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HomeMy WebLinkAboutXR2023-0795 - Permits��EWPORT City of Newport Beach IIIIIIIIIIIIIIIIIIIII'IIIIIIIIII IIIIIIIII IIIIIIIIII II COMB Permit XR2U23-o79s Q gm Community Development Department- Building Division ? Y 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2023-0683 u i Permit Counter Phone: (949) 718-1888 Issued Date : 07/07/2023 newportbeachca.gov/civic Final Date: �'gCIFOR�,P Combination Type - SFP ELEC MECH PLUM Permit Status: Issued Work Class - Addition/Alteration Inspection Area : 4 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION, BUT NO LATER THAN 3 YEARS FROM ORIGINAL ISSUANCE DATE NO CONSTRUCTION RELATED NOISE ON SATURDAY OR SUNDAY IN HIGH DENSITY AREAS AND NO WORK ON SUNDAY AND HOLIDAYS IN ALL AREAS Job Address: B LEESBURY CT Legal Desc : N TR 11605 BILK LOT 4 TRACT NO 11605 LOTS 4 AND A FOR OF LOT A Description: SFR ADD 102 SF, REMODEL 1717 SF Owner: MATTHEWS CHRISTOPHER L TR Contractor: BURKHART BROTHER'S CONSTR INC Architect Address : 8 LEESBURY CT Address : 12 BALBOA COVES Address NEWPORT BEACH, CA 92660 NEWPORT BEACH, CA 92663 Phone : Phone: (949) 508-8478 Phone Con State Lic : 905510 State Lie Lie Expire: 10/31/2023 Applicant : STEPHEN CRAWFORD Bus Lie : BT30026859 Engineer: MANSHADI FARHAD Address : 9521 IRVINE CENTER DR Bus Lie Expire : 03/31/2024 Address : 1800 E 16TH ST UNIT B SANTA ANA, CA 92701 IRVINE, CA 92618 Phone: (949) 861-2244 Workers' Compensation Insurance Phone: (714) 835-2800 Carrier: SECURITY NATIONAL INS CO Owner/Builder : Policy No: SNP1426534 Designer : ERIC TRABERT Address : W. C. Expire: 2/1/2024 Address: 9521 IRVINE CENTER DR IRVINE, CA 92618 Phone: (949) 861-2244 Phone: Code Edition : 2022 Fire Sprinklers : NO Construction Valuation: $275,000.00 Type of Construction : V-B Fire Hazard Zone : NO Added/New/Ti sq. ft. Bldg : 102 1,717 Occupancy Groups : U,R-3 No of Units : 1 Alteration sq. ft. Bldg : 0 Bldg Height : No of Stories : 2 Added/New sq. ft. Garage: TOTAL sq. ft.: 102 Building Setbacks : Front: 20, Side: 5, Side: 5, Rear: 10 Flood Zone : X Use Zone : PC - Aeronutronic Ford PROCESSED BY: SPECIAL CONDITIONS. 1 i w- `� 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) )have placed next to the applicable items) (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). LJ 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, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employeas' 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 'mproved for thepurpose of sale). 71 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 improvesthereon; and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). I I am exempt from Iftensure 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 legaif) 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 Code., is available upon request when this application is submitted or at the following Web site:http:/Iwww.leginfo.ca.gdvlcalaw.html. Signature of Property Owner or Authorized Agent ____ Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of pertury that I am licensed under provisions pf Chaft (commencing with Section 7 00) of ivf en 3 of the Business and f Salo Cod and my license is In full force and effect. License Class 4 License ND `1 o� Da �- L3 Contractor Signa re NORKERS' COMPENSATION DECLARATION YARNING: FAILURE TO SECURE WOR%ERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CML FINES UP TOONE HUNDRED THOUSAND DOLLARS 1$100,000i, IN ADOrrx3N TO THE :DST OF COMPENSATION, DAMAGES "PROVIDED FOR IN SECTION 1706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one or the following declarations: 3-1 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, ormance of the work for which this permit is issued. Policy No. ha a 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' eompensatior nsura9rce carder and policy number are; =amter Policy Number Expiration Date dame of Agent Phone # -11 certify that, in the performaac of the rk 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 hat, if I should become s jar t a wo ers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith Comply with those provisions. signature of Applicant - _14 7 �-Z3 )ECLARATION REGA _ DIN 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). -endef 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 with all applicable city and county ordinances anp state laws relating to building. construction. I authorize representatives of this city or county enter t, abov -id ntiffed property for inspection purposes. �o ii nature of Propertyy Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name Date 2 ACTION DATE BY DE ATIONOF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE PERMrT EXPIREC PERMI'TCANCE'LEJ PERMIT fMfNJF6 , rcnrvrrr rrrvnL ka LFASBFSTOS NOTIFICATI IS NIT 'APPLICABLE TO CERTIFICATE OF PROPOSED DEMOLITION OCCUPANCY/$$UE6 _ _ I SIGNATURE: X � ,� 01) ao F � �zI F Vo N co 4 a oIt w CoIt A O nv Z — O A00 a m OC7I.-r �Amm m Ci Aa .0 ma- ti z L� F C O � U � U O O o C N CD N a O N ` a a iri c L � a O L m y N O W F K M N o N W N w O m a d O o ❑ W a d t u _ y z k d O HO z 3 ¢ W O W 0 W m E w z d c wm m 4O Q o u Z o D y a ¢ y L O a O O m y m 0. 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