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HomeMy WebLinkAboutX2021-2832 - Permits°1'' City of Newport Beach - Building Division IIIIIIIIIIIIIIII�IIIIIIIIIIIIIIIII� II COMB Permit: X2021-2832 't 100 Civic Center Drive, Newport Beach, CA 92660 X 2 9 2 1 2 8 3 2 Project No : 1182-2021 H'.. Permit Counter Phone (949)644-3288 0 Inspection Requests Phone (949)644-3255 `iuln.a�as' Combination Type - BLDG Issued Date : 10/19/2021 Inspection Area : 3 PERMIT EXPIRES 160 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 1011912024 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 BLOCK WALL TX 30 LF (36" OVER P/L) (X2021-1344) -CITY STANDARD - Legal Desc.: NEWPORT HEIGHTS LOT 297 NWLY 108 FT SELY 228 FT SWLY 150 FT Owner: FRANCIS AMANDA & JOHN Contractor: BURKHART BROTHERS CONSTR Architect: XAGORARAKfS DENISE Address: 2408 SANTIAGO DR Address: 12 BALBOA COVES Address: 2778 LOREN20 AVE NOWPORT BEACH, CA 92660 NEWPORT BEACH CA 92663 COSTA MESA CA 9262 Phone: 415-696-1322 Phone: 949-375-6726 Phone: 949-422-4364 St Ic:C037154 Applicant: WETTON BRYCE Con State Lic: 905510 Engineer: Address: 130 MCCORMICK AVE STE 107 Lic Expire: 1013112021 Address: 0 COSTA MESA, CA 92626 Bus Lic: BT30026859 ° Phone: 949-230-0133 Lic Exp Date: 03/31/2022 Phone: ic S0': Code Edit 2019 Worker's Compensation Insurance Designer: L.=.1 •°Bp°• '°•••o Type of Construction: Carrier: SECURITY NATIONAL INS Address: ° ° • ° ° ° Occupancy Group: U Policy No: SWC1325229 • ° ° ° °, Added /New sq.ft. Bldg: 0 Expire: 02/01/2022 Phone: • • ° ° ° Addedew sq. ft. Garage: 0 •°°°°• ° No of Stories: 0 Building Setbacks Rear: 10 Special Conditions: , ° ° °• No of Units: 0 Bldg Height: 0 Front: 20 "�" ••a°•• •°°••• Bldg Sprinklers: Left: 4 Right: 4 ° Flood Zone: X Use Zone: Parkin Spaces: 0 Fire Hazard Zone : N a ° • °. ©°' °+ Construction Valuation: $10 000.00 ° • ° Building Permit Fee: $246.00 Excise Tax: $0.00 Planning Department - ®a•a®• Fire Department ° °o°o• Plan Check Fee: $214.02 Additional Fee : $0.00 Plan check Fee : $52.00 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: $2.00 Grading Permit Fee: $0.00 In -lieu Housing Fee : $0.00 Building Dept Adm $0.00 Energy Compliance: $0.00 Grading PC Fee: $0.00 Public Works Department - General Service $0.00 CA Seismic Safety: $0.00 WQ Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $0.00 Disabled Access : $0.00 PM/ Plan Check: $50.75 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical %: $0.00 San Dist: $0.00 Building Green Fee : $1.00 Mechanical %: $0.00 NMUSD Fee: $0.00 $0.00 Plumbing %: $0.00 $0.00 TOTAL FEE : $565.77 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $565.77 PROCESSED BY: PUBLIC WORKS APPROVAL: a 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 (_) 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 Bu!(ness and Professions Code, is available upon request when this application is submitted or at the following Web site:http://wwuy. Ieginfo.ca.gov/calaw.html. Signature of Property Owner or Authorized Agent Date % LICENSED CONTRACTOR'S DECLARATION 7 I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70 )rp i 'BID of the Business and Profs� .ign� Code, and my ' ense is in full force and effect. LieenseClass License No Date V L Contractor Sign re "1 I-V WORKERS' COMPENSATION DECLARATION WARNING: FAILURE-IOSJ:.CURE 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 COMPl!WJIQN, DAMAGES AS PROVIDED FOR IN SECTION 8706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. F herthy affirm under penalty of perjury one of the following declarations: and -will maintain a certificate of consent to self -insure for workers' compensation, issued by the Direptor of Industrial Relations as provided for by Section 3700 of the Labor Code, for th ce o'ftIle work for which this permit is issued. Policy No. I and.u9'iff pri*tain 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 carrierend policy number are: Policy Number Expiration Date ie of Agent _,' cglfy that, In the p of the work forwhich this permit is issued, I shall not employ any person in any he workers' compensation-aFavisions of Section 3700 of the Labor Code, I shall ignature of Applicant J ' r ECLARATION REGARbING CONSTRUCTION LEN ING AGENCY - hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the work I ender's Name Lender's Address y 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 county to,entel fe above -identified prp�erty for inspection purposes. DATE BY DECLARATION OF COVPLIANCE WITH CODE OF FEDERAL REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE PERMIT EXPIRED U I SUBMITTED ASBESTOS NOTIFICATION TO PERMITCANCELLED EPA PERMIT EXTENDED QM D PERMITFINAL e1 ASBESTOS NOTIFICATION IS NOTAPPLICABLE TO CERTIFICATE OF I ` %j f� PROPOSED DEMOLITION OCCUPANCYISSUED SIGNATURE: so as to become subject to the workers' compensation laws of California, and agre h comply with those provisions. 17 �� Date I which this permit is issued (Section 3097, Civil Code). rner's or Authorized AD FOR OFFICE USE ONLY 1011 q 121