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Home My WebLink AboutX2021-1052 - PermitsCity of Newport Beach - Building Division I 111�111111111111111111111111111111111111111111111111111 COMB Permit: X2021-1 119 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 2 1 1 9 5 2 Project No :l`qs-202t Permit Counter Phone (949)644-3288 CC....�r ., Inspection Requests Phone (949)644-3255 r 'z,r�ipa.' Combination Type - SFP ELEC MECH PLUM Issued Date : 08102/ il-.n Inspection Area : 5 V" PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0810212024 OR FERMIT}4r(LL BE INVALIO�'/ - 6/!1 Construction Hours: Monday - Friday 7:00 a.m. to 6:30 p.m. and Saturday from 8:00 a.m. to 6:00 p.m. No work on Sundays/- lidays Job Address: 211 IRIS AVE NB �1 a Description: SFR REMODEL KITCHEN/BEDROOMS, BATH. 2000 SF. ADD 78 SF (10 SF 1ST FL, 72 SF & -4 SF 2ND FL) .IIT Legal Desc.: RESUB OF CORONA DEL MAR BLK 35 LOT 13 Owner: DUNCAN ROBERT Contractor: BURKHART BROTHERS CONSTR Architect: /® Address: 211 IRIS AV Address: 12 BALBOA COVES Address: CDM CA 92625 NEWPORT BEACH CA 92663 .A Phone: Phone: 949-375-6725 Phone: State Lic: V• Applicant: GULIAN ED Con State Lic: 905510 Engineer: SALEH ZOUHEIR Address: 5855 E NAPLES PLAZA Lic Expire: 10/31/2021 Address: 1304 CORTE MALTERA LONG BEACH CA 90803 Bus Lic: BT30026859 COSTA MESA CA 92626 Phone: 562-434-6993 Lic Exp Date: 03/31/2022 Phone: 562-235-4572 State Lic:C-042881 Code Edit : 2019 Type of Construction: V-B Occupancy Group: R3/U Added /New sq.ft. Bldg: 82 Added /New sq. ft. Garage: 0 No of Stories: 3 No of Units : 1 Bldg Height: 0 Bldg Sprinklers: N Flood Zone: X 11 Construction Valuation: $235,000.00 Building Permit Fee: $2,793.00 Plan Check Fee: $2,344.59 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $0.00 Energy Compliance: $164.50 CA Seismic Safety: $0.00 Disabled Access: $0.00 Hazardous Mat $0.00 Building Green Fee : $10.00 TOTAL FEE: $6,985.44 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Worker's Compensation Insurance Carrier: SECURITY NATIONAL INS Policy No: SWC1325229 Expire: 02/01/2022 Building Setbacks Use Zone: R-1 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: 18' Left: 3' Riaht: 3' Designer: GULIAN ED Address: 5855 N NAPLES PLAZA LONG BEACH CA 90803 Phone: 562-434-6993 Special Conditions: High density form on plan Hauler: Roberts Waste SP {�� r- i Fire Hazard Zone : N I 1 V $0.00 Planning Department - Fire Department $0.00 Plan check Fee : $208.00 Fire Inspection: $0.00 $0.00 Fair Share : $0.00 Fire Plan Rev $0.00 $0.00 SJH Trans : $0.00 Demolition Fee $0.00 In -lieu Housing Fee : $0.00 Building Dept Adm $27.00 $0.00 Public Works Department - General Service $265.00 $0.00 Park Dedication : $0.00 Refund Deposit $564.00 PAN Plan Check : $50.75 Grading Bond: $0.00 $195.51 San Dist: $0.00 $111.72 NMUSD Fee: $0.00 $0.00 $251.37 $0.00 Plan Check Fee : $2,742.09 Fee Due at Permit Issuance : $4,243.35 PUBLIC WORKS APPROVAL: ' PLAN CHECK BY: 1 u 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 :he 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). ❑ 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' 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 Iicensure 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 submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.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 Section 70001 of Division 3 of the Business and Pr fgeSIBions ode, and my license is in full force and effect. License Class License No Date Contractor Signature NORKERS' COMPENSATION DECLARATION NARNING: 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 I$100,0001, IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: 51 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 the rmance 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 Code, 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 agree t, if I should become subject to thh workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applicant :X /1/e,/l __0�Date CLARATION REGARDINJ�NRIT UCTION 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 enter VA above -identified property for inspection purposes. , of Prooertv Owner or Authorized ACTION DATE BY 'DECL'ARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED U I SUBMITTED ASBESTOS NOTIFICATION TO PERMITCANCELLED EIEPA PERMIT EXTENDED j1UAQMD PERMIT FINAL CERTIFICATE OF OCCUPANCYISSUED Z..Zv -1 2/ ASBESTOS NOTI FICATION IS NOT APPLICABLE TO PROPOSEO.LJF,MOLIZ �� SIGNATURE• /� / I Sa•. Date