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Home My WebLink AboutX2022-0011 - Permitswt City of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-9288 Inspection Requests Phone (949)644-3255 Combination Type - SFP MECH ELEC PLUM GRAD "X2022-0011' r INSPE T PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST E Construction Hours: Monday - Friday 7:00 a.m. to 6:30 p.m. and Saturday from 8:00 Job Address: 2401 WINDWARD LN NB Description: SFR ADD 589 SF, REMODEL 3,214 SF & ADD TO (E) GARAGE 3 SF, WIYARD DRAINAGE Legal Desc.: N TR 5178 LOT 9 Owner: VISTA PARK PROPERTIES LLC Contractor: BURKHART BROTHERS CONSTR Address: 1007 NOTTINGHAM RD Address: 12 BALBOA COVES NEWPORT BEACH, CA 92660 NEWPORT BEACH CA 92663 Phone: Phone: 949-375-6725 Applicant: BENSON JEFFREY JAMES Con State Lic: 905510 Address: 234 BROADWAY Lic Expire: 10131/2023 COSTA MESA CA 92627 Bus Lic: BT30026859 Phone: 949-534-2724 Lic Exp Date: 03/3112023 Code Edit : 2019 Type of Construction: V-B-SPR Occupancy Group: R31U Added /New sq.ft. Bldg: 589 Added /New sq. ft. Garage: 0 No of Stories: 2 No of Units : 1 Bldg Height: 0 Bldg Sprinklers: Y Flood Zone: X Building Permit Fee: $4,620.00 Plan Check Fee: $3,669.25 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management: $114.00 Energy Compliance: $303.00 CA Seismic Safety- $59.13 Disabled Access : $0.00 Hazardous Mat $0.00 Building Green Fee : $19.00 Worker's Compensation Insurance Carrier: SECURITY NATIONAL INS Policy No: SWC1373426 Expire: 02/0112023 Building Setbacks Use Excise Tax: Additional Fee Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: Electrical %: Mechanical %: Plumbing %: Rear: 10 Front: 20 Left: 6 Right: 6 larking Space $0.00 $0.00 $0.00 $0.00 $237.00 $199.00 $0.00 $323.40 $184.80 $415.80 II TOTAL FEE: $12,596..664 Plan Check Fee PROCESSED BY: /�15 {W5 ZONING APPROVAL: `7w COMB Permit: X2022-0011 Project No: 0012-2022 Issued Date : 04122/2022 Inspection Area : 3 MPLEFED BY 04122(2025 OR PERMIT WILL BE INVALID to 6:0`0 p.m. No work on Sundays or Holidays Architect: BENSON JEFFREY JAMES Address: 234 BROADWAY COSTA MESA CA 92627 Phone: 949-534-2724 State Lic:C032268 Engineer: QUALLS BRIAN Address: 4403 MANCHESTER AVE #203 ENCINITAS CA 92024 Phone: 760-652-9257 State Lic:C-077372 Designer: Address: Phone: Special Conditions: HAULER:ROBERTS WASTE CMSD: SD22.0048 (PAID) Fire Hazard Planning Department - Plan check Fee Fair Share SJH Trans In -lieu Housing Fee Public Works Department - Park Dedication : $0.00 P/W Plan Check: $304.50 San Dist: $0.00 NMUSD Fee: $1,083.76 Fire Department $208.00 Fire Inspection: $0.00 Fire Plan Rev $0.00 Demolition Fee $0.00 Building Dept Adm General Service Refund Deposit Grading Bond: •• $0.00 $0.00 $27.00 $266.00 $564.00 $0.00 $0.00 $0.00 $1,897.00 Fee Due at Permit Issuance : $10,699.64 PUBLIC WORKS APPROVAL: PLAN CHECK BY: Y lY GRADING APPROVAL: - APPROVAL TO ISSUE: 0 0 oo�oa a o•aa• e •aac, oc • a • OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that 1 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) ction 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 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 fessions 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 civL-10enalty'bf more than five hundred dollars ($500). 1, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or U portionslof the work, and the structure is not intended or offered for sale (Section 7044, uness 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 rovements 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 roved for the purpose of sale). I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 70144, Business and Professions Code: The Contractors' State License Law does not ,ly 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). I am exempt from licensure under the Contractors' State License Law for the following reason: my signature+Uetow 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} a structure tW;kt.1have 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 fg�slons CW.ip available upon request when this application is submitted or at the following Web site:http://w .leginfo.ca.gov/calaw.html. nature of PropeRy�Owner or Authorized Agent Date TENSED CONTRACTOR'S DECLARATION ireby affirm underppenalty of perju that I am licensed under provisions of CJlaapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions e, and my license is in full force I e((ect. Ligens%t1asS j License No Y (J IS 1O Date ��/aZ Contractor Signature 7'<�/J SRARS' c6MPENSATION DECLARATION 'NING: FAILUn TO SEOURE 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 iT OFCOMPENSR110N, EAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. ire' affirm under penalty of perjury one of the following declarations: 1 hate and oill vlatntain a certificate of consent to self -insure for workers' compensation, issued by the Directdr of Industrial Relations as provided for by Section 3700 of the Labor Code, for th, Forrp§nce of tWwork forwhich this permit is issued. Policy No. .have and vdll 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' compensatior trance carrier and policy number are: Policy Number of Agent certify that, in the performance of the work for which this permit is issued, I shall not employ any person in any if I should become subject to/he workers' compensation provisions of Section 3700 of the Labor Code, I shall nature of Applicant CLARATION REGARDING NSTRUCTION LENDING AGENCY neby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for 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 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 enter a above -identified property for inspection purposes. nature of Prooertv Owner or Authoriz�� Print Property Owner's ACTION PERMIT EXPIRED PERMIT CANCELLED PERMIT EXTENDED PERMIT FINAL CERTIFICATE OF OCCUPANCVISSUED DATE DECCE WITH CODE OF FEDE l BY I REGGULATIONS PARTD610 TRATION OF IITLE 40 AND AQMD RULERAL l FOR 43•12 PROPOSED SIGNATURE: ASBESTOS NOTIFICATION TO NOTIFICATION IS NOT APPLICABLE TO Date so as to become subject to the workers' compensation laws of California, and agree I comply with those provisions. Date �/��zz this permit is issued (Section 3097, Civil Code). USE ONLY Name xso�llGer To-: Dae