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Home My WebLink AboutX2022-1692 - PermitseWPoRT City of Newport Beach IIIIIIIIIIIIIIII�IIIIIIIIIIIIIIIIIIIIII II COMB Permit : X2U22-1692 of @ Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : 1538-2022 Permit Counter Phone: (949) 718-1888 Issued Date : 05/08/2023 u x newportbeachca.gov/civic Inspection Area : 6 Combination Type - SFP ELEC MECH PLUM Work Class - Addition/Alteration 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 Desc : N TR 12245 BLK LOT 37 Description: MFR ADD 212 SF LAUNDRY & BATH. INTERIOR ALTERATIONS 530SF Owner: REYNOLDS CRAIG L TR Address : 819 GARDENIA WAY CORONA DEL MAR, CA 92625 Phone: Applicant: BURKHART BROTHER'S CONSTR INC Address: 12 BALBOA COVES NEWPORT BEACH, CA 92663 Phone : (949) 508-8478 Owner/Builder : Address : Contractor: BURKHART BROTHER'S CONSTR INC Address : 12 BALBOAICOVES NEWPORT BEACH, CA 92663 Phone : (949)508-8478 Con State Lic : 905510 Lic Expire : 10/31/2023 Bus Lic : BT30026859 Bus Lic Expire : 03/31/2024 Workers' Compensation Insurance Carrier: SECURITY NATIONAL INS CO Policy No.: SNP1426534 W. C. Expire: 2/1/2024 Architect: JASON RICHART Address: 1041 18TH W, Al06 COST,AWESA, CA 92627 Phone: (949)422-9191 State Lic Engineer : JAMIL BASHAR S Address : 751 SHASTA DR , CORONA, CA 92881 " Phone : (714) 883-4124 Designer Address Phone: Phone: Code Edition : 2019 Fire Sprinklers : NO Construction Valuation : $111,000.00 Type of Construction : V-B Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg : 212 Occupancy Groups : U,R-3 No of Units : 1 Alteration sq. ft. Bldg : 530 Bldg Height : No of Stories : 2 Added/New sq. ft. Garage: 0 TOTAL sq. ft. 212 Building Setbacks : Front: 5, Side: 4, Rear: 10 Flood Zone : X Use Zone : PC - Jasmine Park PROCESSED BY: l SPECIAL CONDITIONS: t 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 Tc permit to fife a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Caw (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and 'rofesslons Code) or that he or she is exempt from ticensure 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 of more than five hundred dollars ($500). 3 I, as owner of the property, or my employees with wages as their sole compensation, will do L.) all of or (_) portions of the work, and the structure is not Intended or offered for sale (Section 7044, rosiness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the aprovements are not Intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner,$uiider will have the burden of proving that it was not built or nproved for the purpose of sale). 1 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 poly 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). 3 1 am exempt from licensors under the Contractors' State License Law for the following reason ly my signature below I acknowledge that, except for my personal residence in which I must have resided for at toast one year prior to completion of the'improvementecovered by this permit, I cannot legall rill a structure that I have built as an ownor-builder if it has not been constructed in its entirety by licensed contractors. ) understand that a copy of the applicable law, Section 7044 or the Business and 'rofesslons Code, is available upon request when this application is submitted or at the following Web siteihttp:7Fwww.loginfo.ca.gov)calaw.html. lignature of Property Owner or Authorized Agent _ _ Date Air /11 ,ICENSED CONTRACTOR'S DECLARATION hereby affirm under pe,talty of popury that I am licensed under previsions of Chapter 9 (commencing with Section 7005} i ' JrJ 3 of the Business and Praise s Co rid icense is In full force rid effect. Loons css License No Date ' Contractor Signature ,10"Rl RS' CCNIPEASATION DECLARATION ARNING: FAILURE T J SE-1-RE WORKERS' COMPENSATION COVERAGE la UNLAWFUL. AND SHALL SUBJECT AN EMPLDYER TO CRUMNAL PENALTIES AND CIVIL FINES UP TO' ONE HUNDRED THOUSAND DOLLARS all (K,S00t. IN ADDITION TO THE OS, OF LOMPENSATION. DAMAGES AS PROVIDED FOR IN SECTION 3THO OF THE LABOR CODE, INTEREST, AND ATTORNEY'& FEES. hereby affirm under penalty of perjury one of the following declarations: I I have and will r,Trinta€n 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 tt aFigninance of the wo•k for which this permit is issued. Policy No. __ _j have .,nd will oiai, stain 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' compensatio Isurance carrier and policy number are'. JcE Policy Number Expiration Date is of Agent Phone 4 cPri fy that, in.fhe pert,U1. rk far which this permit is issued, I shall not employ any person if) any manner so as to become subject to the workers' compensation laws of California, and agre , if I should bevume sure' compensation provisions of Section 3700 of the Labor Code; I shall forthwith comply with those provisions. �, taturB of Applicant._. Date ) 2� +1 Al3ATYff YI.f'.6 T/1A1 F..",,ail±of 1]C\I/^lI_I hereby affirm under perlafty 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). .endar's Name Landers Address 3y 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. dine es and state laws relating to building construction. n I authorize representatives of this city or county to "ter t bove-Identified property for inspection purposes. ii nature of Property Owner or Authorized A ant Print Pro e Owner or Authorized Agent's Name k5 - e e- Date SJ ACTION DATE BY DECLARATtONOF COMPLIANCE WITH CODE OF FEDERAL FOROFFICr USE ONLY 3 REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE PERMIT EXPIRED PERMIT CANCELlEO PMITFrE 9 I s1CwaTHEiSlaTEW:Y1,HPKICABLE TO JEROfTION OCCt1PANCYISSLEO