HomeMy WebLinkAboutXR2023-1746 - Permits�EWroRr City of Newport Beach, � II 04 @ Community Development Department- Building Division X R 2 0 2 3 1 7 4 6 COMB Permit AR2023-1746
Fy 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: PC2023-1539
Permit Counter Phone: (949) 718-1888 Issued Date : 10/25/2023
s. newportbeachca.gov/civic
C'•CIF00.t•`P e - SFP ELEC MECH PLUM Final Date:
12024
Combination Type Permit Statuus:s: Final
Work Class - Addition Inspection Area: 6
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 : 1543 SANDCASTLE DR Legal Desc : N TR 6152 BLK LOT 69 DUPLICATE
Description: SFR DETACHED ADU 507 SF
Owner: STRATEGIC EXITSOL ENTERPRISES LLC
Address : 62 VIA CANDELARIA
TRABUCO CANYON, CA 92679
Phone: (714)313-5050
Applicant: JASON RICHART
Address : 1041 18TH W, A106
COSTA MESA, CA 92627
Phone: (949)422-9191
Owner/Builder :
Address :
Phone:
Contractor: BURKHART BROTHER'S CONSTR INC
Address: 1382 VALENCIA AV, F
TUSTIN, CA 92780
Phone :
(949) 508-8478
Con State Lic
: 905510
Lic Expire:
10/31/2025
Bus Lic:
BT30026859
Bus Lic Expire : 03/31/2025
Workers' Compensation Insurance
Carrier: REPUBLIC INDEMNITY COMPANY OF
AMERICA
Policy No: 25715401
W. C. Expire: 2/1/2025
Architect
Address:
Phone:
State Lic:
Engineer:
GHAZLANI ANDY
Address:
1021 E CARSON ST, 5
LONG BEACH, CA 90807
Phone:
(562)253-2385
Designer:
JASONRICHART
Address:
1041 18TH W,Al06
COSTA MESA, CA 92627
Phone:
(949) 422-9191
Code Edition:
2022
Fire Sprinklers : NO
Construction Valuation :
$91,260.00
Type of Construction :
V-B
Fire Hazard Zone: NO
Added/NewlTl sq. ft. Bldg:
0
Occupancy Groups :
R-3
No of Units : 0
Alteration sq. ft. Bldg:
0
Bldg Height :
No of Stories : 1
Add/New sq. ft. Garage:
0
TOTAL sq. ft.:
0
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:
OWNER -BUILDER DECLARATION
I hereby affirm under penally of perjury that I am exempt from the Contractors' Slate 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 cityor 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
tol 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,
3usiness 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
mprovements 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
reproved 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
tpply 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 licensure under the Contractors' State License Law for the following reason:
3y 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, 1 cannot legally
>ell 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:lAvww.leginfo.ca.govlcalaw.html.
3lgnature of Property Owner or Authorized Agent Date
LICENSED CONTRACTOR'S DECLARATION
hereby affirm under penally 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
and effect. License Class License No Date Contractor Signature
NORKERS' COMPENSATION DECLARATION
YARNING: 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 (5100,D001, IN ADDITION TO THE
:OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3705 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES.
hereby affirm under penalty of perjury one of the following declarations:
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 3700 of the Labor Code, for the
lerformance 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'
rance carrier and policy number are:
of Agent
Policy Number Expiration Date
Phone#
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.
of
Date
)ECLARATION REGARDING CONSTRUCTION LENDING AGENCY
hereby 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).
-enders Name Lenders Address
3y my signature below, I certify to each of the following:
I am the property owner or authorized to act on the property owners behalf. - -
I have read this application and the information I have provided is correct DUPLICATE
f r�{1 �/'� A'T'C�
I agree to comply with all applicable city and county ordinances and state laws relating to building construction. U i L CA
I authorize representatives of this city or county to enter the above -identified property for inspection purposes.
3ionalure of ProDertV Owner or Authorized Aoent Print Propertv Owner's or Authorized Agents Name Date
DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
PERMITEXPIRED I I U I SUBMITTED ASBESTOS NOTIFICATION TO
PERMIT EXTENDED LJAQMD
PERMIT FINAL ASBESTOS NOTIFICATION 15 NOT APPLICABLE TO
CERTIFICATE OF ,� ( FL PROPOSED DEMOLITION
OCCUPANCY15SUED SIGNATURE:
City of Newport Beach � IIIIIIII III 111111111111p111111111p11111111111111111111111jjPermit: XR2023-1746
100 Civic Center Drive x R 2 e 2 s 1 7 4 s Plan Check: PC2023-1539
Newport Beach, CA 92660
C'9CIFORN`P
Certificate of Occupancy
THIS CERTIFICATE ISSUED PURSUANT TO THE REQUIREMENTS OF SECTION 111 OF THE CITY OF NEWPORT
BEACH ADMINISTRATIVE CODE ATTESTS THAT AT THE TIME OF ISSUANCE, THIS STRUCTURE WAS IN
COMPLIANCE WITH THE VARIOUS ORDINANCES OF THE CITY OF NEWPORT BEACH REGULATING BUILDING
CONSTRUCTION OR USE.
Owner: STRATEGIC EXITSOL ENTERPRISES LLC
Address: 1543 SANDCASTLE DR, NEWPORT BEACH, CA 92626
Tenant:
Use Zone: R-1-6000 - Single -Unit Residential (6000 indicates minimum lot area)
Description of Work: SFR DETACHED ADU 507 SF
Special Conditions:
Chief Building Official: Tonee Thai, PE, CASp, CBO Signature: %eitee
Code Year Edition:
2022
Number of Stories:
1
Construction Type:
v-B
Occupancy:
R-3
Total Occupant Load:
Fire Sprinklered:
NO
Date: 3/28/2025