HomeMy WebLinkAboutX2020-0893 - Permitsa
City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIII�IIIIIIIIIIIIIIIIIIIIIIIII� II COMB Permit: X2020-0893
100 Civic Center Drive, New ort Beach, CA 92660 X 2 0 2 0 0 8 9 3p Project No:0625-2020
Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255
Combination Type - SFP ELEC MECH Issued Date : 06119/2020
Inspection Area : 6
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 06/20/2023 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: 25 SARTEANO DR NB
Description: SFR ADD 132 SF, ENCLOSE THE COVERED PORCH TO CONNECT THE HOUSE
TO EXISTING BEDROOM #3, WIDEN THE WALKWAY OPENINGS AT THE EXISTING COVERED
ENTRY
Legal Desc.: N TR 15400 LOT 14
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Owner: BLECHMAN DAVID
Contractor:
BURKHART BROTHERS CONSTR Architect: STAND STEVEN
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Address: 96 WILLOW AVE
Address:
12 BALBOA COVES Address: 2 PACIFICA
LARCHMONT NY 10538
NEWPORT BEACH CA 92663 ALSO VIEJO CA 92656
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Phone:
Phone:
949-375.6725
Phone: 949-677-9304 State Lic:CO29815
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Applicant: STAND STEVEN
Con State Lie: 905510
Engineer: RICHARDS GEORGE LEWIS
Address: 2 PACIFICA
Lie Expire:
1013112021
Address: 20162 SW BIRCH ST
ALISO VIEJO CA 92656
Bus Lie:
BT30026859
NEWPORT BEACH CA 92660
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Phone: 949-677-9304
Lie Exp Date:
03/31/2021
Phone: 949.752.0601 State Lic:C-037096
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Code Edit: 2019
Worker's Compensation Insurance
Designer:
am
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Type of Construction: V -B
Carrier:
SECURITY NATIONAL INS Address:
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Occupancy Group: R31U
Policy No:
SWC1275103
Added /New sq.ft. Bldg: 132
Expire:
02101/2021
Phone:
Added /New sq. ft. Garage: 0
No of Stories: 2
Building Setbacks
Rear: 10
Special Conditions: VHFSZ, SPECIAL FIRE
No of Units : 1
Front: 10
PROTECTION ZONE
Bldg Height: 35
Left: 0
Bldg Sprinklers:
Right: 0
Flood Zone: X
Use Zone:
Parking Spaces:
0 Fire Hazard Zone : N
Construction Valuation: $45.000.00
Building Permit Fee: $1,238.00
Excise Tax:
$0.00
Planning Department- Fire Department
Plan Check Fee: $998.49
Additional Fee :
$0.00
Plan check Fee: $249.00 Fire Inspection:
$0.00
Overtime Plan Ck: $0.00
Grading Bonds Fee:
$0.00
Fair Share : $0.00 Fire Plan Rev
$0.00
Investigation Fee: $0.00
Grading PC Consultant :
$0.00
SJH Trans : $0.00 Demolition Fee
Record Management: $60.00
Grading Permit Fee:
$0.00
In -lieu Housing Fee: $0.00 Building Dept Adm
$0.00
Energy Compliance: $60.00
Grading PC Fee:
$0.00
Public Works Department- General Service
$0.00
CA Seismic Safety: $5.95
WQ Insp. Fee:
$0.00
Park Dedication : $0.00 Refund Deposit
$0.00
Disabled Access : $0.00
PIN Plan Check: $42.50 Grading Bond:
$0.00
Hazardous Mat .0011
Electrical %:
$86.66
San Dist: $0.00
Building Green Fee : $2.00
Mechanical %:
$49.52
NMUSD Fee: $0.00
$0.00
Plumbing %:
$0.00
$0.00
TO Al_ FEE: $2, 92.02
Plan Check Fee:
$1,191.00 Fee mit Issuance : $1,601.02
PROCESSED BY:
PUBLIC WORKS APPROVAL:
(
✓
C
ZONING 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
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 ($500).
❑ I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044,
Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the
improvements are not intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that it was not built or
improved for the purpose of sale).
❑ 1, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not
apply to an ownerot property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).
❑ 1 a exempt from licensure under the Contractors' State License Law for the following reason:
Bymy arfature belDw.l acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legalll
O11 a strdcture tQatt'rad✓? built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and
P;efess/ons Code, is available upon request when this application is submitted or at the following Web site:http://Www.leginfo.ca.gov/calaw.htmi.
Sgnaiure of Property Owner or Authorized Agent Dat
LIGENSED CONTRACTOR'S DECLARATION YX
15e$GIi Affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sectio 70 f Dlvisi n 3 of the Business and Pr fession de, a my icens 1 force
apJVVPlct. LiceP62&Ia�Ss License No Date ? Contractor Signature
NQ5tk(0RS' COMPENSATION DECLARATION
NPBWM,G';FAILURE TOSECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMI AL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND 1101 S (M100,000), IN ADDITION TO THE
COSAOF OOMPENSAVION, ¢IMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
Hereby affirm under peiialty of perjury one of the following declarations:
T•b.b
167�v@ and 4if MAr4tain 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 the
e a ante of the nrork 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
Date
ne of Agent Phone #
certify that, in the perfor anc�f thew k for ich this pe it i issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and afire
t, if I should become subje the wor ers' cc pensation rovi ons of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
nature of Applicant - Date CIM /�
CLARATION RE RDI ONSTR TI LENDING ENCY
:reby affirm under penalty of perjury ere is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
Ider's Name Lender's Address
my signature below, I certify to each of the following:
I am the property owner or authorized to act on the prop ner's If.
I have read this application and the information I have rovide I orrect.
I agree to comply with all applicable city and county or ces d stat laws a g to building construction. ��
I authorize representatives of this city or coun(y ton�la the a� v -ide ified p o rty for inspection purposes. \— ���5 N -s/_ Dat 1Or q 7
nature of Prooertv Owner or Authorized ADent i� / Print Prooertv Owner's or Authorized ADent's Nantsr� "t r4'n
ACTION
PERMIT EXPIRED
PERMIT CANCELLED
DATE I BY
PERMIT FINAL A ^_CERTIFICATE OF s �'�
OCCUPANCY ISSUED
WITH CODE OF FEDERAL A. FOR OFFICE USE ONLY
PART 61 OF TITLE 40 AND AQMD RULE
I SUBMITTED ASBESTOS NOTIFICATION TO
TO
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