The URL can be used to link to this page

Home My WebLink AboutXR2022-2887 - PermitsCity of Newport Beach Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 04o Permit Counter Phone: (949) 644-3288 Inspection Requests Phone: (949) 644-3255 newportbeachca.gov/inspections Combination Type - Work Class - Other X R 2 0 2 2 2 8 8 7II COMB Permit : XR2022-2887 Plan Check No : 0688-2021 Issued Date : 10/31/2022 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 : 433 HARBOR ISLAND DR Description : SFR POOL DEMO "METHOD B" Owner: JAMES DOBSON Address : 433 HARBOR ISLAND DR NEWPORT BEACH, CA 92660 Phone: Applicant: BURKHART BROTHERS CONSTR Address : 12 BALBOA COVES NEWPORT BEACH, CA 92663 Phone: (949)375-6725 Owner/Builder : Address : Phone Legal Desc : N TR 3283 BLK LOT 6 TR 3283 LOT 6 AND POR SW1/4 SEC 26 T.6 R 10 AND Contractor: BURKHART BROTHERS CONSTR Address : 12 BALBOA COVES NEWPORT BEACH, CA 92663 Phone: (949) 375-6725 Con State Lic : 905510 Lic Expire : 10/31/2023 Bus Lic: BT30026859 Bus Lic Expire : 03/3112023 Workers' Compensation Insurance Carrier: SECURITY NATIONAL INSURANCE COMPANY Policy No: SWC1373426 W. C. Expire : 2/1/2023 Architect : LIGHT CHRISTIAN R Address : 1401 QUAIL ST #120 NEWPORT BEACH, CA 92660 Phone: (949)851-8345 State Lic Engineer: FORBES DALE L Address : 1800 E 16TH ST #B SANTA ANA, CA 92701 Phone : (714) 835-2800 Designer: Address : Phone: Code Edition : 2019. Fire Sprinklers : NO Construction Valuation : $5,000.00 Type of Construction : V-B Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg Occupancy Groups : U No of Units : 0 Alteration sq. ft. Bldg : Blc)g Height: No of Stories : 0 Added/New sq. ft. Garage: 0 TOTAL sq. ft. Bldg : 0 Building Setbacks : Front: 10, Front: 20, Side: 4, Side: 4 Flood Zone : AE, 8 FT; X Use Zone: R-1 - Single -Unit Residential PROCESSED BY: SPECIAL CONDITIONS: 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 beiaw 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 +G permit to file a signed statement that fie or she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 0 (commencing with Section 7000) of Division 3 of the Business and rofessions Code) or that he or she is exempt from ficonsure 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). 11, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or L) portions of the work, and the structure is not intended cr offered for sale (Section 7044, usiness 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 nprovements are not Intended or offered for safe. 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 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). I I am exempt from (censure under the Contractors' State License Law for the following reason __ _ ,y my signature balm 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 legail ell a structure that I have built as an owner -builder if it has not been constructed in its antirehf by licensed contractors. I understand that a copy of theapplicable law, Section 7044 of the Business and 'rofessions Code„ is available upon request when this application is submitted or at the following Web site;http:llw v.leginfo.ca.govtcaiaw.html. ignature of Property Owner or Authorized Agent ,Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am Licensed under provisions of Itch ter 9,,� r7trencma with Section 00) of Division 3 of the Business and Prole ons C �. , and my license is In full force nd effect. License Class License No T'. C Date ontractor and IORKERS' COMPENSATION DECLARATION ARNING FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CIUMINAL PENALTIES AND CIVIL. FINES UP TO ONE HUNDRED THOU D DOLLARS lSt00,000), IN ADDITION TO THE OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3700 OF THE LABOR CODE. INTEREST, "a ATTORNEYS FEES. hereby affirm under penalty of perjury one of the following declarations: 1 1 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 0700 of the Labor Code, for In( formance of the work for which this permit is issued. Policy No_ have 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' compensatior isura ce, caller and policy number are: arrier Policy Number Expiration Date :ame of Agent Phone # 11 certify that, in th pe rmance of the k for which this permit is issued. I Il not employ any per m any manner so as to become subject to the workers' o nsation laws of California, and agrai iat, if I should be um blect to the w is mpensation provisions of cF n 3700 of the Lab de. I shall lorthwnth comply with those provisions. / y` ignature of Applicant .. _ ......_ ECLARATIGN REGA F11N �� ON5 CT L@NDtNG AGENCY hereby affirm under p natty of perjury that ere is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, ivil Code). Under's Name Lender's Address y my signature below. I certify to each of e fallowing: I am the property owner or authorized to act on the property owner's behalf. I have read this application and the information 1 have provided is correct. I agree to comply with all applicable city aI d co my ordinances and state laws relating to building construction. I authorize representatives of this City or co t to e t r the no inspection purposes. i nature of Propertyy Owner or Authorized A e ant a Print Pro e e Owner's or Authorized A ent's Name V` 1CTILIN DATE BY I i CDFCLARATJ0N OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY ( RfGULAUON5 PART SS OF TITLE 40 AND AOMD RULE 1403 'Yit6d* IrGLYdaId�>J PERMIT EXTENDED PERMrr FINAL ivtglZZ ! DL -roe CERTIFICAT€OF ij 1,,1a OCCUPANCY ISSUED r 5 G I SUCM:TT€O;,SR7.STO,+NOTIFI.:ATIOIv TO 0Ei A LJASBESTOS NOT IKAIION IS NOT APPLICABLE TO PROPOSED DEMOLITION 2Z agwaoRr City of Newport Beach O�` t4!, e Community Development Department - Building Division > y 100 Civic Center Drive, Newport Beach, CA 92660 u. n Permit Counter Phone: (949) 644-3288 H� Inspection Requests Phone: (949) 644-3255 r^1110. `" newportbeachca.gov/inspections Combination Type - Work Class - Other 111�1 111111111111111111111111111111111111111111111111111 11111COMB Permit: XR2022-2887 Plan Check No : 0688-2021 Issued Date : 1013112022 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: 433 HARBOR ISLAND DR Description : SFR POOL DEMO "METHOD Bs Owner: JAMESDOBSON� Address : 433 HARBOR ISLAND DR NEWPORT BEACH, CA 92660 Phone: Applicant: BURKHART BROTHERS CONSTR Address : 12 BALBOA COVES NEWPORT BEACH, CA 92663 Phone : (949) 375-6725 Owner/Builder : Address : Phone Legal Desc : N TR 3283 BILK LOT 6 TR 3283 LOT 6 AND FOR SW1/4 SEC 26 T 6 R 10 AND Contractor: BURKHART BROTHERS CONSTR Address : 12 BALBOA COVES NEWPORT BEACH, CA 92663 Phone: (949)375-6725 Con State Lic : 905510 Lic Expire: 10/31/2023 Bus Lic : BT30026859 Bus Lic Expire : 03/31/2023 Workers' Compensation Insurance Carrier: SECURITY NATIONAL INSURANCE COMPANY Policy No: SWC1373426 W. C. Expire : 2/1/2023 Architect: LIGHTCHRISTIANR Address : 1401 QUAIL ST #120 NEWPORT BEACH, CA 92660 Phone: (949)851-8345 State Lic: Engineer : FORBES DALE L Address : 1800 E 16TH ST #B SANTA ANA, CA 92701 Phone: (714)835-2800 Designer: Address Phone: Code Edition : 2019 Fire Sprinklers : NO Construction Valuation : $5,cn.cc Type of Construction : V-B Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg Occupancy Groups : U No of Units : 0 Alteration sq. ft. Bldg : Bldg Height : No of Stories : 0 Added/New sq. ft. Garage: 0 TOTAL sq. ft. Bldg: 0 Building Setbacks : Front: 10, Front: 20, Side: 4, Side: 4 Flood Zone : AE, 8 FT; X Use Zone : R-1 - Single -Unit Residential v PROCESSED BY: SPECIAL CONDITIONS: S 3r, OWNER -BUILDER DECLARATION 1 hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reasons) 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 to 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 'rofessions 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 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 (_) 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 nprovements 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 nproved for the purpose of sale). 11, 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 pply 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), I I am exempt from licensure under the Contractors' Slate License Law for the following reason: y 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 legall) sit 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 rofessions Code, is available upon request when this application is submitted or at the following Web site:http:/Aw .leginfo.ca.gov/calaw.html. ignature of Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force nd effect. License Class License No Date Contractor Signature COMPENSATION DECLARATION IARNING: 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 1$100,000), IN ADDITION TO THE :DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 37M OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: I 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 tht erfoi mance of the work for which this permit is issued. Poficy No. have 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' rance 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 , if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Iignature of Applicant _ _ Date__. IECLARATION REGARDING CONSTRUCTION LENDING AGENCY hereby affirm under pena_:y 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). ender's Name - Lenders Address ly m„ signnture below, I certify to each of the following: I am the property owner or authorized to act on the property owner's behalf. I nave 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 repiesentaiwes of this city or county to enter the above -identified property for inspection purposes. Iiauatwa of Prooertv Owner or Authorized Anent Print PrODertV Owner's or Authorized ADent's Name ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL J FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AOMD RULE j PEAMITEXFIRED € u SUBMITTED ASBESTOS NOTIFICATION TO PEhrvfli 6ANCELLED EPA PERMI F eXTEAVED L1AQMD PERMITFINAL II/ILI/ZZ bL�y, ASBESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATE OF 7/ PROPOSED DEMOLITION MS OCCUPANCY ISSUED SIGNATURE: