HomeMy WebLinkAboutXR2023-2347 - PermitsEWPo City of Newport Beach III�I��II�I��II���II���III�II��I��III�III�I II
Community Development Department Division COMB Permit : XR2U23-2347
P P 9 X R 2 9 2 3 2 3 4 7
100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2023-2057
UT Permit Counter Phone: (949) 718-1889
prn Issued Date : 08/24/2023
� newportbeachca.gov/civic Final Date:
CqC/F00.N�P Combination Type - ELEC MECH PLUM Permit Status: Issued
Work Class - Alteration Inspection Area : 5
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 : 306 JASMINE AVE Legal Desc : A TR CORONA DEL MAR BILK 237 LOT 8 CORONA DEL MAR L
Description : DUPLEX REMODEL KITCHEN AND 2 BATHROOMS, REWIRE HOUSE 232 SF *123-2219*
Owner:
JOHN ELMAJIAN
Address :
151 KALMUS DR STEW
COSTA MESA, CA 92626
Phone:
(949)246-4412
Applicant:
JOHN ELMAJIAN
Address :
151 KALMUS DR STEH1
COSTA MESA, CA 92626
Phone:
(949)246-4412
Owner/Builder : JOHN ELMAJIAN
Address : 151 KALMUS DR STEW
COSTA MESA, CA 92626
Phone: (949)246-4412
Contractor
Address :
Phone:
Con State Lie
Lie Expire
Bus Lie :
Bus Lie Expire
Workers' Compensation Insurance
Carrier :
Policy No
W. C. Expire
Architect
Address
Phone:
State Lie
Engineer:
Address :
7T.7iT
Designer:
JOHN ELMAJIAN
Address :
151 KALMUS DR STEW
COSTA MESA, CA 92626
Phone:
(949)246-4412
r
0
0
Code Edition :
2022
Fire Sprinklers :
NO
Construction Valuation :
$40,000.00
Type of Construction :
V-B
Fire Hazard Zone :
NO
Added/New/Ti sq. ft. Bldg :
0
Occupancy Groups :
U,R-3
No of Units :
2
Alteration sq. ft. Bldg :
Bldg Height:
No of Stories :
2
Added/New sq. ft. Garage :
0
TOTAL sq. ft.
0
Building Setbacks :
Front: 20, Side: 3, Side: 3, Rear: 5
Flood Zone :
X
Use Zone:
R-2 - Two -Unit Residential
=110414..19"107
SPECIAL CONDITIONS:
OWNER -BUILDER DECLARATION
I hereby Drina under penalty of perjury that l am exempt from the Contractors' State License Law for the reason(s) indicated below by the eheckmark(s) I have placed next to the applicable items)
;Section 7031.5. Business and Professions Code: Arty 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
no 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
arofessions 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 papally of
not more than five hundred dollars (f500).
0 I, 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 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 -guilder will have the burden Of proving that It was not built or
in roved for the purpose of sale).
as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7D44, Business and Professions Code: The Contractors' State License Law does not
ply 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 licensure 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
Boll a structure that I have built as an owner -build r� U i has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Sect' o 7044 of the Business and
Professions Code„ is available upon request wine. application 5 tted or at the following Web site:http:Jlv,Aaw.legmfo.ca.govlcalaw.hkml,
Signature of Property Owner or Authorized Agant'����QQ�`�����i`` _.__._�--______ Oat
LICENSED CONTRACTOR'S DECLARATLQ3N�^
I hereby affirm under penalty of perjury that I am tensed under provisions Of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions CAR, 6nd my license is In full force
and effect, License Class License No Date Contractor Signature
WORKERS' COMPENSATION DECLARATION
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDREO THOUSAND DOLLARS tSi DD,ODO), IN ADDITION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'$ FEES.
I hereby affirm under penalty of perjury one of the following declarations:
❑ I have and will meimain 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
performance 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'
ranee carrier and policy number are:
Policy Number
Date
area of Agent rnane n
It 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 ogre
tat, 1f I should become s4blect to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
�7
ignalure of Applicant __ _ __ Dat,�__
ECI_ARATION REG U CO STRUCTION LENOIN 'AGENCY /
hereby affirm under p natty of per}ury that there is a co truction lending agency for the performance of the wo€k for which this permit is issued (Section 3097,'Ci it Code).
enders Name bBioLender's Address
y my Signature w, Certify to each of ilia following:
I am the property owner or authorized to act on the property owner's behalf.
1 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 counW tp erl$axS rye above -Identified property for inspection purposes. 1 /
.icnatura of Prooefty Owner or Aulhonzod Anent h\7 f� Print Property Owner's or Authorized Agent's Name t� ���-�nv��w���h.L_ _ Date �S� Z�F[7.2
ACTION DATE f 4Y h9' aEfLARA r€O,JO} COMPLIANCE WITH CODEOF FEDERAL I FOR OFFICE USE ONLY
! REGULA', IOr's PART 61 JF ITLF 40 AND AQMD RULE
PERMIT EXPIRED L J I St1RMITTEO ASRFSTOS NOTIFICATION TO
PERMITCANCEiLEO rPA
PER,YfiTFXiENDED L 10MD
OCCUPANCY FINAL E 0 �(� b3 �,IL- SBUICIS N irli_r LQNIS NOT APPLICAEILE' TO
CUPANCY ISSUED j I iIGNATURE: E OL T