HomeMy WebLinkAboutXR2023-0179 - PermitsaEwepRr City of Newport Beach
Community Development Department- Building Division
> 100 Civic Center Drive, Newport Beach, CA 92660
.. T Permit Counter Phone: (949) 644-3288
Inspection Requests Phone: (949) 644-3255
n'4G�FORN\P newportbeachca.gov/inspections
Combination Type - SFP ELEC MECH PLUM
Work Class - New
11IIIIIIIIIIII IIIII111111111111111111111111111111111111II 11 COMB Permit : XR2023-0179
Plan Check No : PC2022-3229
Issued Date : 03/20(2023
Inspection Area: 9
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 : 1516 SANDCASTLE DR Legal Desc :
Description: NEW SFR ON EXISTING FOUNDATION 3537 SF W/ 650 SF GARAGE.
Owner: VISTA PARK PROPERTIES LLC
Address : 1007 NOTTINGHAM RD
NEWPORT BEACH, CA 92660
Phone
Applicant: BURKHART BROTHERS CONSTR
Address : 12 BALBOA COVES
NEWPORT BEACH, CA 92663
Phone : (949) 508-8478
Owner/Builder:
Address :
Phone
Contractor: BURKHART BROTHERS CONSTR
Address : 12 BALBOA COVES
NEWPORT BEACH, CA 92663
Phone: (949)508-8478
Con State Lic : 905510
Lie Expire : 10/31/2023
Bus Lie: BT30026859
Bus Lie Expire : 03/31/2023
Workers' Compensation Insurance
Carrier: SECURITY NATIONAL INS CO
Policy No: SWC1373426
W. C. Expire: 2/1/2024
Code Edition : 2019
Fire Sprinklers :
YES
Type of Construction : V-B
Fire Hazard Zone :
NO
Occupancy Groups : U,R-3
No of Units :
1
Bldg Height:
No of Stories:
2
Building Setbacks
Flood Zone:
Use Zone :
PROCESSED BY:
SPECIAL CONDITIONS:
Architect: JASON RICHART
Address : 1041 18TH W, A106 COSTA MESA, CA
92627 -
Phone:
(949)422-9191
State Lie
Engineer :
GHAZLANI ANDY
Address :
4202 ATLANTIC AVE #204 ^
LONG BEACH, CA 90807-
Phone:
(562)253-2385
Designer
Address
Phone:
Construction Valuation :
4141DO00
Added/NewITI sq, ft. Bldg :
3,537
Alteration sq. ft. Bldg :
Added/New sq. ft. Garage :
650
TOTAL sq. ft. :
4,187
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' Slate 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
:ha 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 lieensum 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
-ot more than five hundred dollars ($500).
I, as owner of the property, or my employees with wages as their sole compensation, will do L) 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
�mprovemenls 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).
1. as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044. Business and Professions Code: The Contractors' Slate 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).
d 1 am exempt tram licensors 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 nwnor-builder if it has not been constructed in its ontiroty by licensed contractors. I understand that a copy of tha applicable taw, Section 7044 of the Business and
Professions Code, is available upon request when this application is submitted or at the following Web site:http:liwww.leginfo.ca.gov/calaw.html.
Signature of Property Owner or Authorized Agent Date
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm untler penally of perjury that I am licensed under provisions of Chapter g {commencing with Section 70 )) of ivision 3 of the Business and Profes ns o .and my license is In full force
and effect. LicensE Cass License No Date l Z Contractor. Signature
V;'ORKERS' COMPENSATION DECLARATION
wA`,NINCi FAILURE TO SCLURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (S100,000), IN ADDRION TO THE
CJT" OF [aMPENSATI^N, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES,
IIhnhereby affirm unr'er psnalty of perjury one of the following declarations:
[I I hpve and wid mai,llam. a certificate of consent to self -insure for workers" compensation, Issued by the Director of Industrial Relations as provided tot by Section 3700 of the Labor Code, for th
performance of tha na:+k for which this permit is issued. Policy No.
eh3 a 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' compensafioi
inrvmrce carrier at,d policy number am:
carrier _ _ Policy Number Expiration Date
lien^ Y Agent Phone #
Of ca tify that, !n ('m pdrforman e of tha work for which this permit is issued, I shell not employ any person in any manner so as to become subject to the workers' compensation laws of California, and ag(a
that, if I should become subject the worker compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
Signature of. Applicant _X,ite !L Date_J/W_/J3
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).
.ender's Name Lender's Address
3y my signature below, I certify 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 have provided is correct.
I agree to comply with all applicable city and county can - s and state laws relating to building construction.
I authorize representatives of this city or county to Lin v -Identified property for inspection purposes.
ii nature of, PrHerly Owneror Authorized Agent Print Pro att ner's or Authorized Agent's Name KS Z.-F_ Date
ACTION DATE. ` BY DECLARATION OF COMPLIj N££ W17H CODE OF FEDERAL FOR OFFICE USE ONLY
I ` I REGULATIONS PAE}Lrj"OF TITLE 40 AND AQMD RUIE
EXPIRED
PERMIT FINAL OCERTIFICATE CCUPANCYOSUED �� 121 ���/ ,SPROONPAOSSERiil.EM�i CNI"i I5 NOTAPPLICABLE TO