The URL can be used to link to this page

Home My WebLink AboutX2021-3061 - Permitsa 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 MECH PLUM 'X2021 -3061 * COMB Permit: X2021-3061 Project No Issued Date : 11110/2021 Inspection Area :6 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 1111012024 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: 1038 GOLDENROD AVE NB Description: SFR REMODEL KITCHEN, (2) BATHROOMS &POWDER ROOM, NO STRUCTURAL CHANGES, CITY STANDARD �� Legal Desc.: N TR 2202 LOT 62 N .m L Owner: ABBOTT ALEC Contractor: BURKHART BROTHERS CONSTR Architect: Address: 1038 GOLDENROD AVE Address: 12 BALBOA COVES Address: CORONA DEL MAR CA 92625 NEWPORT BEACH CA 92663 Phone: Phone: 949-375-6725 Phone: State Lic: Applicant: BURKHART BROTHERS CONSTR Con State Lie : 905510 Engineer: o•••m• Address: 12 BALBOA COVES Lie Expire: 1013112023 Address: NEWPORT BEACH CA 92663 Bus Lie: BT30026859 e • ®„o Phone: 949-375-6725 Lie Exp Date: 03/31/2022 Phone: State Lie: 0 Code Edit : 2019 Type of Construction: VB 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: Construction Valuation: $100,000.00 Building Permit Fee: $1,209.00 Plan Check Fee: $1,051.83 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $2.00 Energy Compliance: $0.00 CA Seismic Safety: $0.00 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee : $4.00 TOTAL FEE : $2,560.63 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: OW 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: / 3arkina Soaces $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $84.63 $48.36 $108.81 Plan Check Fee 0 Designer: Address: Phone: Special Conditions: 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 : $0.00 San Dist: $0.00 NMUSD Fee: $0.00 Fire Department $52.00 Fire Inspection: $0.00 Fire Plan Rev $0.00 Demolition Fee $0.00 Building Dept Adm General Service Refund Deposit Grading Bond: •••••• •v�o o • o•oo $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Fee Due at Permit Issuance : $2,560.63 PUBLIC WORKS APPROVAL: PLAN CHECK BY: APPROVAL TO ISSUE: 0 •ae•• • a •moo• 0 ooao• �aooam a o o a„aooa • • 000• 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 U all of or U 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). 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). 1 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://w .leginfo.ca.gov/calaw.html. signature of Property Owner or Authorized Agent Date .ICENSED CCXr"3 ',TOR'S DECLARATION 4preby %ffirm under perralty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Busine s nd Professi s Code, and my license is in full force r0effect. License Class License No bvelO (al Contractor nature ;QRKeRS' COMPENSATION DECLARATION JRM11.G' RAILURE 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 THE sT OR COMPENSAWN, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. Wlgby%Jfirm uMb? 06VIty of perjury one of the following declarations: I have and wilt 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 thl erformaace of Aworklor which this permit is issued. Policy No. will ntaintain 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' ierand Policy number are: • • • Policy Number Expiration Date Agent _- I certify that, in the peifonnance 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 that, if I should become subj t to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. 1 Signature of Applicarl?if�� Da 6( Zt O ! 2 f DECLARATION REeG)kRDINTCONSTRUCTION LENDING AGENCY I 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). Lender's Name Lender's Address By 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 ou y to e r the above -identified property for inspection purposes. /r T a Signature of Property Owner or Authorized A nt Print Property Owner's or Authorized A ent's Name b r e d4: Date ` ��a'b�Lf ACTION DATE BY 5ECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND A( RULE 1403 PERMIT EXPIRED PERMIT EXTENDED LIAC MD PERMITFINAL A ESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATE OF —."Z I-L.L ��-L p ED DEM%�ITION OCCUPANCYISSUED 1rN IRF. iCL i_ —i GYL