Loading...
HomeMy WebLinkAboutXR2023-0730 - Permits�g`%'PORT City of Newport Beach IIII�I�����I��I�II�I�IIIII�I��I����IIII��I II c� @ Community Development Department- Building Division X R 2 0 2 3 0 7 3 0 COMB Permit : XR2023-0730 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: PC2022-3229 ? Permit Counter Phone: (949) 644-3288 Issued Date : 03/2012023 Inspection Requests Phone: (949) 644-3255 Inspection Area : 6 q�/Fp PN� newportbeachca.gov/inspections Combination Type - SFP PLUM Work Class - Demolition 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 : N TR 6152 BLK LOT 50 Description: DEMO SFR 2,751 SF (5 BEDROOM) INCLUDE SEWER CAP 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 Code Edition: Type of Construction Occupancy Groups: Bldg Height : Building Setbacks Flood Zone Use Zone : PROCESSED BY: Contractor: BURKHART BROTHERS CONSTR Address : 12 BALBOA COVES NEWPORT BEACH, CA 92663 Phone: (949)508-8478 Con State Lie: 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 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 : 2022 Fire Sprinklers : NO Construction Valuation : $20,000.00 V-B Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg : 0 U,R-3 No of Units : 1 Alteration sq. ft. Bldg: No of Stories: 2 Added/New sq. ft. Garage: 0 TOTAL sq. ft. 0 Front: 20, Side: 6, Side: 6, Rear: 6 R-1-6000 - Single -Unit Residential (6000 indicates minimum lot area) SPECIAL CONDITIONS: HAULER: ROBERTS WASTE; DEMO NOTIFICATION ATTACHED OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) indicated below by the checkrnark(s) I have placed next to the applicable items) Section 7031-6, 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 ie 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 'rofessions Code) or that he or she is exempt from licensure and the basis for the alleged exemption. Any violation of Section 7031 S by any applicant for a permit subjects the applicant to a civil penalty of of more than five hundred dollars ($500). 7 1, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or U portions of the work; and the structure is net 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 built or 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). 3 1 am exempt from licensors under the Contractors' Stale 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 permit, I cannot legall; oil a structure that I have built as 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 7044 of the Business and rrofessions Code, isavailable upon request when this application is submitted or at the following Web site:http:l/www.leginfo.ca.gov)calaw.html. signature of Property Owner or Authorized Agent T� Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of D' ision 3 of the Business and 'Professt '(Code, IS my license is In full force nd effect. License -Miss, License, No Date iW f 27 Contractor Signature GGR:(2RS' COMPENSATION DECLARATION DARNING: FAILURE Tr SFC')RE WORKERS' COMPENSATION COVERAGE 19 UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS 1E100,000j, IN ADDITION TO THE O$T OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 370& OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereuy affirm under penalty of perjury one of the following declarations: hai and wi" nairtain a certificate of consent to sell -insure for workerscompensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for rmanca of the work for which this permit is issued. Policy No, and will mcirtam 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' carrier and policy number are: IS, of Agent ^..?refry the(, in the performarpa of the if I should LE3UIne subjec tft the we Policy Number Date for which this parmit is Issued I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California., and agre compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. C, Date hereby affirm under per iy 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 - Lenders Address y 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 r7unances nd state fawn relating to building construction. I authorl7e representatives of this city or county to I�jer {he atyve-iyfbrltlfied property for inspection purposes. _ Signature of Property Owner or Authorized Agent Print Property Owner's or Authorized A ACTION DATE i BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY i REG ULATIONS PART 61 OF TITLE 40 AND AONID RULE PERMITCANCELLED L,dEPA PERMIT EXTENDED 0MD PEWMPI AL CERTIFICATE OF �� AaHE6T05 NOT FICATION}S NOTAPPLICAHLE TO PROP05ED OEM ION lA OCCUPANCY ISSUED VVV SIGNATURE: V/_ L_ Er O 0 Er 'a ,n 0 0 0 O N RI fu O r, _ a ar iiled Mail Fee I: .?". Certi Mall Fee - $4.1a 1 0- $4.1` $Il_II11 VSPSM :13$ -- �V15 '~Ilt ztra ServicesBFees (checkbpx, aria lee ay��ro�mWe1 FS'U1Extra Sery ces&Fees (cliecktwx, add teew ) 0 ❑ Return Receipt thradcopY) $ Kr"r `9('� ❑ Return Recelpt(TealWO)'ay ❑ Return Recept (elecwnic) $ t! J. t O Post� `y ra ❑ Return Receipt (elacvomc) $ I I, I I yO ark ❑Certified Mali Reetricled Delivery $ #i l .fill y 'u'ry��'P1 certlged Met l Reehlcled DaWa y $ 1i I _ fit I `•, ❑ Aduft Signature Requlretl $ d rfrf /nVv a na O Adult Signature Required $ d:f_�l iaSfrp tP _ I Adult Signature Restricted Delivery$ {O � L]Adutt Signature Restricted Delivery$ sty .stage g O PostageIq $IJ,63 'P9 Dial Postage and FgeQ � Tatel Postage and Fefip$ . �o 2 5/- Wh $ Y welent To y/ N Sent To street TM 4] CERTIFIED U.S. Postal Sery ce RECEIPT Domestic r M C3 ." 0" Certified Mail Fee $y 15 (1331 CO $ ii Ill II$ tdl Extra Services B Fees(oheck box addteea qpravtla(e) ❑ Return Receipt oardcapY) $ V.�V .�gZ6 tl� �S '"� ❑ Return Recelpt(elecnalc) $ il,fill ,� an ❑ Certlged Melt Resalcled Delivery $ n it e L 0 0AdultSigretureRequlretl $ 0 N ❑Atlutt Signature ReMdct¢tl DalNery$ SI V p Postage $II.617 cc1 � $ M1 T$otal Postage and FV.7°N 33W fu NSTi/ O fr¢eanR/7/O S L �, Certified Mail service provides the following benefits: A receipt (this portion of the Certified Mail label). for an electronic return receipt, see a retail • A unique identifier for your mailpiece. associate for assistance. To receive a duplicate is Electronic verification of delivery or attempted return receipt for no additional fee, present this delivery. USPSdc-postmarked Cerilfied Mail receipt tgihe • A record of delivery (including the recipient's retail associate. signature) that is retained by file Postal Service'" -ResMcted delivery service, which provides for a specified period. delivery to the addressee specified by name, or Important Reminders,- 19 the addressee's authorized agent. • You may purchase Cerffied Mall service with Adult signature service, which requires the signee to be at least 21 years of age (not First -Class Mail®, First-class Package Service®, available at retail). or Priority Mall® service. -Adult signature restricted delivery service, which •Certified Mail service is gotavallable for requires the signee to be at least 21 years of age international mall. r and provides delivery to the addressee specified •Insurance coveri is netavailable for purchase by name, or to the addressee's authorized agent with Certified Maf servlee:However, the purchase (not available at retail). of Certfied Mail service does not change the . To ensure that your Certified Mail receipt is insurance coverage automatically included with certain Priority Mail items. accepted as legal proof of mailing, it should bear USPS postmark. If you would like a postmark on • For an additional fee, and with a proper this Certified Mail receipt, please present your endorsement on the mallpiece, you may request Certified Mail item at a Post Office"' for the following services: postmarking. If you don't need a postmark an this - Return receipt service, which provides a record Certified Mail receipt, detach the Amended potion of delivery(including the recipient's signature). of this label, affix it to the mallpiece, apply You can request a harticopy return receipt or an appropriate postage, and deposit the mailpiece, electronic version. Far a hardcopy return receipt, complete PS Fan 3811, Domestic Return Receipt; attach PS Form 3811 to your mailpiece; IMPORTANT. Save this receipt for your records. Certified Mail service provides the following benefits: •Areceipt (this portion of the Certified Mall label). for an electronic return receipt, see a retail • A unique idenlifrer for your mallpiece. associate for assistance. To receive a duplicate • Electronic vedficafon of delivery or attempted return receipt for no additionalfee, present this delivery. USPS®-postmarked Certi ied Mail receipt it the is A record of delivery (including the recipient's retail associate. signature) that is retained by the Postal Service" - Restricted delivery surplus, which provides for a specified period delivery to the addressee specified by name, or to the addressee's authorized agent. Important Reminders: - Adult signature service, which requires the • You may purchase Certified Mall service with sign¢ to be at least 21 years of age (not first -Class Mail-, First -Class Package Services. available at retail). - orPriorityMWservice. - Adult signature restricted delivery service, which •Certfied Mall service is not available for requires the signer: to be at least 21 years of age international mail. and provides delivery to the addressee specified •Insurance beverage is notavailable for purchase byname, or to the addressee's authorized agent With Certified Mall service. However."a purchase (not available at retail). Of Cart ad Mail service cars not change the insurariee coverage gut rm le ally included with • To ensure that your Certified Mail receipt is certain Priority Mwl"t ms. accepted as legal proof of mailing, d should bear a USPS postmark. If you would like a postmark on • For an addtional fee, and with a proper this Certified Mail receipt, please present your endorsement on the mailpiece, you may request Certified Mall Rem at a Post Office- for the following services: postmarking. if you don't need a postmark on this - Return receipt service, which provides a record Certified Mail receipt, detach the Labored podim of delivery (Including the recipient's signature). of this label, affix it to the mailpiece, apply You can request a harticopy return receipt or an appropriate postage, and deposit the mailpieck electronic version. For a hardrmpy return receipt, complete PS Form 3811. Domestic Return Receipt, attach PS Farm 3811 to your mailpiece; IMPORFAO.. Save this receipt for your records. PS Form 3800, Amp 2015 (Reverse) PAN 753o02-000�9047 PS Form 3800, AP612016 (Reverse) PSN 7530 02-000-9047 Certified Mail service provides the following benefits: • A receipt (this portion of the Certified Mail label). for an electronic realm receipt, see a retail associate for assistance. To receive a duplicate •Aunt unique identifier mail piece. q return receipt for no additional fee, present this • Electronic verification of delivery or attempted USPS®-postmarked Certified Mail receipttothe delivery. • A record of delivery (including the recipient's retail associate. _Restricted delivery service, which provides signature)that is retained by the Postal Service delivery to the addressee specified by name, or for a specified period. to the addressee's authorized agent. important Reminders: is You may purchase Certified Mail service with - Adult signature service, which requires the signee to be at least 21 years of age (not First -Class MAI°,First-Class Package Service®, or Priority Mail® service, available at retail). - Adult signature restricted delivery service, which •Certified Mail service is notavallable for requires the signee to be at least 21 years of age and provides delivery to the addressee specified international mail is Insurance coverage is nald7ailable for purchase byname, or to the addressees authorized agent With Certified Mall service. However, the purchase (not available at retail). of Cmufled Mail service does not change the . To ensure that your Certified Mail receipt is insurance coverage automatically included with accepted as legal proof of mailing, it should bear a certain Priority Mail items. USPS postmark. If you would like a postmark an this Certified Mail receipt, please present your • For an additional fee, and with a proper endorsement on the mailpiece, you may request Certified Mali Item at a Post Office" for the following services: - Return receipt service, which provides a record postmarking. if you don't need a postmark on this CeNfied Mail receipt, detach the barcoded portion of deliveryfincluding the recipient's signature). you a hardcapy return receipt or an of this label, affix it to the mailpiece, apply appropriate postage, and deposit the mailpiece. can request electronic version. For a harticopy return receipt, complete PS Form 3811, Domestic Return Receipt, attach PS Form 3811 to your mailpiece; IMPORTANT. Save this receipt for your records. PS Form 3800, April 2015 (Reverse) FAN 7530-02 000,9W