HomeMy WebLinkAboutM2024-0060 - PermitsCity of
Beanment-Building
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Harbor Permit :M2024-0060
Development t Division
Comm100
Civic Center Drive, Newport Beach, CA 92660
Plan Check No: PC2024-1301
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Permit Counter Phone[ (949) 718-1888
Issued Date: 0911112024
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newportbeachca.gov/cnnc
Final Date:
Work Class- Addition/Alteration
Permit Status: Issued
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Inspection Area : 2
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION.
Construction Hours: Monday - Friday 7:00 a.m. to 6:30 p.m. and Saturday 8:00 a.m. to 6:00 p.m. No work on Sundays or Holidays.
Job Address: 433 HARBOR ISLAND DR Legal Desc : NTR 3283 BLK LOT 6 TR 3283 LOT 6 AND POR SW1/4 BE
Description: SFR RAISE SEAWALL CAP
Owner: DOBSON JAMES EDWARD / KRAMER MARSHA Contractor: BURKHART BROTHER'S CONSTR INC Architect:
SUSAN
Address: 433 HARBOR ISLAND DR NEWPORT BEACH, Address: 1382 VALENCIA AVE, UNIT F TUSTIN, Ck Address:
CA 92660
92780
Phone:
(714)914-7514
Phone: (949)508-8478 --
Phone:
Con State Lic : 905510
State Lic
Applicant:
PETROV PLAMEN
Lic Expire: 10/31/2025
Address :
28161 CASITAS CT
LAGUNA NIGUEL, CA Bus Lic : BT30026859
Engineer:
PETROV PLAMEN
92677
Phone:
(714) 717-7542
Bus Lic Expire: 03/31)2025
Address:
28161 CASITAS CT LAGUNA NIGUEL, CA
92677
' The Longshore and Harbor Workers' Insurance
- Phone: .
(714) 717-7542 _
Carrier: REPUBLIC INDEMNITY COMPANY
OF
Policy NoAMEMM5401
Designer:
Policy Expire: 21112M -
Address:
Phone:
Code Edition: Fire Sprinklers : NO
Type of Construction: Fire Hazard Zone : NO
Occupancy Groups: U
Building Setbacks: Front 10, Front: 20, Side: 4, Side:4
Flood Zone : AE, 8 Fr; X
Use Zone : R-1 - Singe -Unit Residential
gs Processed By:
SPECIAL CONDITIONS:
Construction Valuation
$1,000.00
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I hereby affimn under penalty of perjury that I am exempt from the Contractors' State License Law for the reasons) indicated below by the chet tan ark(s) I have placed next to
a
III licable ttem(5)
:tion 7031.5_ Business antl Professions Code: Any city or county mat requires a permit to construct. after. Improve. demolish. or repair any structure, poor to Its Issuance. also re
Ir
's the applicant to
permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors Stale License Law (Chapter 9 (c ommencrig With Section 7000) of Division
I o
it ie Business ant
'essions Code) or that he orshe a exempt from Ibensure and the bass for the alleged exemption Any violation of Section 7031 5 by any apple ant for a permit subjects the apple
o a civil penalty o
more than five hunaed dollars (S500) -
i
sal
1. as owner of the property, ormy employees with wages as their sole c orrpensation, will do U all of or U portions of the work, and the structure is not intended or ofteretllf
(Section 7044.
iness 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 prof
'
I mvldetl that chi
'ovements are not intended or offered for sale. 9. however, the building or improvement is sod within one year of completion. the Owner-Buttler will have the burden of pmving
I was not built a
-oved for me purpose of sales
I-
I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code. The Contractors Sic
C
a Lax does not
y to an owner of poperty who builds or improves thereon. and who contracts forthe projects wilt a Ik ensed Contractor pursuant to the Contractors' State Lc ense Law)
L-1 I am ex empl from fic ens ure under the Contractors' State License Law for the following reason. III II I
By my signature below I acknowledge thatexcept formy personal residence n which I m us[ have resided for at least one year prior to completion of the improvements covered by this I rmitlj I cannot legally
sell a structure that I have buill 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 70 . ofl the Business anm
Professions Code, a available Upon request When this application is submitted or at the following Web sue-htp Owww leglnfo ca gov/calaw. htnv .ail III, m
Signature of P roperty UV ner or Authorized Agent Date
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm Under penalty of perjury that I am licensed untler provisions of Chapter 9 (commencin R S ion 7000) of Division 3 of the Business a fession E. and I' r e is n fW ford
and effect License Cla55 License No Date Contractor Signature I�
LONGSHOREMEN'S S, HARBOR WORKERS' COMPENSATION DECLARATION
WARNING: FAILURE TO SECURE LONGSHOREM1£NSbHARBOR WORKED S'COXPFN SATIOX COVERAGE mS ONLAWFUL,AND TALL OBJECT AN END ATERTOCR IMNAL Af CMLF rESUpe ONE HUM �n SAND DOLLARS
ISW0.0S01, IN ADDITION TO THE COST OF CONDENSATION, OAMAGES AS PROVIDED FOR N SECTION WIN OF THE L ifl COD , INTEREST, AN ATTORNEY's FEE I her affirm O er pen lfy of pe{ju el i me iO IOWIOC
dec Orations
❑ 1 have and will Inanlain Longshoremen's antl Harbor workers' compensation nsurance. as required by Section 3700 of the Labor Code. for the performance of the WOfkjf w in n tints permit is
issued My workers' compensation insurance tamer and policy number are
Carrier Policy Number Expiration Date'
Name of ent Phone p 19 III
I certify that. in the per�a��1arice of the work foff�wwtfdd�ph this permit b issUetl. 15hall not ern ploy any person in any manner 5o as to be[ome subjectto [ne workers' compensation 5 f California. an
deices that, lf I Should be[ompJ50blec) to the wort er j�omp�n;atlorf�lATv5lons of Se[tion 3700 of the Labor Cotle. shall foMwfth [apply with those provisions
DECLARATIQ.N-REGAROING CONSTROCTIOILENDING AGENCY p
I her mm un Itler penalty of perjrjury that them is a construction lending agency forme performance of the work for which this permit is a sued (Section 3097. Civil Code). RNy
Lenders Name Lender'SAddre55
By my signature below, I certify to each of the following:
I am the property owner or aWhonZed to act on the pmperty owners behalf
I have mad this application and the Information I have provided is correct
I agree to comply with all applicable and county Ordinances and state laws relating to budifing construction
I authorize rep tives�p this p y rc unN t0 enterthe above -identified property for inspection purposes ,� d
Signature_:'. Print Name: �� Gil � Ook-r-E tile- Date:
L1lfflON TE BY LIEC TIONCOMPLIANCE FOR OFRCE US Ot y
FEDERAL REGULATIONS PART 6TyOFHTI7LEOFNO ��ERMIiEK^iR_SrJ AQMD RULE 1403_
❑ I EPA
ASBESTOS NOTIFICATION TO+
.BERMPERMIT; vcELL0 `B AQ
E'CIENGED m / ASTOS NOTIACATION ISA00T APPLlCABLETO
ttA
SIGNATURE: