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Home My WebLink AboutXR2023-1108 - Permits¢_WPC", City of Newport Beach D 15, c� Community Development Department - Building Division r 9 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 644-3288 Inspection Requests Phone: (949) 644-3255 pp RN�P newportbeachca.gov/inspections Combination Type - SFP Work Class - Other 1111111111111111�111111111111111111111111111111111111111 jj COMB Permit : XR2023-1108 Plan Check No: 1335-2021 Issued Date : 04/28/2023 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 : 389 23RD ST Legal Desc : P BK 273 PG 45 PAR 1 Description : DELTA 1- *ADDITIONAL SCOPE* ADD 86 SF TO SECOND FLOOR, BEAM REPLACEMENT AND R/R SLAB ON GRADE 238 SF *renew expired permit X2021-1816* Owner: JAMES DOBSON Contractor: BURKHART BROTHER'S CONSTR INC Architect Address : 433 HARBOR ISLAND DR Address : 12 BALBOA COVES Address NEWPORT BEACH, CA 92660 NEWPORT BEACH, CA 92663 Phone : Phone : (949) 508-8478 Phone Con State Lic : 905510 State Lie Lie Expire : 10/31/2023 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) 50B-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 : 2019 Fire Sprinklers : NO Construction Valuation Type of Construction : V-B Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg Occupancy Groups : U,R-3 No of Units : 1 Alteration sq. ft. Bldg : Bldg Height: No of Stories : 2 Added/New sq. ft. Garage TOTAL sq. ft. Building Setbacks : Front: 20, Side: 5, Side: 5, Rear: 20 Flood Zone : X Use Zone : R-1-7200 - Single -Unit Residential (7200 indicates minimum lot area) PROCESSED BY: SPECIAL CONDITIONS: $1.00 0 0 0 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 checkmarl 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 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 anyapplicaat 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 withwages 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 riot 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)71 . 1, 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 Improvesthereon, 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 belovi I acknowledge that, except for my personal residence in which I must have resided for at Yeast 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 constructod in its entirely by licensed Contractors. I understand that a copy of this 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:httpJhrvw'w.leginfo.ca.gov/calaw.html. Signature of Property Owner or Authorized Agent _ Date LICENSED CONTRACTOR'S DECLARATION 17 1 hereby affirm under penalty of perjury that. I am licensed under previsions of Chapter 9 (commencing with Section 7000 Div, -ion a of the Business and Professi Code, my license is In full force and effect. License Class License. No Da l 2a 2 Contractor Signatur NORKERS' COMPENSATION DECLARATION NANNING: 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 fSID0,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hTttereby affirm under penalty 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 as provided for by Section 3700 of the Labor Code, for IN mance of the work for which this permit Is issued. Policy No. tjave 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` compen Pica carrier and policy number are: 'far Policy Number Expiration Date is of Agent Phone # certify that, in the performance,of the work for which this permit is issued., I shall notemploy any person in any manner so as to become subject to the workers'Compensation laws of California, and if I should become subject t/^y/�^e work ' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. r' I of Annlirantl� . /V - . J� Arvia C 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 Cade). .endei s Name Lender's Address 3y my signature below. I certify to each of Ilia 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 or nances nd state laws relating to building construction. I authorize representatives of this city 01 wunf toe t a eve-Ideniffled property for inspection purposes. ii nature of Propertyy Owner or Authorized Agal Print Property Owner's or Authorized A erl Name Lii-¢�S � « Date ACTION c DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY ' REGULATIONS PART SS OF TITLE 40 AND AQNID RULE 1403 PERMIT EXPIRED I SSII IBMin €D ASdFSTO+ NUTI FI CATION ,D PERMITCAYCELLED �J�.,PP PERMITEXTENDED 0ACIN40 — v-- PERY#TFINAL ASBESTOS NOlIFICA IONI ISNOTAPPLICABLE 'tO CERT(FfCATEOF /Z / � PROPOr`.') WW)� ITCN OCCUPANCYISSUED �-✓ ''i 5IGNATUKE--/J2 ..t4 i-