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Home My WebLink AboutX2021-1280 - PermitsCity of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 N Permit Counter Phone (949)644-3288 is 2 Inspection Requests Phone (949)644-3255 r''�rroaN`� Combination Type - SFP MECH ELEC PLUM `X2021-1280* lNS11" EUCTFO nrl COMB Permit: X2021-1280 Project No : Issued Date : 05/19/2021 Inspection Area : 3 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 05/19/2024 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: 2337 LA LINDA PL NB Description: SFR (3) BATHROOM REMODELS `CITY STANDARD PLAN* Legal Desc.: P BK 12 PG 14 PAR 1 Owner: JOHANSSON JOHN Contractor: BURKHART BROTHERS CONSTR Architect: Address: 2337 LA LINDA PL Address: 12 BALBOA COVES Address: NEWPORT BEACH, CA 92660 NEWPORT BEACH CA 92663 Phone: Phone: 949-375-6725 Phone: State Lic: Applicant: BURKHART BROTHERS CONSTR Con State Lic: 905510 Engineer: - Address: 12 BALBOA COVES Lic Expire: 1013112021 Address: NEWPORT BEACH CA 92663 Bus Lic: BT30026859 ^ Phone: 949-375-6725 Lic Exp Date: 03131/2022 Phone: State Lic: ° 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: 0 Expire: 02101/2022 Phone: " Added /New sq. ft. Garage: 0 No of Stories: 2 Building Setbacks Rear: / Special Conditions: No of Units : 1 Front: I Bldg Height: 0 Left: / Bldg Sprinklers: Right: / Flood Zone: Use Zone: Parldng Spaces: 0 Fire Hazard Zone : N Construction Valuation: $25,000.00 Building Permit Fee: $501.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $435.87 Additional Fee : $0.00 Plan check Fee : $46.25 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 WO Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $0.00 Disabled Access: $0.00 P)W Plan Check: $0.00 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical %: $35.07 San Dist: $0.00 Building Green Fee : $1.00 Mechanical %: $20.04 NMUSD Fee: $0.00 $0.00 Plumbing %: $45.09 $0.00 TOTAL FEE : $1,088.32 Plan Check Fee: $0.00 Fee Due at Permit Issuance : $1,088.32 PROCESSED BY: c PUBLIC WORKS APPROVAL: ZONING APPROVAL: PLAN CHECK BY: GRADING APPROVAL: APPROVAL TO ISSUE: 1 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 stfucture, 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 applicantto a civil pen-..lty 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 U 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). I 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 legal) 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:http://wvrw.leginfo.ca.gov/calaw.html. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I f.s-cty affirm Lrd3r penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 0 0) of Division 3 of the Business and Professions Code and my license is in full force and effect. License Class License No Date F/ ZI Contractor Signature \VCRKERS' COG7PENSATION DECLARATION WARNING: FAILURE -0 SEC -IRE 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 CGST Or COMPENLAnad, LAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm under penalty of perjury one of the following declarations: I ha,-e 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 in pedolnlance of the work for which this permit is issued. Policy No. I have and wil: ma:,l_ain 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' compensatio 41Nrance carrier a'+.d pricy number are: Carrier Policy Number Expiration Date Name of Agent Phone # I certify that, in the performance 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 that, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ��r\ Signature of Applican Datk DECLARATION REGA ING CONSTRUCTION LENDING AGENCY I hereby affirm under pdnalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, 111 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. LI agree to comply with all applicable city and co ty ordinances and state laws relating to building construction. tH 142s✓iB I authorize representatives of this city or cou y o enter the above -identified property for inspection purposes. .� gnature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Nam _ Date GS-/9 -Z ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULAT ONS PART fit OF TITLE 40 AND AQM D RULE 1403 PERMIT EXPIRED SUBMITTED ASBESTOS NOTIFICATION TO PERMITCANCELLED EPA PERMIT EXTENDED AQMD PERMIT FINAL ASBEST OTIFICATION IS NOT APPLICABLE TO CERTIFICATEOF S.�v1v R OSED OLITION OCCUPANCY ISSUED / SIGN TUR