HomeMy WebLinkAboutXR2022-2115 - Permits_wPoRT
City of Newport Beach
p "ICommunity
Development Department- Building Division
100 Civic Center Drive, Newport Beach, CA 92660
' S
Permit Counter Phone: (949) 644-3288
p.
Inspection Requests Phone: (949) 644-3255
r9<icoa'.'
newportbeachca.gov/inspections
Combination Type - SFP ELEC MECH PLUM
Work Class - New
IIIIIIIIINIIIIIIIIII�IIIIIIIIIi1111111111111 II COMB Permit : XR2022-2115IIIIII111
Plan Check No: PC2022-1949
Issued Date : 12/13/2022
Inspection Area : 3
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 : 1424 GALAXY DR
Description: NEW SFR & GARAGE 4242/702 SF
Owner: EDDIE CHEN
Address : 1424 GALAXY DR
NEWPORT BEACH, CA
Phone: (949)594-9594
Applicant : PHIL NIELSEN
Address: 6131 ANACAPA DRIVE
HUNTINGTON BEACH, CA 92647
Phone: (714)717-1418
Owner/Builder:
Address :
Phone:
Legal Desc : N TR 4224 BLK LOT 78
Contractor: BURKHART BROTHERS CONSTR
Address : 12 BALBOA COVES
NEWPORT BEACH, CA 92663
Phone:
(949)375-6725
Con State Lic
: 905510
Lic Expire :
1013112023
Bus Lic:
BT30026859
Bus Lic Expire : 03/31/2023
Workers' Compensation Insurance
Carrier: SECURITY NATIONAL INS CO
Policy No: SWC1373426
W. C. Expire: 2/1/2023
Architect:
Address
Phone :
. `".
State Lic
Engineer :
MANSHADI FARHAD
Address :
1800 E 16TH ST UNIT B
SANTA ANA, CA 92701
Phone :
(714) 835-2800
Designer: �PHIL NIELSEN
Address : 6131 ANACAPA DRIVE
HUNTINGTON BEACH, CA 92647
Phone: (714)717-1418
Code Edition :
2019
Fire Sprinklers :
YES
Construction Valuation :
Type of Construction :
V-B
Fire Hazard Zone :
NO
Added/NewITI sq. ft. Bldg
Occupancy Groups :
R-3
No of Units :
1
Alteration sq. ft. Bldg :
Bldg Height:
No of Stories :
1
Added/New sq. ft. Garage
TOTAL sq. ft.
Building Setbacks :
Front: 20, Side: 6, Side: 6, Rear: 6
Flood Zone :
X
Use Zone:
R-1-6000 - Single -Unit Residential (6000 indicates minimum
lot area)
PROCESSED BY:
SPECIAL CONDITIONS:
$820,000.00
4,242
702
4,944
OWNER -BUILDER DECLARATION
t hereby at'firm under penalty of perjury that I am exempt from the Contractors' State License Law for the reasons) indicated below by the chackmark(s) I have placed next to the applicable item(s)
3eclion 70315, Business and Professions Code: Any city or countyihat requires a permit to construct, alter, Improve, demolishr or repair any structure, prior to its issuance, also requires the applicant for
in permit to fife 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
'rafessions Code) or that he or she is exempt from licensors and the basis for the alleged exemption. Any v3Diatfon of Section 7031.5 by any applicant for a permit subjects the applicant to a clot penally of
of more than five hundred dollars ($500).
1 1, 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,
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 sale. 11, 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 "a).
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
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 Lawt
I I am exempt from licensure under the Contractors' State 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 Iegalb,
oil a structure that I have built as an owner -builder if it has not been constructed in its enbroty by licensed contractors. I understand that a copy of the applicable law, Section 7G44 of the Business and
'rofessions Code is available upon request when thin application is submitted or at the following VYeb site http:/Fwww.leglnfo.ca.gov(calaw.html.
tgnatum of Property Owner or Authorized Agent Date,_,T,
,ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed underprovisions of Chapter (commencing with Section 7000) of Division 3 of the Business and Pr D orw C de, i If i In ` l i ice
nd effect. License Class License No Date Contractor Signafur y
ifORKERS' COMPENSATION DECLARATION
ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE 15 UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVU. FINES UP TO ONE HUNDRED THOUSAND DOLLARS tS100,0001. IN ADOGION TO THE
CSTOF COMPENSATION, DAMADES Aa PROVIDED FOR IN SECTION 37116 of THE LABOR CCeE, CNT'EREST, ANO ATTORNEY'S FEES,
hereby affirm under penalty of perjury one of the following declarations,
I have and will maintain a certificate of consent to selfinsurefor workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for
entrance 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 Cede, for the performance of the work for which this permit is issued. My workers' compansa
Trance carrier and policy number are:
Policy Number Exprratic
of Agent Phone it
Date
I certify that, in the performanc 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' eompensatio laws of California, and agre
t, if I should became subject workers' ompens on prov io of Section 3700 of the Labor Code, 1 shall forthwith comply with those provisions. %
nature of Applicant„a x �,-,,_ ,�, D"yy�� v
CLARATION REBARDIN TRUGTIO� O G AGENCY V r
Impy affirm under penalty of perjury that there is a construction fending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
Iders Name Lender's Address.
my signature below, I coral 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 h4/1
ad is correct
I agree to comply with all applicable city and counC,as and state is ralatl 9 to building construction.
I authorize representatives of this city or count' tobove-IgEe I d e inspection purposes. t Darr. I nain.A of Prnnarty nwnar or A, ith6ri7g, Anwnl/'A� I 1N Print Prnnariv rlwnar'c or Aa RhrulAil Anwnt'c Namd✓ '1% j
DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
PEAF/fiT FXP{RED
PERMIT CANOE{LED
LJACIMD
PER=M77'FIWAFL EP jqq SLJASBESTOS NED OIRCA ION 15 NOT APPLICABLE TO
PERrUf77'7N1r/' I
CERYIFfCATE OF ry I
u�
F
rn
OD
x
zz
U
�
N
O)
a
U 00
W
a
U M
M
m
V
m
z
00
L r
O/
W
_
Z >
PLO
O
A
00
L
W
�A0
z
W
H Q 0
A�aaa)
o
O
F
> C
o
F
�
U
o
U
U
0
0
6
U
w
0
0
Q
O, U O'UY C
uC c c 0'c a� 0)w�
tm`�c Emo .0 ,t m coOO O O. m , 0) O w O
U 00.O� mm cC 0 0U U m E w 0) CL m 3
O m C0
dC° C'O'V, cOy y�
U N Oc m
Z
'N m O
c'aw ONO.xG
E E°y atm� dci s
> 0
O > 0Cm U U dO U 0
C O Oa
O U C66 r0 Yc
O m W aC E w wO�O wp
H U
- 9wi woau 4,3m a'Mc4-u mE
d 0 Urn3 -30 a°'3 �muma2 m`o ° 0W
> c c a m y E° - z m w o° c° m a t 3 y m
'° L w�Eur my.. c« Ertn m
47 3� 0m'0 U U w O O U yD 0' U cL N
d d L C m °' yt„ y m ..d_+ ° d O U c ILd p c w 0.0 - N O .. 0 m
at+ d w y N yay00°af' 2•3 apr,:m`°. .W+ W` O NmU Q cC0)O 'OO. LU 3N E m-y Y«U
.a'•OOc
2O7, ZtwOt0
U E> CL mcm
E g°E a�a m ca
cO w 9am E
d .
O.C 0 0C C T O
cd 60 0 OU
a cmm m a a0�m °
O. ca mrnU
0.N-dN Z CO
o aaE �5 t«r c>m d y °> �0.
U 0� Nd.° m U U00aO >, am
.aco w:CH° .Cu `E pc ma uaw pa,M0OOm m 0 ya> , U �4'0ay w c c'0 WOa o° m m m E c N y` O
Qov'm�E . c,�m O. amc 0. U�m0L N 0.uww0 ° O yD'mEau W=n
C Lo,aCC o
00Lm L E 00otcQ 3
0"m0 > v m Ow'c
'oO U Q c •c
'O Z C9mo Em`Uu
m
c o. d
c� mE`0 a E°og acyi �c'`o''s ' �� mA a�u-cua a
mo y a m 3" — `m rnc. ^ w c u E c m .o O. EO (D —
3L6 'n> m ° iyj0aw yvd 0.. MQ)� ou, .0-E cy
U U U t�E m U 'O m N E E W U t 0' W u 90' C_ m 0 U
mo �° 3mN0 c Qaci �35 m0 "0 'a o" m> >°m0 m
V 0 M O, N J 0f 9 tm 0 ) O_ U c m ._ r T .O "' 'O U c C
2 d C O. a y 0 c m O. m lO') a° •O d° a'c+ a c m 0 G
O. E mo.mc v ��o'Dm Ecm —�A4) 0 -O �E Lwxx c
�•u ° `mEtO'> > Oa'aE who nmycmo ::> om ua,ma' m
c.E c >n um O U m am o m o Q c o.E L;C m° m m r L`o "' N
C y m � 0 0 °- Z C d w O L C 0 O O. U C C O. a 0 C `y 3 0 Y U C
O L L 0 a O c L m 0, aL+ w U O.'O .+ m O m 0 •E E m 0. O' °' c) O L 2
yu uc 3«oV o "wr°a aximo �m,.,E�y� u•oE Eo 0..3.,.. _
c 0 C 0) 0 9 01 O. .. 0, ` U y V m 0 lP U O 0 c U 'O w Y •O .Oc d m
°m 0. ymvi N z°a3�L om oF�aAOa am'o u° `o: �-- o
o,a wr"a ° O °c cUL 0 r EU u 3 c m c ax c mini 3 m c 3 rn
•c° cw 0 c m F..cu CL c•y-m,r0 m t�Z. ��°9 c
° v E � o— m ° Q � m C 2 ° c m y O O C 0'0 M u m r E m o c a
O m� E VoE•c ni EW?U 0mm mO urv� Ec >::�m cm,
`z rnu a Omo N LLm`oov cuyao aNEE«oB —OE wE EOu 'EL v
$_ da OUo,r v P aE0i °���m � mcYic m W.:5 m datum c
t c c o r O o w m c o m d Z c m 0° E — d — 3" ax m J Q3 F-m y90'm H ZUu0.c �FUm mam«UO. tm QEa Q}0 E
Ci ri v 'ri m tl: ao ai
0
3 3
M
x
O
z
m
CD a m n
o a O ° N X
S p
y, N
z
D
aO
M
M a O
c 0 m
n
Z
1
(D C W
Vm n
A
0 C, y
m
J
p
m
_m
C)
z
n
m
z
O
t0 W
y
y
V
0
N
A
fa
C m
o N
D
m
a
a
p1
O 0
W
° m
'£O C
5.0
m Im
."(1
fA N p
10 -
9
CO 3
ac
more
mm
oto
rp1.D
(c�
Qa
��
ay
=
C.�
� 'n
r mm
�p
3°
m
o0er
0
(nm
mm
°�
a
am
mm
^o
c
mM
�'°,
md•
°•w
y0
»m
m3
oa
� 0
0
�
CD o
^_
m Z
a <_
a m
�m
� w
y
O 0
m
0 �
o
IOD a
� N
m F
0
o�
C M
m
1°
m
�0
3 f
0=
C)(D
N iC
0�
m Z
(D �
M
m..
3m
a
af°
°
m�
c cr
=-
w
CD
°y
N•
°
s
c>
m
o
a 0
m
7 r
(° 'm
0
Do
O (D
�. 3
;-•
'0
(o
a "
= °c
0
Z
y
ad
m
w
m'
�..
N N
O,K
m W
m
'° N
7 =
O
m
.s
(•OmD 0.
'ti ti'
m
n K
•p
(D Dml
0' m
N U2
til .7'
(•OD
N
OT
7
m N
((h .m.
(D a
N'
3
co
N
i
m 0
y. O
m
a
Dm
3D
�C
'm�
�a
oo
=(0
�a
3�
3
m
m
a
Cl) o
�o
.. <
0
<N
m e
o0
m
m
N
S
m
Mm
y m
O=
O m
a
O.
0 M
0
O
Gf
C 0
W a
0. 0
O
�
m m
L 1
C"
y CD
=
O,
N
Omi
0.CD
O
�
N
y
.de
(D
O -nO
mm Om
10 to
- 3
a
m y
j
y N
i 0
O
O
N
.1 (D
m 0
0 0
N=
C 0
10
m (D
a 3
W •O
N N
a
i
(Q
m '
m "
°i c
a =
3a
C .yi
coN1D
0.
O.
CD
�
>
23
0 3
Qo
m
°.3
o
xm
m 0
a�
o?
w'
o
>
0
y o
`0< 3
(n /5
m
O. y
N i
K
N
O
m
.y.
N
y •O
0 W
C Lo
N (D
CL
O
to
w
rZl
m fG
'O
(-OD
m m
m
=;, y
Co 00
i
a
O.
0. `E
`� -
m m
CL
m 7
C C
0
c
a
9
f m
m
m' O
a
W.
'
o
A)m
m S
0
ELCL
o m
(0 (4
0
"
m
CD w
0
o
a,
o
m 3
m
m a
mD
o'
N<
< m
x
°
C (.°D
7
7
M m
a
m»
0 O
-�
m
j
(nm
N a
O ii
0
O a
cr
ID m
N N
•O
CD
�'
Oa
M O
' ^`
0
N
°
`<
m m
Oof
m
(aD
c 5
rrA
0
3
m
o
CD
m0,
,<
O
a(mD
3
a
mm
m
y
2
3m
(0 ti'
(pOc
(D
°
N
xDS
0 'O
'O
•+
°'
m
m
0
y 0
0
Q y
<
-n
O
S
_n
m a
a
N
C.°
O
o
g
°
a
a
m'
0
0
0-5
C
0
(D
m
C`