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Home My WebLink AboutX2021-0381 - Permits�ytMo�a City 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 Combination Type - SFP ELEC ELEC MECH COMB Permit: X2021-0381 IIIIIIIIIIIIIIIIIII�IIIIIIIIIIII�III II Project No: 0377-2021 Issued Date : 0810212021 Inspection Area : 6 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 08/02/2024 OR PERMIT WILL BE INVALID 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: 29 OVERLOOK DR NB Description: SFR ADD 441 SF (ENCL INTERIOR COURTYARD), REMODEL 192 SF Legal Desc.: Owner: MUMFORD LORRAINE Address: 29 OVERLOOK RD NEWPORT COAST CA 92657 Phone: Applicant: JAWORSKI BOZENA Address: 3837 E 7TH ST LONG BEACH CA 90804 Phone: 562-434-8415 Code Edit : 2019 Type of Construction: V-B Occupancy Group: R3/U Added /New sq.ft. Bldg: 441 Added /New sq. ft. Garage: 0 No of Stories: 2 No of Units : 1 Bldg Height: 0 Bldg Sprinklers: Construction Valuation: $150,000.00 Building Permit Fee: $2,127.00 Plan Check Fee: $1,676.13 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $86.00 Energy Compliance: $105.00 CA Seismic Safety: $19.50 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee : $6.00 TOTAL FEE: $5,367.35 Contractor: BURKHART BROTHERS CONSTR Architect: PORTER ROGER Address: 12 BALBOA COVES Address: 3837 E7TH ST NEWPORT BEACH CA 92663 LONG BEACH CA 90804 Phone: 949-375-6725 Phone: 562-434-8414 X41 State Lic:0007125 Con State Lic: 905510 Engineer: GOUVIS GEORGE A Lic Expire: 10/31/2021 Address: 3831 BIRCH ST Bus Lic: BT30026859 NEWPORT BEACH CA 92660 Lic Exp Date: 03/31/2022 Phone: 949-756-1525 State Lic:C-029211 Worker's Compensation Insurance Designer: Carrier: SECURITY NATIONAL INS Address: Policy No: SWC1325229 Expire: 02/01/2022 Phone: Building Setbacks Excise Tax: Additional Fee Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WO Insp. Fee: Electrical W Mechanical %: Plumbing %: ° PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: o ° Rear: 0' Front: 10' Left: 0' Right: 0' $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $148.89 $85.08 $0.00 Plan Check Fee Special Conditions: VHFHSZ Hauler: Roberts Waste 1IDCE Fire Hazard Zone : N Planning Department - Plan check Fee: Fair Share : SJH Trans : In -lieu Housing Fee: Public Works Department - Park Dedication : $0.00 PAN Plan Check : $50.76 San Dist: $0.00 NMUSD Fee: $0.00 Fire Department $208.00 Fire Inspection: $0.00 $0.00 Fire Plan Rev $0.00 $0.00 Demolition Fee $0.00 Building Dept Adm $27.00 General Service $265.00 Refund Deposit $564.00 Grading Bond: $0.00 $0.00 $0.00 $1,963.13 Fee Due at Permit Issuance : $3,404.22 PUBLIC WORKS APPROVAL: 'y PLAN CHECK BY: APPROVAL TO ISSUE: 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 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 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of of more than five hundred dollars ($500). I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or L) 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 built or nproved for the purpose of sale). 1 I, 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). I am exempt from licensure under the Contractors' State 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 legally 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 under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000)f Division 3 of the Business and Professions ¢ode, and my license is in full force nd effect. License Class License No Date''1/ 91 Z / 2 1 Contractor Sionaturb,,- A. COMPENSATION DECLARATION DARNING: FAILURE TO SECURE 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 T DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: �yJ�have 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 eKormance of the work for which this permit is issued. Policy No. 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' carrier and policy number are: Policy Number Expiration Date of Agent A certify that, in the performance of the work for which 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 agree tat, if I should become subject to t/h/%workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ignature of Applicant Datek Z Z Z IECLARATION REGARDDIG O TRUCTION LENDING AGENCY hereby affirm under penalty 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 Lender's Address ly 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 ordinances and state laws relating to building construction. I authorize representatives of this city or county�topnterAhe above -identified property for inspection purposes. of ProDertv Owner or Authorized ACTION I DATE I BY PERMIT EXPIRED PERMITCANCELLED PERMIT EXTENDED PERMIT FINAL CERTIFICATE OF OCCUPANCY ISSUED REGULATIONS PART 61 OF TITLE 40 AND AQM D RULE 1403 PROPOSED NOTIFICATION IS NOTAPPLICABLE TO FOR OFFICE USE ONLY • ••• • • ••• •• 0 0