HomeMy WebLinkAboutXR2023-3587 - PermitsaE`K'eORT City of Newport Beach III IIIIIIIIIIII II IIIIIIIII IIIIIIIIIIIIIIIIII�IIII II COMB Permit : XR2O23-3587
0� @ Community Development Department -Building Division X R 2 0 2 3 3 5 8 7
�" 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2022-3226
O,. y. Permit Counter Phone: (949) 718-1888 Issued Date:Dl/r�gl-yei.,E,
newportbeachca.gov/civic Final Date:
'<, -o ', Combination Type - SFP ELEC MECH PLUM Permit Status: Applied
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 14869 BLK LOT 6
Description: SFR KITCHEN & MASTER BATH REMODEL
900 SF, RECESSED LIGHTING THROUGHOUT, & WINDOW/DOOR CHANGE OUT
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 Lic : • ' ' '
Lic Expire : 10/31/2025
Applicant: BERNARDO RODRIGUEZ
Bus Lic: BT30026859
Engineer:
Address : 17985 SKYPARK CR
_ Bus Lic Expire : 03/31/2024
Address
IRVINE, CA 92614
. .
Phone: (714) 469-4109
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 : 2022
Fire Sprinklers : NO
Construction Valuation : $100,000.00
Type of Construction : V-B
Fire Hazard Zone : YES
Added/New/TI 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 one:
Use Zone :
PROCESSED BY:
SPECIAL CONDIT
Ql4P4r C1I
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the resson(s) indicated below by the checkmark(s) I have placed next to the applicable Items)
Section 7031-5, Business and Professions Code: Any city or county that requires a peril to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the appllcant for
io permit to BID a signed statement that he or she Is Ilconsed pursuant to the provisions Of the Contractors' State License Low (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and
'rofessions Code) or that he or she is exempt from licensure and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant fora permit subjects Me applicant to a civil penalty Of
of more than five hundred dollars ($500).
7 I, as owner of the property, or my employees with wages as their sole compensation, will do U all of Or U portions of the work, and the structure Is not intended or offered for sale (Section 7044,
Iusiness 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
nprovements 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 builtor
nproved 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' State License Law does not
pply 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).
1 am exempt from Iicensureunder the Contractors' Slate License Law for the following reason: `__ _
ly 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 perk, I. cannot Iegall)
ell a st uctum [hat I have built as an ownor-builder if It has not been constructor] in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and
Imfesslons Code, is available upon request when this application is submitted or at the following Web site:http:IiWww.leginfo.ca.govlcalaw.htmi.
tignature of Property Owner or Authorized Agent Date
ACENSED CONTRACTOR'S DECLARATION /
hereby Pfrrrm under penally of perjury that I am licensed under provisions of Chapter 9 (commencing with Sectio 00 of division 3 of the Busine d Professions Cg J alit my license. is In full force
no thee.. License Clans License No D 4 Contractor S eature f ///.777 /j
VORKERS' COMPENSATION DECLARATION \
URNWGG fAILU RE TO bECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER To CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($1011,0001, IN ADDmON TO THE
OSTOFOOMPENSATN rAMAGESAS PROVIDED FORIN SECTION3706 OF THELASOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under Penalty of perjury one of the following declarations:
J I have and w.f ,,aintain 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 lh
errga6ar.ce of file r.cri.'or which this permit is issued. Policy No.
b9,e 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' compensalks
Tb ranee carrier Sad nul;ay number are:
Policy Plumber
of gem
Date
JI certify that. in the performpii0o of lh rk for which this permit is issued, I shall not employ any person in any manner so as td become subject to the workers' compensation laws of California, and afire
iat, if 1 shout ecomq,eubj to the t rkers' compensation provisions ofSection3700 of the Labor Code, I shall forthwith comply with those provisions.
'Ignalure of Appi' IT/_
tECLARATI ARDING CONS lfCTiON LENDING AGENCY /l I "
hereby I m unde penalty of perjury that there Is a construction lending agency for the performance of the work for which this permit is issued (Section 7, Civil Code).
ander s Name Lenders Address
ly my signature below, I certify to each of the following:
I am the property owner or authorized to act on the properly owner's behalf.
I have mad this application and the Information I have pr9pided
Is "IT
I
1 agree to comply with all applicable city and county ordi . cos r d stale laws relating to building construction.
I authorize representatives of tBls�ity or county IG ant, Apab7 e-Identified property for inspection purposes.
ACTION I DATE BY 15ECLARATION OF REGULATIONS PART 61 OF IITLE 40CE TH CODE OF AND ACINIO RULE RAL I FOR OFFICE USE ONLY
I SUBMITTED ASBESTOS NOTIFICATION TO
PERMLTCANCELLEO
CEPT1FlCZT'E OFOCCUPANCYiZUEO (] I �/ Z i'9!A/ 1 SIGNAdUD DE tR ONII tJA�NOT APPlICAaIE TO