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Home My WebLink AboutX2018-1644 - Permits�,w1n City of Newport Beach - Building Divisioh Illllllllllllllldllllll�llllllllllllll� COMB Permit: X2018-1644 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 1 8 1 6 4 4 Project No: 1272-2018 PermitCounter Phone (949)644-3288 ,.inspection Requests Phone (949)644-3255 4rnu��' Combination Type - BLDG PLUM 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 1/2 29TH ST NB Description: DEMO DUPLEX (1) BEDROOM, 725 SF "INCLDS SEWER CAP" Legal Desc.: NEWPORT BEACH CITY BILK 29 LOT 28ECTOR Owner: 115 29TH STREET LLC Contractor: - BURKHART-BROTHERS CONSTR Architect: INV ''°•S Address: 11821 HIGHVIEW DR Address: 12 BALBOA COVES Address: Code Edit: 2016 Type of Construction: VB Occupancy Group: R3 Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 1 No of Units : 1 Bldg Height: 0 Bldg Sprinklers: Construction Valuation: $9.000.00 Building Permit Fee: $202.00 Plan Check Fee: $0.00 Overtime Plan Ck: SANTA ANA, CA 92705 Investigation Fee: NEWPORT BEACH CA 92663 Record Management : Phone: Energy Compliance: Phone: 714.350-3892 Phone: State Lic: Applicant: BURKHART BROTHERS CONSTR Con State Lic: 905510 Engineer: Address: 12 BALBOA COVES Lic Expire: 1 0131 /2 01 9 e ° Address: , NEWPORT BEACH CA 92663 Bus Lic: BT30026869 .... Phone: 714-350-3892 Lic Exp Date: 03/31/2019 Phone: State Lic: mo m Code Edit: 2016 Type of Construction: VB Occupancy Group: R3 Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 1 No of Units : 1 Bldg Height: 0 Bldg Sprinklers: Construction Valuation: $9.000.00 Building Permit Fee: $202.00 Plan Check Fee: $0.00 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: $221.18 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Worker's Compensation Insurance Carrier: STATE COMP Policy No: 9041905 Expire: 02/01/2019 Building Setbacks Use Zone: Excise Tax: Additional Fee Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: Electrical %: Mechanical %: Plumbing %: Rear: I Front: I Left: I Right: / 3arkina Soaces $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $18.18 Plan Check Fee Designer: Address: Phone: Special Conditions: Planning Department - Fire Department Plan check Fee: Fire Inspection: Fair Share Fire Plan Rev SJH Trans Demolition Fee In -lieu Housing Fee: Building Dept Adm Public Works Department - Park Dedication : $0.00 PM Plan Check : $0.00 San Dist: $0.00 NMUSD Fee: $0.00 • e , e c mo mo ooa. m @ @e0A C O omWuuA n °P e $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Fee Due at Permit Issuance : $221.18 PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: 0 0 eee00C o c tl®9e0 oovoam ooaoec 4 e @cc000 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: • e , e c mo mo ooa. m @ @e0A C O omWuuA n °P e $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Fee Due at Permit Issuance : $221.18 PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: 0 0 eee00C o c tl®9e0 oovoam ooaoec 4 e @cc000 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 WPI!cant for is 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'fhe Budiness 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 for a permit subjects the 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 (_) all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044, lusiness 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 Yn roved for the purpose of sale). J 4, -as dwne�f ffie property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does o:.: 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). I am exempt from licensure under the Contractors' State License Law for the following reason: ly rhy 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,. ell 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 'rofessions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.htmi. signature of Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm uRr%r peaalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000 f-DIV'si , 3 of the Business and P fessi ns ode, d cense Is in full force ud effect. Licen3e'C�ass License No Date Contracto re ITC AMS' 05HP&SATION DECLARATION IARNINGr FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO 'MINA' PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS (E10D.000), IN ADDITION TO THE QSTbF,CtiMPENSATI(9N, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby.affirm u order penalty of perjury one of the following declarations: I*haue and will maintain 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 th WQVnce of tbd �Atllk jor which this permit is issued. Policy No. M =:%I 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' compensatioi !01,=:%carrier and policy number are: ewer •+.... Policy Number Expiration Date Jiaeifify that, iA tF e„ pe?formance of the work for wfj s per tis issued, I shall no�ploy-any person in any manner so as to become subject to the workers' compensation laws of California, and ogre .hat, if I should becomes 'act to the orkers' c pen ti vision of Se 13MO of the Labor Code, I shall forthwith comply with those provisions. 3ignature o plic t- p3�(/E,/—'� �O )ECLARATI EGAR NG CONSTRUCTION L DING AGENCY hereby affirm under penalty of perjury that there- il 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 3y 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 wit icable City and county ordinances and s laws relating to building c hstruction. I authorize repres an atives of y or county enter t above ' e ifie party for i Ion purposes. Si nature of Property O r Authorized Agent Print Property Owner's or Authoriz d ZVs e S 1 C I Je 3D ACTION DATE BY DECLARATION OF M NCE WITH CODE OF FEDERAL FOR OFFICE USE LY REGULATIONSP T61 OF TITLE 40 AND AQMD RULE PERMIT CANCELLED PERMIT EXTENDED PERMIT FINAL CERTIFICATE OF OCCUPANCYISSUED NOTIFICATION TO ISNOTAPPLiCP/BLE TO