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
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international mail.
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byname, or to the addressee's authorized agent
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(not available at retail).
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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
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appropriate postage, and deposit the mailpieck
electronic version. For a hardrmpy return receipt,
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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.
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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