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Home My WebLink AboutX2021-2071 - PermitsCity of Newport Beach - Building Division r 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 y Inspection Requests Phone (949)644-3255 r w,> Gombination Type - SFP ELEC *X2021-2071* COMB Permit: X2021-2071 Project No : Issued Date: 0810512021 Inspection Area : 3 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 0810512024 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: 2337 LA LINDA PL NB Description: SFR CHANGE OUT LIGHTING THROUGHOUT & (3) WINDOWS, (3) DOORS *NO HEADER CHANGE* Legal Desc.: P BK 12 PG 14 PAR 1 /1�/� R Owner: JOHANSSON JOHN Contractor: BURKHART BROTHERS CONSTR Architect: INSPESSYYJJ__ ��ii Address: 2337 LA LINDA PL Address: 12 BALBOA COVES Address: NEWPORT BEACH, CA 92660 NEWPORT BEACH CA 92663 Phone: Phone: 949-375-6725 Phone: State Lic: Applicant: BURKHART BROTHERS CONSTR Address: 12 BALBOA COVES NEWPORT BEACH CA 92663 Phone: 949-375-6725 Code Edit : 2019 Type of Construction: V-B Occupancy Group: R3/U Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 2 No of Units : 1 Bldg Height: 0 Bldg Sprinklers: Flood Zone: Construction Valuation: $45,000.00 Building Permit Fee: $739.00 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 : $2.00 TOTAL FEE: $792.73 J:U103*31MI13"Yil ZONING APPROVAL: Con State Lic: 905510 Lic Expire: 10/31/2021 Bus Lic: BT30026859 Lic Exp Date: 0313112022 Worker's Compensation Insurance Carrier: SECURITY NATIONAL INS Policy No: SWC1325229 Expire: 02/01/2022 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: / Front: / Left: / Right: I $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $51.73 $0.00 $0.00 Engineer: Address: Phone: Designer: Address: Phone: Special Conditions: Planning Department - Plan check Fee Fair Share SJH Trans In -lieu Housing Fee: Public Works Department - Park Dedication : $0.00 PNJ Plan Check : $0.00 San Dist: $0.00 NMUSD Fee: $0.00 State Lic: 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: Plan Check Fee: $0.00 Fee Due at Permit Issuance PUBLIC WORKS APPROVAL: PLAN CHECK BY: GRADING APPROVAL: APPROVAL TO ISSUE: ^o $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $792.73 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 L) all of or L,) 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). 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 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). I am exempt from licensure under the Contractors' State License Law for the following reason: By 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 sell 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 Professions Cide, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. Signet, Ire of Property Owner or Authorized Agent Date LK,ENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section ) of Division 3 of the Business and Profns Code, an my license is in full farce and eff3ct. License Class License No Date O Contractor Signature WORKERS' COMPENSATION DECLARATION NAANINU: 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 (E100,000), IN ADDITION TO THE COS) OF COMPE!'S'1TICIV, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. ftreuv affirm 'Inder penalty of perjury one of the following declarations: I have and win 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, ner•orm3nce of t.:e wiIk 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 Agent Date I 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 agre )at, If I should become sltlbject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. lignatureof Applican—�'Date )ECLARATION REGAPDIR'IS CONSTRUCTION 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 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 with all applicable city and c my ordinances and state laws relating to building construction. I authorize representatives of this city or county enter the above -identified property for inspection purposes. signature of Property Owner or Authorized Agent 'T 1��—�-__ Print Property Owner's or Authorized Agent's Name /1'('ve cw.E Date ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 610E TITLE 40 AND AQMD RULE PERMIT EXPIRED PERMITCANCELLED PERMIT EXTENDED PERMITFINAL .7 CERTIFICATEOF S•11•Z° OCCUPANCYISSUED EPA TO FICATION IS NOTAPPLICABLE TO