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HomeMy WebLinkAboutE2023-0620 - Permits¢�EWPoaT City of Newport Beach ' ' Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 >b T Permit Counter Phone: (949) 718-1888 Cy�"o0.N�P newportheachca.gov/civic Electrical Permit Plan Check No : 1538.2022 Work Class : Other Issued Date : 07/13/2023 Final Date: Permit Status: Issued Inspection Area : 6 E2023-0620 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 : 819 GARDENIA WAY Legal Dose : N TR 12245 BILK LOT 37 Description : ELEC *ADD'L SCOPE* INSTL 100 AMP SUB-PNL Owner: REYNOLDS CRAIG L TR Address : 819 GARDENIA WAY CORONA DEL MAR, CA 92625 Phone: (949)887-8820 Applicant : BURKHART BROTHER'S CONSTR INC Address : 12 BALBOA COVES NEWPORT BEACH, CA 92663 Phone: (949)508-8478 Owner/Builder: Address Phone: Code Edition : 2022 Type of Construction : Building Setbacks : Front: 5, Side: 4, Rear: 10 Flood Zone : X Use Zone : PC - Jasmine Park PROCESSED BY: 1, SPECIAL CONDITIONS: REV2023-1316 Contractor : BURKHART BROTHER'S CONSTR INC Address : 12 BALBOA COVES NEWPORT BEACH, CA 92663 Phone: (949)508-8478 " Can State Lie : 905510 - • • " , Lie Expire : 10131/2023 ; Bus Lie: BT30026859 , Bus Lie Expire:03/31/2024 Workers' Compensation Insurance Carrier : SECURITY NATIONAL INS CO Policy No: SNP1426534 - -->> W. C. Expire: 2/1/2024 Fire Hazard Zone : NO Occupancy Groups 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 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 licensors 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 (_) all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, Business and Professions Code: The Contractors' Stale 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). Ll I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The ContractorsState 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 legal sell a structure that I have built as an owner -builder if it has not boon 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:llwww.leginfo.ee.govlcalaw.html. 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 Se t)O) of DGprsion 3 of the 8 sp Ingss and Peofessi CGda, d y license is In full force and effect. License Class License No � t 3 I �_ ConU/aa rr Signature COMPENSATION DECLARATION NARNING: FAILURIS Tn SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (5100.000), IN ADDITION TO THE COST OF COMPCNSATIOr', DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE "Sea CODE, INTEREST. AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declaraflons: I 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 rylrfc-mance of the workfor which this permit is issued. Policy No, and will ma'ntaln 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' caner aou policy number are: Pt of Agem certify the(, in the perormanee of the ir' shouldi�ecom7 sllbiXto the wo atore of AppAigh Policy Number Date 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 provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions._ , hereby affirm J.)dLr penalty of perjury that there is a construction lending ageneyfor the performance of the work for which this permit is issued (Section 3097, Civil Code). enders Name Lender's Address ly 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 countyyirdinances and state laws relating to building construction. I authorize representatives of this city or county to liter the above -identified property for inspection purposes. ACTION I DATE BY ( DECLARATION OF COMPLIANCE WITH CODE Or FEDERAL FOR OFF3CE USE ONLY i REGULATIONS PART SI OF TITLE. 40 AND AQMD RUL€ NOTIFICATION TO PERMITEMENOEO _ S (,�gQMD_J..v PERMIT FINA[—„— —I ASBESTOS Of 15 NOT APPLICABLE TO CERTIFICATEOF ^.ZD'�S D!'�� I PROPOSED DEMOLITION OCCUPANCY ISSUED 1 SIGNATURE: a -I (-j 2?