HomeMy WebLinkAboutXR2023-1158 - Permits��EWPpRT City of Newport Beach
Q - m Community Development Department - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone: (949) 718-1888
newponbeachce.gov/civic
C4<IFOPT�`P Combination Type - SFP ELEC MECH PLUM
Work Class - Alteration
11IIIIII111111111111111111111111111111111111111111111111I 11 COMB Permit : XR2O23-1158
Plan Check No : PC2023-1033
Issued Date : 05/10/2023
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: 618 RAMONA DR
Description : SFR BATHROOM REMODEL 126 SF
Owner:
JEFFREY OCHOA
Address :
618 RAMONA DR
NEWPORT BEACH, CA 92625
Phone:
(949)630-5889
Applicant:
BARRY WALKER
Address :
PO BOX 11658
NEWPORT BEACH, CA 92658
Phone:
(949)246-4085
Owner/Builder: JEFFREYOCHOA
Address: 61B RAMONA DR
NEWPORT BEACH, CA 92625
Phone: (949)630-5889
Legal Desc : N TR 1701 BLK LOT 69
Contractor
Address :
Phone:
Con State Lic
Lic Expire
Bus Lic :
Bus Lic Expire
Workers' Compensation Insurance
Carrier :
Policy No
W. C. Expire:
Architect :
BARRY WALKER
Address :
PO BOX 11658 NEWPORT BEACH, CA
92658
Phone:
(949) 246-4085
State Lic
Engineer
Address
Phone :
Designer:
Address
Phone:
Code Edition :
2022
Fire Sprinklers : NO
Construction Valuation :
$20,000.00
Type of Construction :
V-B
Fire Hazard Zone : NO
Added/New/TI sq. ft. Bldg :
0
Occupancy Groups :
R-3
No of Units : 1
Alteration sq. ft. Bldg :
126
Bldg Height :
No of Stories: 1
Added/New sq. ft. Garage:
0
TOTAL sq. ft.
0
Building Setbacks :
Front:
10, Side: 4, Side: 4, Rear: 10
Flood Zone :
X
Use Zone :
R-1 -
Single -Unit Residential
> > >
131
PROCESSED BY:
.....
SPECIAL CONDITIONS:
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 applicableitem(s)
ieclion 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
to 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 Ecensure 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
more than five hundred dollars ($500).
I, as owner of the property, army 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
eprovements are not Intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner-Builderwill have the burden of proving that it was not built or
nproved for thepurpose of sale).
1 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
poly 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 licensure under the Contractors' State License Law for the foilOwmg reason:
y 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.
oil a structure that I have built as an owner -builder if i' q as 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 IN Q,tion'}�'/submitted or at the following Web sits:http:IANww.leginfo.ca.gov/calaw.html.
ignahire of Property Owner or Authorized Agent Date I ill
•_.
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (Commencing with Section 7000) of Division 3 of the Business and Professions Code, andmy license is In full force
nd effect. License Class License No Date Contractor Sianature
VORKERS' COM'.PENSATION DECLARATION
DARNING: FAdLURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO' ONE HUNDRED THOUSAND DOLLARS (S010,000), IN AODmON TO THE
:DST OF COMPENSATION; DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES.
hereby affirm under penalty of perjury one of the following declarations:
3 1 have and will maintain a cerllfcate 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
erformance 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 permitis issued. My workers'
Once carrier and policy number are:
Policy Number
of Agent
Date
Certify that, in the performance of the work for which this permit is issued. I shall notemploy any person in any manner so as to become subject to the workers' compensation laws of California, and agre
If I should become 'act to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply With those provisions.
talure of Applicant Date ef-/ I /2 �J
:LARATION RrC.ArlioMr. CONSTRUCTION LENDING AGENCY %—
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).
enders Name Lender's Address
y 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 appli.;ation and the information I have provided is correct.
I ag•ee to Comply with at applicable city and co ordinances and state laws relating to building construction.
i authorize rrsaresenkitives of this city or count t n �hat/a�bay�fldentifi�ed property for inspection purposes. y
'gnaiule of Property Owner or Authorized Agent i_ _ _ ` - _ Print Property Owner's or Authorized Agent's Name f�" fv I wkl^
Date U
ACTION I DATE
BY ? DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL
FOR OFFICE USE ONLY
REGULATIONS PART 51 OF TITLE 40 AND AON1D RULE.
1403
PERNbI EXPIRED
I I SUBMITTED ASBESTOS NOTI FICATIONTO
____
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YERMl7 CANCELLED
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^ERMIT XTENDED—�—�
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PERMIT FINAL
;ERTIFIC4TE OF �I
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STOS NOT FICA I'!ON IS NO' APPLICABLE TO
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