HomeMy WebLinkAboutX2020-1863 - Permitsz��`�rofr City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII� II COMB Permit: X2020-1863
100 Civic Center Drive, Newport Beach, CA 92660 x 2 0 2 0 1 8 6 3 Project No: 1484-2020
E+ r Permit Counter Phone (949)644-3288
u y n'Rn Inspection Requests Phone (949)644-3255
Issued Date : 1211512020
Combination Type - SFP MECH ELEC PLUM Inspection Area : 3
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 1211612023 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: 1620 KINGS RD NB
Description: SRF ADD 323 SF 8 REMODEL 2,650 SF, ADD (4) BALCONIES 414 SF
Legal Desc.: N TR 1221 LOT 12
Owner:
FOROUTAN-SOLTAN
Contractor:
BURKHART BROTHERS CONSTR
Architect:
Address:
1620 KINGS RD
Address:
12 BALBOA COVES
Address:
NEWPORT BEACH, CA 92663
NEWPORT BEACH CA 92663
Phone:
Phone:
949-375-6725
Phone:
State Lic:
Applicant:
RICHART JASON
Con State Lic:
906610
Engineer:
GHAZLANI ANDY
Address:
1041 W 18TH ST A-106
Lic Expire:
10131/2021
Address:
4202 ATLANTIC AVE #204
COSTA MESA CA 92627
Bus Lic:
BT30026869
LONG BEACH CA 90807
Phone:
949-422-9191
Lic Exp Date:
03/31/2021
Phone:
562-253-2385 State Lic:C-060867
Code Edit:
2019
Type of Construction:
V-B-SPR
Occupancy Group:
R3/U
Added /New sq.ft. Bldg:
323
Added /New sq. ft. Garage: 0
No of Stories:
2
No of Units :
1
Bldg Height:
0
Bldg Sprinklers:
Y
Flnnd 7nne:
X
Construction
Building Permit Fee: $4,347.00
Plan Check Fee: $3,604.53
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management:
$46.00
Energy Compliance:
$303.00
CA Seismic Safety:
$59.35
Disabled Access:
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$19.00
TOTAL FEE: $10,827.28
PROCESSED BY:
ZONING APPROVAL:
Worker's Compensation Insurance
Carrier: SECURITY NATIONAL INS
Policy No: SWC1276103
Expire: 02/01/2021
Building Setbacks
Excise Tax:
Additional Fee
Grading Bonds Fee:
Grading PC Consultant:
Grading Permit Fee:
Grading PC Fee:
WQ Insp. Fee:
Electrical %:
Mechanical %:
Plumbing %:
Rear: 10
Front: 20
Left: 4
Right: 4
Designer:
Address:
Phone:
Special Conditions: JD DEMO
TO HAUL DTNSPE^T®^71
Fire Hazard Zone : N ffRR�RR77 '!V i9�
$0.00
Planning Department -
Fire Department
$284.00
Plan check Fee :
$185.00
Fire Inspection:
$0.00
$0.00
Fair Share:
$0.00
Fire Plan Rev
$0.00
$0.00
SJH Trans :
$0.00
Demolition Fee
$0.00
In -lieu Housing Fee:
$0.00
Building Dept Adm
$26.00
$0.00
Public Works Department -
General Service
$219.00
$0.00
Park Dedication : $0.00
Refund Deposit
$564.00
PAN Plan Check: $301.00
Grading Bond:
$0.00
$304.29
San Dist: $0.00
$173.88
NMUSD Fee: $0.00
$0.00
$391.23
$0.00
Plan Check Fee
: $4,376.53 Fee Due at Permit Issuance :
$6,450.75
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:
GRADING APPROVAL: _ _ _ 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).
7 I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) 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
nproved for the purpose of sale).
7 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 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
Irofessions 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 e
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) o D' ision 3 of the Business and P ass odea my Icense s n full force
nd effect. License Class License No Dat Z Contractor Signature n
VORKERS' COMPENSATION DECLARATION I
IARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL P NALTIES AND CIVIL FINES UP TO ONE HUNDREDTH ND DOLLARS ($100,000), IN ADDITION TO THE
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:
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 th
e rmance of the work for which this permit is issued. Policy No.
rt�sur
ve 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' compensatiol
Ce carrier and policy number are:
er Policy Number Expiration Date
Jame of Agent Phone #
:1I certify that, in the p=perjury
ork ich this it 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
hat, if I should becomhe ' co ensati visions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
signature of Applicant Date
)ECLARATION REGAN LEN AGENCY
hereby affirm under pthere 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 fallowing:
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 ovided is correct.
I agree to comply with all applicable city and county rdina1 ces an a laws ing to building construction.
I authorize representatives of this city or county t e r e abov ide Ified no rty for inspection purposes. 7 %
Signature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name V Tr Date [ Z / l_f&
ACTION DATE BY - DECLARATIO -OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
PERMITEXPIRED I I I U I SUBMITTED ASBESTOS NOTIFICATION TO
PERMITCANCELLED
PERMIT EXTENDED
PERMITFINAL y�y/n (/ ( ^ASBESTOS N A O NOT PPLI TO
CERTIFICATE OF '((/ /7r J PROPOSED DE L N
OCCUPANCY ISSUED