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Home My WebLink AboutXR2023-0488 - Permits�EWeORT City of Newport Beach II II II I I I II IIIIIIIII III IIII III III I II COMB Permit: XR2023-0488 D� @ Community Development Department - Building Division X R 2 0 2 3 0 4 8 8 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: PC2023-0406 U Permit Counter Phone: (949) 718-1888 Issued Date : 05/12/2023 w'.newportbeachca.gov/civic Inspection Area : 2 °"aFOF P Combination Type - MFP ELEC Work Class - Alteration 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 : 22 ENCORE CT Legal Desc : N TR 7817 BILK LOT 4 UN 217 TR 7817 LOT 4 UNIT 217 OF PROJECT LOCATED ON AP Description: MFR ALT CONVERT CRAWLSPACE TO STORAGE 350 SF Owner: JEFFREY KLINGELHOFER Address : 989 PASEO DEL SUR SANTA FE, NM 87501 Phone : (760) 807-5530 Applicant: BOURKE CONSTRUCTION INC Address: 1039 SOUTH ARMSTRONG CIRCLE ANAHEIM, CA 92807 Phone : (714) 281-1974 Owner/Builder: Address : Contractor: BOURKE CONSTRUCTION INC Address : 1039 SOUTH ARMSTRONG CIRCLE ANAHEIM, CA 92807 Phone : (714) 281-1974 Con State Lic : 717199 Lic Expire : 04/30/2025 Bus Lic: BT30081632 Bus Lic Expire : 05/31/2024 Workers' Compensation Insurance Carrier: STATE FUND Policy No: 9099377 W. C. Expire: 5/14/2024 Architect Address Phone: State Lip: Engineer: XIAO QIANG Address: 1520 BROOKHOLLOW DR #45 SANTA ANA, CA 92705 Phone: (714)662-0510 Designer: Address : Phone: Phone: Code Edition : 2022 Fire Sprinklers : NO Construction Valuation : $10,000.00 Type of Construction : V-B Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg : 0 Occupancy Groups : U.R-2 No of Units : 8 Alteration sq. ft. Bldg : 350 Bldg Height : No of Stories : 2 Added/New sq. ft. Garage: 0 TOTAL sq. ft. 0 Building Setbacks rl Flood Zone : X Use Zone : PC - Newport Crest - UP1585 PROCESSED BY: - - - - SPECIAL CONDITIONS: DECLARATION t hereby affirm under penalty of perjury that I am exempt from the Contractors' Slate License Law for the reason(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 a permit to construct. alter. improve, demolish, or repair any structure, prior to its issuance, also requires the 0r-oieant 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 iiceasureand 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 of more than five hundred dollars ($500). 1, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U portions of the work, and the structure is not Intended or offered for sale (Section 7044, rosiness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employeesor personal effort, builds or improves the property, provided that the npravements 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). 3 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 pply 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), 3 1 am exempt from licensure 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 resided for at least one year prior to completion of the improvements covered by this permit, I cannot legal], ell a structure that I have built as an owner -builder if it has not boon 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 VVeb site:http:/Ica ,f.leginfo.ca..gov/calaw,himl. lignature of Property Owner or Authorized Agent Date ACENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjupj that I am licensed under provisions of Chapter 9 (commencing with Section 7000 of Division 3 of the Business and Profeg a and. ense is in full force no effect. License Class \� License No i I-? / 01`1' Data 3 Contractor Signature ✓• UORKERS' COMPENSATION DECLARATION IARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SMALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS [5100,000), IN ADDITION TD THE OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3T00 OF THE LABOR CODE, INTEREST, AND ATTORNEY's FEES_ hereby affirm under penalty of perjury one of the following declarations: I have and 411 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 �,�Unance 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 permitis issued. My workers' carrier and policy number are: Policy Number Expiration Date of Agent 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 . If I should become sublect to3he-workens' compensatfon Drovtsin of Section 3700 of the Labor Code. I shall forthwith comply with those Drovisions. of nedy affirm underlftenalty 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). ider's Name Lenders Address 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 counrt�y, toe Ified property for inspection purposes, n nature of Property Owner or Authorized Agent. % Print Property Owner's or Authorized Aaerins Name/\/ \ -Acllc BY PERMIT EXPIRED P€RMI7 CANCELLE'7 PERMIT EXTENDED PERrbil'T FINAL CERTiFlCAT E OF OCCUPANCY ISSUED REGULATIONS PART 51 0E TITLE 40 AND AQNID RULE 1403 1 SUBMITTEDASBFSTOS NOTIFICATION TO NO7IRCA't1ON 15 NOT APPLICABLE TO FOR OFFICE USE ONLY \J