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Home My WebLink AboutXR2022-2483 - PermitsCity of Newport Beach , D��E.waoRT Community Development Department - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 r1 x Permit Counter Phone: (949) 644-3288 Inspection Requests Phone: (949) 644-3255 cgcicoaN`P newportbeachca.gov/inspections Combination Type - Work Class - Alteration III III COMB Permit : XR2022-2483 Plan Issued Check ate : 0912812022:PC2022-2334 Inspection Area : 2 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 : 111 ONYX AVE Legal Desc : P BK 397 PG 37 PAR 2 Description: SFR ALT (E) PATIO: REMOVE CENTER POST, REPLACE W/ (2) NEW POSTS AND BEAM. REPLACE PATIO FRAMING. EXTEND PATIO SLAB 28 SF Owner: 310 COLLINS AVENUE LLC Contractor: BURKHART BROTHERS CONSTR Architect Address : 313 PILOT RD STEB Address : 12 BALBOA COVES Address LAS VEGAS, NV 89119 NEWPORT BEACH, CA 92663 Phone : Phone : (949) 375-6725 Phone: Con State Lic : 905510 State Lic Lic Expire : 10/31/2023 3 Applicant: JASON RICHART Bus Lic : BT30026859 Engineer: GHAZLANI ANDY r Address : 1041 18TH W, At06 Bus Lic Expire : 03131/2023 Address : 4202 ATLANTIC AVE #204 a COSTA MESA, CA 92627 LONG BEACH, CA 90807 (m Phone: (949) 422-9191 Workers' Compensation Insurance Phone: (562) 253-2385 s Carrier: SECURITY NATIONAL INSURANCE COMPANY° Owner/Builder: Policy No: SWC1373426 Designer: JASONRICHART Address : W. C. Expire: 2/1/2023 Address : 1041 18TH W, Al06 COSTA MESA, CA 92627 Phone: Phone: (949) 422-9191 Code Edition : 2019 Fire Sprinklers : NO Construction Valuation : $85,000.00 Type of Construction : V-B Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg : 0 Occupancy Groups : U No of Units : 2 Alteration sq. ft. Bldg : 28 Bldg Height : No of Stories : 3 Added/New sq. ft. Garage : 0 Building Setbacks : Front: 8, Side: 3, Side: 3, Rear: 5 Flood Zone : X Use Zone : R-BI - Two -Unit Residential, Balboa Island PROCESSED BY: SPECIAL CONDITIONS: HIGH DENSITY ZONE; LIQUEFACTION. OWNER -BUILDER DECLARATION - I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reasons) 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 brat requires a permit to construct, alter, improve, demolish, or repair any structure, 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' Stale 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 ficensure 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). ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or L) 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). El 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 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 Iicensure 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 most have resided for at least one year prior to completion of the Improvements covered by this permit I cannot legail, sell a structure that I have built as an owner -builder if it has not been constructed in its ontiraty 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://www.leginfo.ca,govicalow.fitml, 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 7 0) o "Dfvi i n 3 Qf the Business and Profe I� Cod , a �i liq DR. is In full force and effect. License Class License No DateC-Contractor Signature WORKERS' COMPENSATION DECLARATION ✓YARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FRIES UP TO ONE HUNDRED THOUSAND DOLLARS (6100,000), IN ADDITION TO THE COST OF COMPENSATION: DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LAROR CODE, INTEREST, AND ATTORNEYS FEES. hereby affirm under penalty of perjury one of the following declarations: ZI 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 Ih performance 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' carrier and policy number are: Policy Number Expiration Date of Agent Phone # JI certify that, in the pe*rmonQQ of the work for whic 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 rat, if I should N N s lee to a workers' corn n pro ns of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. gesture of Applican _ _ Da ECLARATtON REG DI STRUCTION LENDING AGENCY Jk hereby affirm under malty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, ClII Code). ender's Name Lender's Address y my signature below, I Certify to each of the following: I ant the property owner or authorized t0 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, rdinances and state laws relating to building, construction. I authorize representatives of this city or county t n r above-i en' ope for inspection purposes, `t/)� p nV/ anature of Prooeftv Owner or Authorized Anent /k t�- Print Prooertv Owner's or Authorized Acanl's Name�t �.IFiV i� �2SLy� Da/uf1 G7 ACTION I DATE BY DKIL ALRATfON OF CONIPLIANr_E WITH CODE Or FEDERAL FOR OFFICE USE ONLY REG LILATIONS PART 61 OF TITLE 40 AND AO.NID RULF. 1403 PERMrr EXPIRED LJ I SUBMI 11 F,n A'SBF$-COS NOT' FICAT'ON TC PERM(TCANCELLED i @PA ... .......__ __ -j _.O`4M _ PFRMlT EXTENDED L PCRMYT fINAt 8E5T0 N lihl A71DN NO CAKE Tj� CLRTrFICATE OF //yy� ROPOSEOD 17y' OCCUPANCY ISSUED I fJ SIGNATURE- T/-,