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Home My WebLink AboutX2021-1344 - Permits�w` City of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIII�IIIIIIIIIIIIIIII II COMB Permit: X2021-1344 ,:?,g. 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 2 1 1 3 4 4 Project No : 1182-2021 - 4 y Permit Counter Phone (949)644-3288 sz Inspection Requests Phone (949)644-3255 r'wa sy„�T Combination Type - SFP MECH ELEC PLUM GPAD Issued Date : 07/23/2021 0 Inspection Area : 3 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 07/23/2024 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: 2408 SANTIAGO DR NB Description: SFR ADD 92 SF, REMODEL 1,915 SF, YARD DRAINAGE Legal Desc.: NEWPORT HEIGHTS LOT 297 NWLY 108 FT SELY 228 FT SWLY 150 FT Owner: FRANCIS AMANDA & JOHN Contractor: BURKHART BROTHERS CONSTR Architect: XAGORARAKIS DENISE Address: 2408 SANTIAGO DR Address: 12 BALBOA COVES Address: 2778 LORENZO AVE NEWPORT BEACH, CA 92660 NEWPORT BEACH CA 92663 COSTA MESA CA 92626 Phone: 415.696-1322 Phone: 949-375-6726 Phone: 949.422-4364 State Lic:C037154 Applicant: SINA/DENISE XAGORARAKIS Con State Lic: 905510 Engineer: SILVA CHRISTINA Address: 2778 LORENZO AVE Lic Expire: 10/3112021 Address: 24482 MUELA COSTA MESA CA 92626 Bus Lic: BT30026859 MISSION VIEJO CA 9 °.,, • ° Phone: 949-422-4364 Lic Exp Date: 03/31/2022 Phone: 949-795-6256 ate ic:C-037201 Code Edit : 2019 Worker's Compensation Insurance Designer: Type of Construction: V-B Carrier: SECURITY NATIONAL INS Address: • ° ° Occupancy Group: R3/U Policy No: SWC1325229 °. ° ° Added /New sq.ft. Bldg: 92 Expire: 02/01/2022 Phone: LU ° ®. ° • ° , ° • Added /New sq. ft. Garage: 0 No of Stories: 1 Building Setbacks Rear: 10 Special Conditions: ° ° v °�° °'°•• No of Units: 1 Front: 20 r ey ° °°°°.• Bldg Height: 0 Left: 4 Bldg Sprinklers: Right: 4 Flood Zone: X Use Zone: Parking Spaces: 0 Fire Hazard Zone : N ooaa•• Construction Valuation: $280,000.00 ,,,,,, 0•a• Building Permit Fee: $3,057.00 Excise Tax: $0.00 Planning Department - Fire Department - Plan Check Fee: $2,574.27 Additional Fee : $0.00 Plan check Fee: $208.00 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: $70.00 Grading Permit Fee: $237.00 In -lieu Housing Fee : $0.00 Building Dept Adm $27.00 Energy Compliance: $196.00 Grading PC Fee: $199.00 Public Works Department - General Service $265.00 CA Seismic Safety: $36.40 WQ Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $664.00 Disabled Access : $0.00 P/W Plan Check : $304.50 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical %: $213.99 San Dist: $0.00 Building Green Fee : $12.00 Mechanical %: $122.28 NMUSD Fee: $0.00 $0.00 Plumbing %: $275.13 $0.00 TOTAL FEE : $8,361.57 Plan Check Fee : $2,960.27 Fee Due at Permit Issuance : $5,401.30 PROCESSED BY: PUBLIC WORKS APPROVAL: ZONING APPROVAL: PLAN CHECK BY: GRADING APPROVAL: �j, APPROVAL TO ISSUE: v 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 thb 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). ❑ 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). ❑ 1 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 legall, 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:hftp://ww leginfo.ca.gov/calaw.html. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm updarpenalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70,0 ) of Division 3 of the Business and Professions Code d my license is in full force and effect. LidbV%%QFass License No Date 3 2 Contractor Signature ftQ1RMRS' (;ONW4NSATION DECLARATION XrARNINe FAILURE Ja 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 COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. :heratay affirm unr%r penalty of perjury one of the following declarations: J h2ye and %IL?n*tain 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 perlpvmance of the work for which this permit is issued. Policy No. avl: and v,"u4'mainiain 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' compensatioi }IWr3Ace carrier ayd policy number are: ;gjige _ Policy Number Expiration Date MameoiAgent'. '•: Phone# that, ir:tpe Arformance 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 ould become.subject to the �wwjgrkkg s' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. of Applicant Date/ ��y/ )ECLARATION REGARDING CONSTRUCTION LENDING AGENCY hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work forllWhich this permit is issued (Section 3097, Civil Code). -enders 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. 1 agree to comply with all applicable city and county ordinances and state laws relating to building construction. I authorize representatives of this city or county I nter t e above- den roDe�'v four inspection purposes. n /_ / Signature of Property Owner or Authorized Agent / / Pr. t Property Owner's or Authorized Agent's Name, /.)i/IUtl IZi11A ACTION DATE BY DECLAR ON OF COMPLIANCE WITH CODE OF FE L FOR OFFICE USE ONLY RE G TWINS PART 61 OFTITLE 40 AND AQMD RULE PERMIT EXPIRED 1 7 I SUBMITTED ASBESTOS NOTIFICATION T PERMITCANCELLED EP PERMITEXTENDED QMD PERMITFINAL CERTIFICATE OF OCCUPANCY ISSUED g•I"�.'LZ LJASBESTOS NOTIFICATION 15 NOT APPLICABLE TO PROPOSED DEMOLITION, GNATURE: f'� %1e