HomeMy WebLinkAboutXR2022-2541 - PermitsCity of Newport Beach I
Community Development Department- Building DivisionCOMB
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone: (949) 644-3288
Requests Phone: (949) 644-3255newportbeachea.gov/inspections ' '°
ot
Combination Type - v t L L d yl
Work Class - Other -
PQrmlt:XRZOLZ-2541
Plan Check No : 0012-2022
Issued Date : 0912212022Inspection
Inspection Area : 3
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION, BUT NO LATER THAN 3 YEARS FROM ORIGINAL ISSUANCE DATE
NO CONSTRUCTION RELATED NOISE ON SATURDAY OR SUNDAY IN HIGH DENSITY AREAS AND NO WORK ON SUNDAY AND HOLIDAYS IN ALL AREAS
Job Address: 2401 WINDWARD LN
Legal Dese : N TR 5178 BLK LOT 9
Description: SFR BLOCK WALLS W/ SMOOTH STUCCO (6 HIGH BY:30' LONG) WITHIN PROPERTY LINES BUILT PER CITY STANDARD. (X2022-0011)
Owner: VISTA PARK PROPERTIES LLC ;.
Contractor: BURKHART BROTHERS CONSTR
Architect
Address : 1007 NOTTINGHAM RD
Address : 12 BALBOA COVES
Address
NEWPORT BEACH, CA 92660
NEWPORT BEACH, CA 92663:.
Phone: ,-Phone:
(949)375-6725
- Phone:
Con State Lie : 905510
State Lie
Lie Expire: 10/31/2023
Applicant : BURKHART BROTHERS CONSTR
Bus Lie : BT30026859
Engineer:
Address : 12 BALBOA COVES
Bus Lie Expire : 03/31/2023
Address
NEWPORT BEACH, CA 92663 -
Phone: (949) 375-6725
Workers' Compensation Insurance
Phone:
Carrier: SECURITY '.NATIONAL INSURANCE
COMPANY
-
Owner/Builder : '-
Policy Noy: SWC1373426
-,: Designer: BURKHART BROTHERS CONSTR
Address :
W.'C. Expire: 2/l/2023
: Address: 12 BALBOA COVES
' NEWPORT BEACH, CA 92663
Phone:
Phone: (949)375-6725
Code Edition : 2019
Fire Sprinklers : NO
Construction Valuation : $2,610.00
Type of Construction : V-B
Fire Hazard Zone : NO
-` Added/New/Ti sq. ft. Bldg : 0
Occupancy Groups U
No of Units : '1
Alteration sq. ft. Bldg : •,,,
Bldg Height :
No of Stories : ,0
Added/New sq. ft. Garage: 0
Building Setbacks : Front: 20, Side: 6, Side: 6, Rear: 10
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Flood Zone : X
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Use Zone : R-1-10000 - Single -Unit Residential (10000
indicates minimum lot area)
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SPECIAL CONDITIONS:
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I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the rea ron(s) indicated below by the checkmark(s) I have placed next to the applicable item (a)
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
to 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
Yofessions Code) or that he or she is exempt from ( censure 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).
11, as owner of the property, or my employees with wages as their sole compensation, will do f_) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044,
osiness and Professions Code: The Contractors' State License Law does net apply loan owner of property who, through iemployees' 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 con letion, the Owner-Builderwiil have the burden of proving that it was not built or
nprend 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
poly 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 I am exempt from licensure under the Contractors' State License Law for the following reason: _
y my signature below t 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 legal
all a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I u derstand that a copy of the applicable law, Section 7044 of the Business and
rofessums Code, is available upon request when this application is submitted or at the following Web site:httpJ1www.feg!Fo.ca.govlcalaw,htm[.
ignature of Property Owner or Authorized Agent Date
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty Of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70D0) of Division 3 of the Business and Professions , a m license is in full force
nd effect. License Class License No Date. Z-L. Contractor Signature_
COMPENSATION DECLARATION
'ALURE T URE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PEN
OUP TION. DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNErs FEES.
Zcm 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 Director
Ice of the work for which this permit is issued. Policy No.
and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, far the
carrier and policy number are:
ne of Agent
certify that, in the performance of rk whi h Is pormit is Issued, I shall not employ any person in any
if I should become subject to ork ' com setion provisions of Section 3700 of the Labor Code, I shall
)store of, ppfioant
E121-1riG \YRIs ll-fa I•Z1;14
($100,000). IN ADDmON TO THE
Industrial Relations as provided for by Section 37GD of the Labor Code, for
of the work for which this permit is issued. My workers'
Date
D as to become subject to the workers' compensation laws of California, and
comply with those provisions.
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I hereby affirm under pen o at there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Cade).
Lenders Name Lender's Address
By my signature below, f to each of the following:
I am the pscgslly owner or authorized to act on the property owner's behalf.
I have read 3fitis application and the information f have provided is correct.
• .lkree to 5gmply,with all applicable city and county or I no state laws relating to building Construction.
I`authod&.re(grg3entaUves of this city Or county to a e-identified property for inspection purposes.
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BY
PART 61 OF TITLE 40 AND AQMD RULE
SUBM11TED ASBESTOS NOTIFICATION
• I PERMIT FINA& • A 5TOS NOTIFICATION IS NOT APPLICABLE TO
•••CERRFICATEOF• 1 •I�•Zl PR OSED DEMOL
• QCIbPAF1CYf55UE11•: I (/ SIGNArUREI
ONLY
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