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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