HomeMy WebLinkAboutX2018-1643 - PermitsCity of Newport Beach - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255
'�'d�arnc�c1' Combination Type - BLDG PLUM
COMB Permit: X2018-1643
IIIIIIIIIIIIIIIII�IIIIIIIIIIIIIIIIIIIIIII� II
Project No : 1272-2018
Issued Date : 05/3012018
Inspection Area: 1
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION.
Construction Hours: Monday - Friday 7:00 a.m. to 6:30 p.m. and Saturday from 8:00 a.m. to 6:00 p.m. No work on Sundays or Holidays
Job Address: 115 29TH ST NB
Description: DEMO DUPLEX (1) BEDROOM 695 SF, INCLDS SEWER CAP ttll
Legal Desc.: NEWPORT BEACH CITY BILK 29 LOT 28 p t8 '%i �� '
Owner: 115 29TH STREET LLC Contractor: BURKHART BROTHERS CONSTR ! Architect:
Address: 11821 HIGHVIEW OR Address: 12 BALBOA COVES Address:
SANTA ANA, CA 92705 NEWPORT BEACH CA 92663 ....
Phone: Phone: 714-350-3692 Phone: State Lie: °o.•••
Applicant:
BURKHART BROTHERS CONSTR
Address:
12 BALBOA COVES
Bus Lie:
NEWPORT BEACH CA 92663
Phone:
714-350-3892
Code Edit:
Type of Construction:
Occupancy Group:
Added /New sq.ft. Bldg:
Added /New sq. ft. Garage:
No of Stories: 2
No of Units : 1
Bldg Height: 0
Bldg Sprinklers:
Flood Zone:
Con State Lie:
905510
Lie Expire:
10131/2019
Bus Lie:
BT30026859
Lie Exp Date:
03/31/2019
2016 Workers Compensation Insurance
VB Carrier:
STATE COMP
R3 Policy No:
9041905
0 Expire:
02101/2019
0
CA Seismic Safety:
Building Setbacks
Rear: /
$0.00
Front: /
$0.00
Left: /
$1.00
Right: /
Construction Valuation: $9.000.00
Building Permit Fee: $103.00
Plan Check Fee: $189.00
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management:
$0.00
Energy Compliance:
$0.00
CA Seismic Safety:
$0.00
Disabled Access:
$0.00
Hazardous Mat
$0.00
Building Green Fee:
$1.00
TOTAL FEE : $1,740.27
PROCESSED BY:
Engineer:
Address:
Phone:
Designer:
Address:
Phone:
Special Conditions: A2Z TO HAUL
NO TREES
Excise Tax:
$0.00
Planning Department -
Fire Inspection:
Additional Fee :
$0.00
Plan check Fee
Demolition Fee
Grading Bonds Fee:
$0.00
Fair Share:
General Service
Grading PC Consultant:
$0.00
SJH Trans :
Grading Bond:
Grading Permit Fee:
$0.00
In -lieu Housing Fee:
Grading PC Fee:
$0.00
Public Works Department -
WQ Insp. Fee:
$0.00
Park Dedication :
$0.00
PAN Plan Check:
$0.00
Electrical %:
$0.00
San Dist:
$0.00
Mechanical %:
$0.00
NMUSD Fee:
$0.00
Plumbing %:
$9.27
ZONING APPROVAL: t'Lti>a� ==-
GRADING APPROVAL:
Plan Check Fee
State Lie:
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• • o
0o m,
o m
<o°eoo
0
0o m
° m o
00 m
$0.00
$0.00
$24.00
$197.00
$1,127.00
$0.00
$0.00
$0.00
$0.00 Fee Due at Permit Issuance : $1,740.27
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
APPROVAL TO ISSUE:
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0
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0 0
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Fire Department
$0.00
Fire Inspection:
$0.00
Fire Plan Rev
$0.00
Demolition Fee
$0.00
Building Dept Adm
General Service
Refund Deposit
Grading Bond:
• o00
• • o
0o m,
o m
<o°eoo
0
0o m
° m o
00 m
$0.00
$0.00
$24.00
$197.00
$1,127.00
$0.00
$0.00
$0.00
$0.00 Fee Due at Permit Issuance : $1,740.27
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
APPROVAL TO ISSUE:
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° e e
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0
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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 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
the 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 licensure 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
not more than five hundred dollars ($500).
❑ I, 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 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
improvements 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
improved for the purpose of sale).
❑ Y,`'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 -nt
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).
❑ Lam exempt from licensure under the Contractors' State License Law for the following reason:
By A; 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 legal))
sell a structure th@Q 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
Professions GOV is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi.
Signature of PffiDgly Owner or Authorized Agent Date
UGEASED VqNTBACTOR'S DECLARATION
I heregy affirm undL4 penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Se ' n 7000) of D' r'sion 3 of the Business an Profess i Code nd my license is in .ull.force
Rqd 6f(ect. License Class License No Da O contracto ature
Wd12KERS'CQMPFNSATION DECLARATION
IQARNft,IG: FAILURPTOP ECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE
COSI OF COMPENWIQO, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
lw eq affirm LpgW enalty of perjury one of the following declarations:
and WIN maintain a certificate of consent to self -insure for workers'
ce of the wo* for which this permit is issued. Policy No.
and will mairftain 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 end %licy number are:
• • • Policy Number Expiration Date
compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for
Of
]1 certify that, in the performance of the work for w 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 agre
let, if I s become s 'ect to the workers' c p nsa ' rrovisions of S ' n-3700 of the Labor Code, I shall forthwith comply with those provisions.
signature li e
IECLARATION REGA - G C NSTRUC ON NDING AGENCY
hereby affirm under penalty of perjury that ther Is a construction lending agency for the performance of the work for which this permit is issued (Section 3 ,Civil Code).
Ender's Name Lender's Address
sy 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 couryty ordinances and state ws relating to building construction.
I authorize representatives-vf`fftPt1F*,or county tAlpriter the above -id di property f96 inspection purposes.
Of
ACTION
PERMIT EXPIRED
PERMIT CANCELLED
PERMIT EXTENDED
PERMITFINALp-
CERTIFICATEOF
OCCUPANCY ISSUED
r /// Print ProDertv Owner's or Authorized
OF C,DVPLIA'NCE WITH CODE OF FEDERAL I FOR OFFICE USE OP
PA 61 OFTITLE40ANDAQMD RULE
SUBMITTED ASBESTOS NOTIFICATION TO
PROPOSED
IS NOT APPLICAKE TO