HomeMy WebLinkAboutXR2022-1936 - PermitsaEWPo�� City of Newport Beach II IIIIIIIIIIII IIIIIIIIII II I>�
D� Community Development Department- Building Division
100 Civic Center Drive, Newport Beach, CA 92660
y. Permit Counter Phone: (949) 644-3288
ems. Inspection Requests Phone: (949) 644-3255
c9CicOpN�P" newportbeachca.gov/inspections
COMB Permit : XR2U22-1936
Plan Check No:
Combination Type : SFP
Work Class : Alteration
Issued Date : 07/15/2022
Inspection Area : 2
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: 111 ONYX AVE
Legal Desc : P BK 397 PG 37 PAR 2
Description: SFR KITCHEN AND BATH REMODEL 545 SF
(NON STRUCTURAL STANDARD PLAN)
�.
Owner: 310 COLLINS AVENUE LLC
Contractor: BURKHART BROTHERS CONSTR
Architect.
Address : 313 PILOT RD STEB LAS VEGAS, NV 89119
Address : 12 BALBOA COVES NEWPORT BEACH,
Address
Phone :
CA 92663
Phone : (949) 375-6725
Phone : 4 e�
Con State Lic : 905510
State Lie :^�d
Applicant: BURKHART BROTHERS CONSTR
Lie Expire : 10/31/2023
Address : 12 BALBOA COVES NEWPORT BEACH, CA
Bus Lie : BT30026859
Engineer
92663Phone:
(949) 375-6725
Bus Lie Expire : 03/31/2023
Address
Workers' Compensation Insurance
Phone: - -,
Carrier:
Policy No:
Designer: ,.
W. C. Expire:
Address : , • - - , .
Phone:
Code Edition : 2019
Fire Sprinklers : YES
Construction Valuation : $10,000.00
Type of Construction : V-B
Fire Hazard Zone : Y
"
Occupancy Groups : R-3
No of Units : 1
Added/New sq. ft. Bldg : 0
Bldg Height:
No of Stories : 3
Added/New sq. ft. Garage: 0
Building Setbacks : Front: 8, Side: 3, Side: 3, Rear: 5
Flood Zone : X
Use Zone : R-BI - Two -Unit Residential, Balboa Island
Processed By:
Public Works Approval:
.l�,
7\,
Zoning Approval:
Plan Check By:
Grading Approval:
Approval To Issue:
SPECIAL CONDITIONS:
OWNER -BUILDER DECLARATION ,
hereby affirm under penalty of perjury [hat 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
Tc permit to file a signed statement that he or she is liconsed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and
'rofessions Cade) 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 fora permit subjects the applicant to a civil penalty of
of 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 L) portions of the work, and the structure is not intended or offered for sale (Section 70",
lusiness and Professions Code: The Contractors' State License Law does not apply to an owner of properly who, through employees' or personal effort, builds or improves the property, provided that the
nprovements arenot 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 builtor
nproved for the purpose of sale),
1 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
,ply 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),
am exempt from licensure under the Contractors' Slate License Law for the following reason:
ly my signature below I acknowledge that, exceptfor 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 legatl)
ell a structure that I have bull 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
'rofessions Code, is available upon request when this application is submitted or at the foi[owing Web site: httpaiwww. leginfo. ca.gov/calawthtml.
lignature of Property Owner or Authorized Agent,,,_, Date
ACENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter-9 (commencing with Section 700 of Division 3 oa6 f the Business and Profess' license is in full force
nd effect, License Class License No Date_�TT Contractor Signature
VORKERS' COMPENSATION DECLARATION
1ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED TN DLLAR4 00,0001, IN ADDITION TO THE
DST OF COMPENSATION. DAMAGES AS PROVIDED FOR IN SECTION 3706. OF THE LABOR COOE., INTEREST. AND ATTORNEYS FEES.
hereby affirm under penalty of perjury one of the following declarations:
I I have and wi'I 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 th
allormance o.` the work for which this permit is issued. Policy No.
t'eve ark, will uwintain 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'
ranee ca,r;ar and policy number are:
Policy Number Expiration Date
of Agent _ _
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
if I should oeceaie subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
Inature of Applicant._
LCLARATION REGARDING CONST F DING AGENCY
he. eby aff`-m cndAr penalty of perju s a construction lending agency for the
en7er s Nerne
,1 my signawre LcIDA, I certify to each of the following:
I am the pope:ly 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 R
I authorize representatives of this city or county to enter the abe 'fief
ACTION
PERMITCANCELLED
PERMIT EXTENDED
PERMIT FINAL
CERTIFICATE OF
OCCUPANCYISSUEO
DATE I BY
of the work for which this permit is Issued (Section 3097, Civil Code).
Address
relating to building construction,
operty for Inspection purposes.
Print Prooertv Owner's or Authorized
REGULATIONS PART 61 OF TITLE. 40 AND AOMD RULE
1403
'I SUBMITTED ASBESTOS NOTIFICATION TO
PROPOSED
NOTIFICATION IS NOT APPLICABLE TO
FOR OFFICE USE ONLY
Name
All required alarms, latches gates and fences which serve as part of a pool/spa barrier, shall
be in place prior to approval to fill pool/spa & shall remain in place & be maintained for the
life of the pool.