HomeMy WebLinkAboutXR2023-1911 - Permits04�-
City of Newport Beach jj�I��pI��11111111�m11111111111111111111111111111111111COMB Permit : XR2O23-1911
Community Development Department -Building Division100 Civic Center Drive, Newport Beach, CA 92660 Plan Check NoPermit Counter Phone: (949 718-1888 I Issued Date : 07/1312023Combinewporation aype-ivic Final Date:
Combination Type - SFP Permit Status: issued
Work Class - Alteration 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 : 4 SUNSET COVE Legal Desc : N TR 14859 BLK LOT 6
Description: SFR'ADD'L SCOPE' NEW BALCONY 51 SF, RPLC WINDOW &DOOR W/LARGER DOOR
Owner: CORAL LW LLC
Contractor: BURKHART BROTHER'S CONSTR INC
Architect : RICK GUINA
Address: 4 SUNSET COVE
Address : 12 BALBOA COVES
Address : 17985 SKY PARK CIR, G IRVINE, CA
NEWPORT BEACH, CA 92657
NEWPORT BEACH, CA 92663
92614
Phone :
Phone: (949) 508-8478
Phone : (714) 486-3318
Con State Lic : 905510
State Lie : ... .
Lie Expire : 10/31/2023
'
Applicant : BURKHART BROTHER'S CONSTR INC
Bus Lie : BT30026859
Engineer
Address : 12 BALBOA COVES
Bus Lie Expire: 03/31/2024
Address
NEWPORT BEACH, CA 92663
Phone: (949) 508-8478
Workers' Compensation Insurance
Phone: - -
Carrier: SECURITY NATIONAL INS CO
Owner/Builder:
Policy No: SNP1426534
Designer: ._
Address:
W. C. Expire : 2/1/2024
Address
Phone:
Phone:
Code Edition : 2019
Fire Sprinklers : NO
Construction Valuation
Type of Construction : V-B
Fire Hazard Zone : YES
Added/NewITI sq. ft. Bldg : 0
Occupancy Groups : U,R-3
No of Units : 1
Alteration sq. ft. Bldg :
Bldg Height :
No of Stories : 3
Added/New sq, ft. Garage: 0
TOTAL sq. ft. 0
Building Setbacks
Flood Zone : X
Use Zone : PC - Newport Coast
PROCESSED BY: /
SPECIAL CONDITIONS:
V�23.666)30�
I hereby affirm under penalty of perjury that I am exempt from the Contractors' Stale License Law for the reason($) indicated below by the checkmark(s) I have placed next to the applicable item(s)
;Seclion 7031.5. Business and Professions Code: Any city or county fllat requires a permit to construct, alter, Improve, demolish, or repair any structure, poor to Its issuance, also requires the applicant for
he permit to rile 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 ficensure and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant fora permit subjects the applicant to a Civil penalty of
not more than five hundred dollars ($500).
],as owner of the property, or my employees with wages as their sole compensation, will do U all Dior U portionsofthe 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, huilds 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 bulll or
reproved for the purpose of sale).
I, as owner of Ole property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' Slate License Law does not
a ply 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 licensure 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 prier to completion of the Improvements Covered by this permit, I Cannot legall;
sell a structure that I have built as an owner -builder if It has not been Constructed In Its entirely 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:ltw .leginfo.ca.govlcalaw.html.
Signature of Property Owner or Authorized Agent Date
LICENSED CONTRACTOR'S DECLARATION )%
I hereby affirm Under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sect ) of D ision 3 of the uslness and Profes�i s Gode and my Iicerrse is in full force
and effect. License Class License No e �5 ractor Signature s
WORKERS' COMPENSATION DECLARATION
wARNWG: FAILURE Te, PFVME WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (iIDg0061, IN ADDITION TO THE
COST OF COMPENStTION, DAMAGES As PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, "a ATTORNEY'$ FEES.
I hereby Effirm under penalty of perjury one of the following declarations:
D I have and wrIl maintain a certificate of consent to sell -insure for workers' COmpOnSOD0a. ISSUed by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for th
pgBarmLnce of the work for which this permit Is issued. Policy No.
9have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which [his permit is issued. My workers' compensatio
insGr a Dealer A) pul'icy number are:
Policy Number
is el Agent ____
Dale
certify that. in thv perfornrIenoe, or 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 acre
I, If I should became. T. I t to the orkers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply With those provisions,.� / /
nPDvs of Applk��1_ _ _ ! Y7afe
CLAR.310N (.EdQKD G CO STRUCTION LENDINO AGENCY JJJ
Ireby affirm un Sur 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 Cade).
rder's Name Lender's Address
my signature below, I certify to each of the following:
I am the property owner or aulhodzed 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 inances pnd slate laws relating to building construction.
I authorize representatives of this Illy or cou ty a 6r the alb ve-identified property for inspection purposes. /
nature of Frooertv Owner or Aulholized Aae �� c _.__ Print Property Owner's or Authorized Agent 's �Jap �=L�n ` `S TZ /Dale
DATE BY PDECIARATION OF COMPUANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
I REGULATIONS PART 61 OF TITLE 00 AND AQMD RULE
PERMIT EXPIRED
PERMIT EMENDED
NOl'APPLICABLE TO
CERTIFICATE OF
OCCUPANCYISSUED