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Home My WebLink AboutX2022-0911 - PermitsTa,Wl"fFt„A.. City of Newport Beach - Building Division "X2022-0911' �` ,: r 100 Civic Center Drive, Newport Beach, CA 92660 F I# Y Permit Counter Phone (949)644-3288 c, Inspection Requests Phone (949)644-3255 `�+S��at~> Combination Type -GRAD 1NSrPL=_C COMB Permit; X2022-091 Project No : 0843-2022 Issued Date: 03130/2022 Inspection Area : 5 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION, PROJECTS MUST BE COMPLETED BY 03/30/2025 OR PERMIT WILL BE INVALID Construction Hours: Monday - Friday 7:00 a.m. to 6:30 p.m. and Saturday from 8:00 a.m. to 6:00 p.m. No work on Sundays or Holidays Job Address: 211 IRIS AVE NB Description: SFR YARD DRAINAGE *CITY STANDARD' Legal Desc.: RESUB OF CORONA DEL MAR BLK 35 LOT 13 0 Owner: DUNCAN ROBERT Contractor: BURKHART BROTHERS CONSTR Architect: Address: 211 IRIS AVE Address: 12 BALBOA COVES Address: NEWPORT BEACH, CA 92660 NEWPORT BEACH CA 92663 __q Phone: 818.679-1701 Phone: 949-375-6725 Phone: State Lic: X Applicant: TSAI SPENCER Con State Lic 905510 Engineer: M „ Address: 1382 VALENCIA AVE #F Lie Expire: 1013112023 Address: TUSTIN, CA 92780 Bus Lie: ST30026859 , M Phone: 949-402-5581 Lie Exp Date: 03/31/2022 Phone: State Lic: > >> TW Code Edit: 2019 Worker's Compensation Insurance Designer: GULIAN EDWARD .3� I Type of Construction: V-B Carrier: SECURITY NATIONAL INS Address: 5855 NAPLES PLAZA #212 M > Occupancy Group: R3/U Policy No: SWC1373426 LONG BEACH, CA 90803 Added /New sq.ft. Bldg: 0 Expire: 02/01/2023 Phone: 562-434-6493 Added /New sq. ft. Garage: 0 No of Stories: 3 Building Setbacks Rear: 5 Special Conditions: HIGH DENSITY ZONE No of Units : 1 Front: 18 Bldg Height: 0 Left: 3 " Bldg Sprinklers: N Right: 3 Flood Zone: X Use Zone: Parking Spaces: 0 Fire Hazard Zone : N• Construction Valuation: $0.00 Building Permit Fee: $0.00 Excise Tax: $0.00 Planning Department - Fire Department Plan Check Fee: $0.00 Additional Fee : $0.00 Plan check Fee : $52.00 Fire Inspection: $0.00 Overtime Plan Ck: $0.00 Grading Bonds Fee: $0.00 Fair Share : $0.00 Fire Plan Rev $0.00 Investigation Fee: $0.00 Grading PC Consultant: $0.00 SJH Trans : $0.00 Demolition Fee Record Management : $2.00 Grading Permit Fee: $237.00 In -lieu Housing Fee : $0.00 Building Dept Adm $0.00 Energy Compliance: $0.00 Grading PC Fee: $199.00 Public Works Department - General Service $0.00 CA Seismic Safety: $0.00 WQ Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $0.00 Disabled Access : $0.00 PAN Plan Check: $0.00 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical %: $0.00 San Dist: $0.00 Building Green Fee : $0.00 Mechanical W $0.00 NMUSD Fee: $0.00 $0.00 Plumbing %: $0.00 $0.00 TOTAL FEE : $490.00 Plan Check Fee : $0.00 Fee Due at Permit Issuance : $490.00 PROCESSED BY: Z3� PUBLIC WORKS APPROVAL: IQ C I� t PLAN CHECK BY: ✓ `� ZONING APPROVAL: GRADING APPROVAL: APPROVAL TO ISSUE: 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 item(s) (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 applicant for the 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 Professions Code) or that he or she is exempt from Iicensure 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 U 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 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). ❑ 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 improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). ❑ 1 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 must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legally sell 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 Professions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. 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 70 0 of Division 3 of the Business and Professions de, and my license is in full force and effect. License Class License No Date a Contractor Signature WORKERS' CO,.AkNSATION DECLARATION aJ ,RNIRG: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE ^OST O COMPENSAI ION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I herehy affirm )order penalty of perjury one of the following declarations: I lave 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 �nrfc r'nance of the work for which this permit is issued. Policy No. nave 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' aa_e carrier and policy nu%aber are: ier f — L' ✓1 �— Policy Number Expiration Date le of Agent I, — ` ` Phone # certify that,'in SF a 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 agre if I should become subject the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. of Applicant Date hereby affirm under penalty 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). -ender's 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 ordinances and state laws relating to building construction. I authorize representatives of this city or county Jto enter a above -identified property for inspection purposes. 3 signature of Property Owner or Authorized Agent n .✓1 Print Property Owner's or Authorized Agent's Name X&eA r- FS rL Date _ ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE PERMIT EXPIRED LJ I SUBMITTED ASBESTOS NOTIFICATION TO PERMITCANCELLED DEPA PERMIT EXTENDED LJAQMD PERMITFINAL CERTIFICATE OF OCCUPANCYISSUED Z�Z��Z ,� ASBESTOS NOTIFICATION IS NOTAPPLICABLE TO PROPOSED DEMOUTIQ4E SIGNATIIRF�X