 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee : $21.00 TOTAL FEE: $18,454.28 PROCESSED BY: ZONING APPROVAL: Contractor: BURKHART BROTHERS CONSTR Address: 12 BALBOA COVES NEWPORT BEACH CA 92663 Phone: 949-375-6725 Con State Lic: 905510 Lic Expire: 1013112021 Bus Lic: BT30026859 Lic Exp Date: 0313112022 Worker's Compensation Insurance Carrier: SECURITY NATIONAL INS Policy No: SWC1325229 Expire: 02/01/2022 Building Setbacks Use Zone: R-2 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' Parking Sp. $647.01 $0.00 $0.00 $1,653.12 $997.00 $362.88 $1,220.00 $409.85 $234.20 $526.95 COMB Permit: X2021-1197 Project No : 1056-2021 Issued Date : 1011512021 Inspection Area : 1 1011512024 OR PERMIT WILL BE INVALID No work on Sundays or Holidays Archit$e0 Addresark Yr Phone: Engineer: NSHADI Fa/e Address: E 16TH S . A ANA CA Phone: 71 5-2800 Designer: Address: Phone: State Lic: Lic:C-036840 Special Conditions: noise form signed p.A4 LIQUEFACTION No OCSD fees rEg90- ,. Planning Department - Plan check Fee Fair Share SJH Trans In -lieu Housing Fee Public Works Department - Park Dedication : $0.00 PAN Plan Check : $507.50 San Dist: $0.00 NMUSD Fee: $1,753.52 Fire Department $520.00 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 : $5,046.00 Fee Due at Permit Issuance : $13,408.28 PUBLIC WCRK3 APPROVAL: PLAN CHECK BY: GRADING APPROVAL: oy"-J APPROVAL TO ISSUE, 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). ❑ 1, as owner of the property, or my employees with wages as their sole compensation, will do L) 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 submittedor at the following Web site:http://www.leginfo.ca.gov/calaw.htm]. 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 7000) of Division 3 of the Business and Prof v ns CAB, and my license is in full force and effect. License Class License No (0 / I) f^^ Contractor Signature WORKERS' COMPENSATION DECLARATION WARNING: 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. I hereby affirm under penalty of perjury one of the following declarations: 111 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, forth, performance 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 Cade, for the performance of the work for which this permit is issued. My workers' carrier and policy number are: Policy Number of Agent Date 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 t, if I should become su fect to the workers' ompensaticn provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. / nature of Applicant 1,/.! - Da CLARATION REGARDING'QONSTRUCTION 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, Civil Code) ider's 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 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 e�nnt rth'e a�bov�e-de_ntified property for inspection purposes. nature of Prooertv Owner or Authorized Aaent 7v/'«`� Print Property Owner's or Authorized Agent's Name ACTION DATE BY (REGULATIONS PART COMPLIANCE E WITH TAND DE OF FEDERAL I FOR OFFICE USE ONLY PERMITEXPIRED LI I SUBi AITTCD.-,SBESTOS NOFIF-CATIO,d TO PERMIT CANCELLED LJEPr. PERMIT EXTENDED LIAQMD PERMITFINAL (� �Z ZLJ ASBESTOS OTIFICATION 15 NOT APPLICABLE TO CERTIFICATE OF PROPOSED UtN N� OCCUPANCYISSUED SIG NATUR �l _,, Date