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Home My WebLink AboutXR2023-1397 - PermitsEwPo City of Newport Beach Community Development Department- Building Division X R 2 0 2 3 1 3 9 7 COMB Permit : XR2O23-1397 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: PC2023-1254 Permit Counter Phone: (949) 718-1888 e. newportbeachca.Issued Date: 091'1412023 gov/civic c �r Inspection Area : 8 Combination Type - ELEC MECH PLUM GRAD Work Class - Online 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 : 601 MICHAEL PL Description: NEW SFR/GARAGE 5078/652 SF Owner: LOUELLA & SEAN CLAGGETT Address : 601 MICHAEL PL NEWPORT BEACH, CA 92663 Phone: (702)682-0367 Applicant: MARK TEALE Address: 2900 BRISTOL ST BLDG A203 COSTA MESA, CA 92626 Phone: (949)975-0123 Owner/Builder : Address: Phone: Legal Desc : N TR 4106 BLK LOT 1 Contractor: BURKHART BROTHER'S CONSTR INC Address: 12 BALBOA COVES NEWPORT BEACH, CA 92663 Phone: (949)508-8478 Con State Lic : 905510 Lic Expire : 10/31/2023 Bus Lic: BT30026859 Bus Lic Expire: 03/31/2024 Workers' Compensation Insurance Carrier: SECURITY NATIONAL INS CO Policy No: SNP1426534 W. C. Expire : 2/1/2024 Architect : MARK TEALE Address : 2900 BRISTOL ST BLDG A203 COSTA MESA, CA 92626 Phone: (949) 975-0123 State Lic Engineer: FADY HAKIM Address : 410 Goddard, 200 Irvine, CA 92618 Phone: (949)245-8000 Designer: Address : Phone: Code Edition : 2022 Fire Sprinklers : YES Construction Valuation : Type of Construction : V-B Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg : 5,078 Occupancy Groups: R-3,U No of Units : 1 Alteration sq. ft. Bldg : 0 Bldg Height: No of Stories : 3 Added/New sq. ft. Garage: 652 TOTAL sq. ft.: 5,730 Building Setbacks : Front: 8, Side:4, Side: 4, Rear: 10 Flood Zone : X Use Zone : R-1 - Single -Unit Residential PROCESSED BY: SPECIAL CONDITIONS: 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 the 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 Iicensure 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 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). 111, 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). ❑ I 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:https://Ieginfo.legislature.ca.gov. LICENSED CONTRACTOR'S DECLARATION I 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 and effect. License Class: B License Number: 905510 WORKERS' COMPENSATION DECLARATION WARNING: 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 ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I 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 performance of the work for which this permit is issued. Policy Number: 0 1 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 compensation insurance carrier and policy number are: Carrier: Security National Insurance Policy Number: SNP1426534 Expiration Date: 0210112024 Name of Agent: Phone #: H 1 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 o1 Califomia, and agree that, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. CONSTRUCTION LENDING AGENCY DECLARATION I 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). Lender's Name: Lender's Address: By my signature, I certify to each of the following: DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL I am the property owner or authorized to act on the property owners behalf. REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE 1403 1 have read all the declarations, checked applicable ones, and the information I have provided are correct. 1 SUBMITTED ASBESTOS NOTIFICATION TO: I have read this application and the information I have provided is correct. ❑ EPA I agree to comply with all applicable city and county ordinances and state laws relating to building construction. ®AQMD I authorize representatives of this city or county to enter the above -identified property for inspection purposes. KUNs Reece ❑Asbestos notification is not applicable to proposed demolition. September, 142023