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Home My WebLink AboutXR2023-0676 - Permits�t�E�'PORT City of Newport Beach o Community Development Department - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 644-3288 e.Inspection Requests Phone: (949) 644-3255 CgC(FO0.N�P newportbeachca.gov/inspections Combination Type - SFP Work Class - Other 11�1 11111111111111111111111111111111111111111111111111 111jj COMB Permit : XR2023-0676 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 Desc : N TR 1218 BLK LOT 46 Description: SFR *ADDITIONAL SCOPE* FRONT ENTRY ROOF 222 SF *RENEW EXPIRED PERMIT* Owner: DEREK BOORN Contractor: BURKHART BROTHERS CONSTR Address : 605 KINGS PL Address : 12 BALBOA COVES NEWPORT BEACH, CA 92663 NEWPORT BEACH, CA 92663 Phone Applicant: MARIOSOTO Address : 2633 Elden Ave, A costa mesa, CA 92627 Phone : (949) 300-3967 Owner/Builder : Address : Phone Phone : (949) 508-8478 Con State Lic : 905510 Lie Expire: 10/31/2023 Bus Lie : BT30026859 Bus Lie Expire : 03/31/2023 Workers' Compensation Insurance Carrier: SECURITY NATIONAL INS CO Policy No: SWC1373426 W. C. Expire: 2/1/2024 Code Edition : 2019 Fire Sprinklers : NO Type of Construction : V-B Fire Hazard Zone : NO Occupancy Groups : R-3 No of Units : 1 Bldg Height : No of Stories : 1 Building Setbacks : Front: 20, Side: 4, Side: 4, Rear: 10 Flood Zone : X Use Zone : R-1 - Single -Unit Residential PROCESSED BY: -- SPECIAL CONDITIONS: Architect Address Phone: State Lie 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 Construction Valuation : $116.00 Added/New/TI sq. ft. Bldg : 0 Alteration sq. ft. Bldg : Added/New sq. ft. Garage : 0 TOTAL sq. ft. : 0 C- tj a � OWNER -BUILDER DECLARATION I hereby affirm under penally of perjury that I am exempt from the Contractors' State License Law for the resson(s) indicated below by the checkmark(s) I have placed next he the applicable ftem(s) Section 7031.5, Business and Professions Code: Any cityor county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for is 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 "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 for a permit subjeets the applicant to a civil penalty of of more than five hundred dollars ($500). Z I, 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, tusiness and Professions Code: The Connectors' 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 mprovements 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 nproved for the purpose of sale). 11, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' Slate License Law does not apply to an owner of property who builds or improvesthereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). 3 1 am exempt from Iicensure under the Contractors' State License Law for the following reason ly my signature below I acknowledge that, except for my personal residence in which I must have mrided for at least one year prior to completion of the improvements covered by this permit, I cannot legalll all 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 'rofesslons Code, is available upon request when this application Is submitted or at the following Web siteihttp•Jlwww.leginfo.ga.gov/calaw,html, signature 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 Secti 00) f Div "Sion 3of the Business and P ssi R license.fs In full force and effect License Class License No Df L Contractor Signstu VORKERS' COMPENSATION DECLARATION rARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENAL ES AND CIVIL PINES UP TO ONE HU SAND O S (5700A00), IN ADDRION TO THE OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 0706 OF THE LABOR CODe, 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 'ormance of the work for which this permit is issued. Policy Na. eve 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' compensa Iran rnar and policy number are: Policy Number of Agent Date '1I 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 and agre rat, if I should become U fact to mpenzahon provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. 7L signature of Applicant D IECLARATtON REGA NS ; N LENDING AGENCY hereby affirm under pe a at there is a construction lending agency for the performance of the work for which this permit is issued (Section 30974,vil Code). ender's Name Lender's Address sy 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 count ordina ate laws relating to building construction. i authorize representatives of this city or count -Id r"filed property for inspection purposes. sionature of Pr000rtv Owner or Authorized Anent 7 Print Property Owner's or Authorized Agent's Name ACTION 1403 PERMIT EXPIRED PERMIT CANCELLED PERMIT FXFENOEP bF COMPLIANCE\h4TH CODE OF FEDERAL ( FOR OFFICE USE ONLY PART bl OF TITLE 40 AND AOMD RULE PERIVIN FINAL Jr-U- i{ �/.-.- ! LW)wEPROPOSSTtd(S NQTIFICA_i PD/E TO CERTIFICATEL I PROAOSsigsVF`'r.00'll OCCUPANCYISSUED i SIGN All R