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Home My WebLink AboutXR2023-0673 - PermitsCity of Newport Beach �aEWPoRr . d Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 G S Permit Counter Phone: (949) 644-3288 Inspection Requests Phone: (949) 644-3255 CqC/rppN�P newportbeachca.gov/inspections Combination Type - SFP Work Class - Other 111I��III��III 1111111111111111111��11111COMB Permit : XR2023-0673 Plan Check No : 2783-2019 Issued Date : 03/14/2023 Inspection Area : 8 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 : 605 KINGS PL Legal Case: N TR 1218 BLK LOT 46 Description: SFR ADD 35 SF AT ENTRY WAY, RELOCATE GARAGE DOOR, REPLACE DRIVEWAY, DRAINAGE, REMOVE AND REPLACE (2) WINDOWS *RENEW EXPIRED* Owner: DEREK BOORN Address: 605 KINGS PL NEWPORT BEACH, CA 92663 Phone: Applicant: MARIO SOTO Address : 2633 Elden Ave, A costa mesa, CA 92627 Phone: (949)300-3967 Owner/Builder : Address : Phone Contractor: BURKHART BROTHERS CONSTR Address : 12 BALBOA COVES NEWPORT BEACH, CA 92663 Phone: (949)508-8478 Con State Lic : 905510 Lic Expire : 10/31/2023 Bus Lic: BT30026859 Bus Lic Expire : 03/31/2023 Workers' Compensation Insurance Carrier: SECURITY NATIONAL INS CO Policy No: SWC1373426 W. C. Expire: 2/1/2024 Architect Address Phone: State Lic Engineer: JOHN DINH TRAN Address: 11251 GARDENAIRE LN GARDEN GROVE, CA 92841 Phone: (714)815-2356 Designer: MARIO SOTO Address : 2633 Elden Ave, A costa mesa, CA 92627 Phone : (949) 300-3967 Code Edition : 2019 Fire Sprinklers : NO Construction Valuation : Type of Construction : V-B Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg: 0 Occupancy Groups : R-3 No of Units: 1 Alteration sq. ft. Bldg : Bldg Height: No of Stories: 1 Added/New sq. ft. Garage: 0 TOTAL sq. ft.: 0 Building Setbacks : Front: 20, Side: 4, Side: 4, Rear: 10 Flood Zone : X Use Zone : R-1 - Single -Unit Residential PROCESSED BY: SPECIAL CONDITIONS: RENEW EXPIRED PERMITS X2019-4041 & X2021-0013 C J 0 ri C) OWNER -BUILDER DECLARATION I hereby of nn under penalty of perjury that I am exempt from the Contraclors' Slate License Law for the resson(s) indicated below by the checkmark(s) I have placed next to the applicable items) Section 7031.5, Business and Professions Code: Any city or county that requires apermit to construct, alter, improve, demollsh, or repair any structure, prior to its issuance, also requires the applicant for in permit to filo a signed statement that hD or she is licensed pursuant to the provisions of the Contractors' Stato License Law (Chapter 9 (commencing with Suction 7000) of Division 3 of the Business and 'rofessions 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 fare permit subjects the applicant to a civil penalty of of more than five hundred dollars ($500). 3 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, usiness 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 nprovements 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 buIII or nproved 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 ply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors Slate License Law), I am exempt tram licensors under the Contractors' State License Law for the following reason: ;y 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 legally oil 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 'rofessions Code, Is available upon request when this application is submitted or at the following Web site:http:/Avww.leginfo.ca.gov/calaw.html. ',ignature of Property Owner or Authorizod Agent Date,_ .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 0 ) Division 3 of the Business and Profs on; bdo, and my license is in full force nd effect. License Class License No Date )Lt- L Contractor Signature VORNERS' COMPENSATION DECLARATION 'ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED OUSAND DOLLARS 15100,0001, IN ADDITION TO THE DST OF COMPENSATION. DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CORP. INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: ] 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, %formance 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,. for the performance of the work for which this permit is issued. My workers' compensatio nsurance carder and policy number are: ;artier Policy Number Expiration Date game of Agent Phone # :1I certify that, in the perto mare of tY e 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 hat, If I should become so Oct to the rkers' t mpertsatlon provisions of Section 3T0o of the Labor Code, I shall forthwith comply with those provisions. 319nalure of. Applicant Date/l '3 L[ 1 )CLARATION REGA IN SYRU �6N LENDI CY �7/y� hereby affirm under pe alty of perjury that there is a construction lending agency for the performance of the. work for which this permit is issued (Section 3097, I I Cede). _enders Name Lender's Address 3y 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 or nances a state laws relating to building construction. I authorize representatives of this city or co t to on the ov -Identified property for inspection purposes. signature of Property Owner or Authorized Agel t. Print Property Owner's or Authorized Agent's Na ACTION DATE BY ECLARATION OF COMPLIANCE. WI7H CODE OF FEDERAL FOR OFFICE USE ONLY R ATION5 PART 61.OF TITLE 40 AND AQMD RLILE 1403 _ PERMir EXPIRED I SUIMITTEC ASBECTOS N DT171CATION TO PERMITCANCELLED PERMIT FXrENDED qVf PERMIT FINAL �. .'23 --tf AS IDS OTIF TION15 r//'-',TAPPLICABLE TO CERTIRCATE OF i PROPOSE O N / OCCUPANCYLSSUED ! S:GFAT7 ,!_-_