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HomeMy WebLinkAboutXR2023-0675 - PermitsCity of Newport Beach O�rEWPORT Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 u i Permit Counter Phone: (949) 644-3288 Inspection Requests Phone: (949) 644-3255 cggFoaN`r newportbeachca.gov/inspections Combination Type - SFP Work Class - Other IIII I��III��III 11111111111111111111111111111111111111111jj COMB Permit : XR2023-0675 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: GARDEN WALL 37.8" LF X 4' 2" H "INSIDE THE P/L" *RENEW EXPIRED PERMIT' 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 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: 6w- SPECIAL CONDITIONS: in 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 Construction Valuation : Added/New/Ti sq. ft. Bldg : 0 Alteration sq. ft. Bldg : Added/New sq. ft. Garage : 0 TOTAL sq. ft. : 0 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 Bemis) (Section 7031.5, Business and Professions Code: Any city or county that requires a pomlit to construct, alter, improve, demolish, or repair any structura, prior to its issuance, also requires the applicant for the permit to file a signed statement that lie 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 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 U 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 theproperty, 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 improvesthereon; and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law), r I am exempt from licensure under the Contractors' Stale License Law for the following reason: By my signature below t acknowledge that, except for my personal residence in which I must have rosided For at least one year prior to completion of the improvements covered by this permit, I cannot legaill sell a structure that I have built as an owner -builder if ithas not been constructed in its entirely by licensed contractors. I understand that a copy of the applicable law. Section 70" of the Business and Professions Code, is available upon request when this application is submitted or at the following Web site:http://",w.leginfo.ca.govicalaw.htmi. Signature of Property Owner or Authorized Agent ,-. Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that i am licensed under provisions of Chapter 9 (commencing with Section 0 O,t of Divis�'dn 3 of the Business and ProF s ' ns nde, a if n license is in full Force and effect. License Class License No Dat tL Contractor Signature WORKERS' COMPENSATION DECLARATION NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SMALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CARL FINES UP TO ONE HUNDRED T OUSAND DOLLARS tS100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES As PROVIDED FOR IN SECTION 3705 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES, hereby affirm under penalty of perjury one of the following declarations: 11 1 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 lh B ormance 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' compensatioi rnsuraw,e carrier and policy number are: Policy Number of Agent Date I certify that. In the performance of a work f 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 ogre that, If I should become su 0 to t ork mpensalion provisions of Section 3700 of the Labor Code, I -shall forthwith comply with those provisions. Signature of Applicant Date DECLARATION REGA f I - NSTRUC GN L ING AGENCX I hereby affirm under p nally of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, C' I Cade). 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 provide is corre I agree to comply with all applicable city and county ordinan s and BID laws relating to building construction. I authorize representatives of this city or coun mor tb. bow VtIf' property for inspection purposes. Signature of Property Owner or Authorized Agent Print Pro art Owner's or Authorized Agent's Na. r It _ L ACTION DATE BY Vl DEC TION OF COMPLIANCEWITH CODE OF FEDERAL FOR OFFICE USE ONLY ' REGULATIONS PART 61 OF TITLE AO AND AOMD RULE 1403 PERMIT EXPIRED 1 I5 AMITTCD ASR75TOS VO".I FICATION TO PERMFTCANCELLED L':PA PER,IV IT EXTENDED PCIM TFINAL CERTIFICATE OF OCCUPANCY ISSUED , IS NOTAPPLICABLE TO A00 Oyu r Z N O T rJ. v i m -C � ❑ O a y ° Q y O N LU. ❑ L N U � � U > a o c W m M A %. C Fa ICI �U p wP6oSZv 3 00 x� Z p ZDa ° Z F m y E d N ° o pp — 3 �i � `� .9 ... � B vi G ❑ � � � m ❑ �+ �a N 4 '«� U 0 o o y B Ed m m .� CO " h o `0 6r` 3.� E ' N ❑ o] N m vi H CO �.? T 3°n t�d3 �o v u �i w ac ��—.I.,,,n �r o � 3 a`i � C � d � '6u '� ¢ .n o ,«N, > C ❑. 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