HomeMy WebLinkAboutXR2022-2154 - Permitsach
o�atiwvo e Community Development City of Newport Department - Building Division II IIIII I I III II I III II III II II COMB Permit : XR2O22-2154
100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 644-3288 Plan Check NO: PC2022-1992
Inspection Requests Phone: (949) 644-3255 Issued Date : 08/22/2022
c9�+coaN�P newportbeachca.gov/inspections Inspection Area : 6
Combination Type - MFP ELEC MECH PLUM
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 : 66 CHANDON Legal Desc : N TR 14565 BLK LOT 3 UN 13TRACT 14565, LOT 3 OF PROJECT 936 -46 LOCATED ON
Description: MFR -INTERIOR ALTERATION OF KITCHEN 130 SF. RMV WALL BETWEEN'LIV RM & DIN RM r
Owner: WES & SAMARA ALI-AHMAD Contractor: JARAMILLO WILLIAM
Address : 66 CHANDON NEWPORT BEACH, CA 92663 Address: 1192 MITCHELL AVENUE #20 TUSTIN, ': - Addresst:.
Phone: CA 92780
Phone: (714)381-0288 Phone:
Con State Lic : 902100 State Lic
Applicant: WILLIAM JARAMILLO Lic Expire : 08/31/2023 s `— a
Address : 1192 MITCHELL AV, #20 TUSTIN, CA 92630 Bus Lic : ; BT30075770 e s fl
Phone: (714)381-0288 Engineer: SILVA CHRISTINA
Bus Lic Expire : 07/31/2023 Address: 24482 MUELA MISSION VIEJO, CA 92692
Workers' Compensation Insurance Phone: (949) 795-6256
Owner/Builder : " Carrier: `.
Address : Policy No: EXEMPT
Phone: - Designer: PHILLIP BUDOVEC
W. C. Expire :
Address : 22246 SUMMIT HILL
DR LAKE
FOREST,
CA 92630
Phone: (949)283-0199-
Code Edition :
Fire Sprinklers":
NO
Type of Construction :
V-B
Fire Hazard Zone :
Yes, as determined by the state.
Construction Valuation :
Added/NewlTl
$50,000.00
Occupancy Groups :
R-3
sq. ft. Bldg :
0
Bldg Height:
No of Units:
2
Alteration sq, ft. Bldg:
130
No of Stories:
2-Added/New
sq. ft. Garage:
0
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Building Setbacks:
J
pia°
0
Flood Zone :
X
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Use Zone:
PC - Newport Ridge/�/\
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PROCESSED BY:
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SPECIAL CONDITIONS:
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OWNER -BUILDER DECLARATION
I hereby affimr under penalty of perjury that I am exempt from the Contractors' State License Law for the reasan{s) indicated below by the checkmark(s) I have pfaaed next to the applicable #tamjs}
coon 7031.5; Business and Professions Code; Any city or county that requires $permit to construct, altar. improve,demolish, or repair any structure, prior to its Issuance, :also requires the applicant for
Law {Chapter 9 (commencing with Section 7000) of DivrsiaD 3;ofthe Business and
permit to rite a signed statement that tieor she is licensed pursuant to the provisions of the, GDntractors` State, License
fessions Code) or that he or she is exempt from licensure and the basis for the alleged exemption. Any violation of Section 7039.5by 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, or my employees With wages as their sole compensation, will do L) all of or U portions of the work, and the structure is not intended or offered for sale (Section 704.4,
miness and Professions Coda: The Contractors' State License Law does not apply to an owner of property who, IMougf'Iti amplayees' or personal effort, builds or improves the property: provided that the
vovements are not intended or offered for safe. 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
,roved 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 Coda The Contractors' State License Law does not
ily to an owner of property who builds: or improves thereon, and who contracts for theprojects with a licensed Contractor pursuantto the Contractors' State License Law).
I am exempt from licensure under the Contractors` -Stale License Law for the following reason'
year prior completion of the improvements covers by this permit, I cannot legal
my signature below I acknowledge that, except for my personal residence In which I must have resided for at least one
.. -, ;., n� ..n,lrnl;: h, Ilronewil r:nMrnnlors.-I understand that a copy of the applicable law, Section 7044 of the Business and.
ENSED CONTRACTOR'S DECLARATION r
reb atrirm under enal of a thatl am licensed under provisions of Chapter g(commencing with Sectio 7 of -ion b"yth� Business and Prof. to�a, a my license is in Lull toTce
effect. License Class ty Pan rY License No Date ontractor Signature.
RKERS' COMPENSATION DECLARATION
NING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND. SHALL SUBJECT AN EMPLOYER To CRIMINAL PENALTIES AND CIVIL FUZES UP TO ONE HUND ED: THOUSAND DOLLARS {S1aa,6001" M ADDITION i0 THE
T OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR COPE. INTEREST, AND ATTORNEYS, FEES.
reby affirm under penalty of perjury one of tha following declarations:
I have and will maintain. a certificate of consent to self -insure for workers". Compensation, issued by: tna Dlracfor-ot Industrial Relations 8s provided lot by Seclron::37ti0 of the Labor Code. for tit
ormance of the work for which this permit is issued. Policy Na.
the Labor Goda, for the .performance of the work for which this permit is issued. My workers compensa#io
have and will maintain workers compensation insurance, as required by Section 3700 of i
trance carrier and policy number are:
nPhone
er Policy Number. Expiration Date
Phone #
a of Agent
adity that,. in the part an a the rk 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 agrer
let, it I should becom je t th rs' compensation provisions of Section 3700 of. the Labor Code, I shall forthwith comply with those provisions. n _ 2�
ignature of Applicant Date C�
IECL.ARATION REGA DI CS}NSTRUCTION LENDING AGENCY
hereby affirm under natty, of perjury that there is a construction lending agency for thaperformance of the work for which this permit is !$sued {Section 309; Civil odej..
onder's Name. —Lenders Address
iy my signatur ebe ovs. I certify to each of the fallowing
-64n the property owner or authorized to act on the property owner's behalf.
I Have read t11 sapplicatton and the information I have provided is correct. q e^
r ogree to comply with all applicable city and Ca ty or ' cos and state laws relating to building construction, I
'authorize representatives of lFHs city ar county 3 a e above -identified property for Inspection purposes.
t
ii >4 lure of Pr00 R Owner or Authorized Agent Print Pro art Owner's or Authorized A anF's. Nam Dat
4CT€ON • •• DATE BY DEC ON OF COMPUANCF WITH COPE OF FEAERAL FOR OFFICE U3EONLY
• • • • REGULATIONS PART bt OF TITLE 40 AND:AQMD RULE
,•� •. • 1403
Pf'J4ITfXPrREb ISUBMITTEDASREST 75 NOTIFiCATIQNTO All [equl ed alarms; latches gates and fericeswhich serve as part of a pool/spa barrier, shall
PERMITCANCEL4EV: EAA.
( QM 4omplace prior toapproval to fill paallspa&shall remain in piece &bemamtainedfor the
PEYM17 WENDED
PERMITFIMIL •. • ASBE5T0. N I,�ytCATION i5 NOT APFUC.AaLE 70 life of the pool.
CERTIFICATEOF • ",(b..zl pr"�� FROPOSE6D '�\'iilYr„Ynn11,rn�1''.,\\ m t`