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