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Home My WebLink AboutX2022-0820 - PermitsCity of Newport Beach - Building Division *X2022-0820* COMB Permit: X2022-0820 T<- 100 Civic Center Drive, Newport Beach, CA 92660 Project NO : 0746-2022 u�. Permit Counter Phone (949)644-3288 !"e Inspection Requests Phone (949)644-3255 c EC O ,i�''�1 Combination Type - SFP � �''t' Issued Date: Area : 2022 Inspection Area : 3 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST SE COMPLETED BY 0410612025 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: 2337 LA LINDA PL NB Description: SFR RIR HANDRAIL & GUARDRAIL AT OPEN SIDES OF STAIRWAY. - Legal Desc.: P BK 12 PG 14 PAR 1 , Owner: JOHANSSON DEREK Contractor: BURKHART BROTHERS CONSTR Architect: Address: 2337 LA LINDA PL Address: 12 BALBOA COVES Address:- NEWPORT BEACH, CA 92660 NEWPORT BEACH CA 92663 Phone: 949-313-8267 Phone: 949-375-6725 Phone: State Lie: Applicant: KELLEHER BRIAN Con State Lie: 905510 Engineer: GHAZLANI ANDY - - Address: 1382 VALENCIA AVE Lie Expire: 1013112023 Address: 4202 ATLANTIC AVE #204 TUSTIN, CA 92780 Bus Lic: BT30026859 LONG BEACH CA 90807 , Phone: 949-508-8478 Lie Exp Date: 03/31/2022 Phone: 562-253-2385 State Lic:C-060867 Code Edit: 2019 Worker's Compensation Insurance Designer: BURKHART BROTHER'S CONSTRUCTION INC Type of Construction: V-B Carrier: SECURITY NATIONAL INS Address: 12 BALBOA COVES Occupancy Group: R3/U Policy No: SWC1373426 NEWPORT BEACH, CA 92663 Added /New sq.ft. Bldg: 0 Expire: 02/0112023 Phone: 949-375-6725 Added /New sq. ft. Garage: 0 No of Stories: 2 Building Setbacks Rear: / Special Conditions: No of Units : 1 Front: / Bldg Height: 0 Left: I Bldg Sprinklers: N Right: / Construction Valuation: $5,000.00 Building Permit Fee: $161.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $140.07 Additional Fee : $0.00 Plan check Fee : $0.00 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 : $4.00 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 PAN Plan Check : $0.00 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 : $306.07 Plan Check Fee: $140.07 Fee Due at Permit Issuance : $166.00 .,...�.............R S .....,,...,. ------ .. . ZONING APPROVAL: GRADING APPROVAL: in PLAN CHECK BY: pa 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 Iicensure 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). ❑ 1, 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 a,e not il�tended 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 i,noroveL: for the purpose of sale). U 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 U 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). U I a,n exempt from Iicensure under the Contractors' State License Law for the following reason: % 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) rell a Ftructure 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 Codb, Is ovailable upon request when this application is submitted or at the following Web site:htlp://www.leginfo.ca.gov/calaw.html. Signature of Property/ Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION ! hc�eby affirm urder nPnalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000 qfi vision 3 of the Business and Professions Code d my license is in full force and effect. License Class License No Date `Zl�i 2°�Z- Contractor Signature X �Z r COMPENSATION DECLARATION IARNING: FAILURE 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 :OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. hereby affirm under penalty of perjury one of the following declarations: J I have and will 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 th erfp6ance of the work for which this permit is issued. Policy No. have and will 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' fence carrier and policy number are: Policy Number of Agent Date ❑I certify that, in the performance of the work fo 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 subject to the worke ompensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. l //� Signature of Applicant V ,r/ Date /�- C / /2 Z 2— DECLARATION REGARDING CONSTRUCTION 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 county to ente the above -identified property for inspection purposes. J ]� / // Signature of Property Owner or Authorized Agent Print Property Owners or Authorized Agent's Name /` ljG�l ILP,l l�Y1 DNc ate Z0� Z ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART GIOF TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT CANCELLED OEPA PERMIT EXTENDED MD PERMITFINAL q ASBESTOS NOTIFICATION IS TAPPLICABLE TO CERTIFICATEOF S-II-a P OSEDDEMOLITIO OCCUPANCYISSUED SIGNATURE:'