HomeMy WebLinkAboutXR2023-1252 - Permits4 ",_,WPC
, City of Newport Beach
O d Community Development Department - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
,z Permit Counter Phone: (949) 718-1888
newportbeachca.gov/civic
c"a,:oaN`P Combination Type - SFP ELEC MECH PLUM
Work Class - Alteration
11111111111111111111111111111111111111111111111111111111111JillCOMB Permit : XR2023-1252
Plan Check No : PC2023-1033
Issued Date : 05/12/2023
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 : 61 B RAMONA DR Legal Desc : N TR 1701 BLK LOT 69
Description: SFR - 2ND BATHROOM REMODEL 204 SF (REV2023-0889)
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 : JEFFREY OCHOA
Address: 618 RAMONA DR.
NEWPORT BEACH, CA 92625
Phone : (949) 630-5889
Contractor
Address :
Phone:
Con State Lic
Lic Expire:
Bus Lic:
Bus Lic Expire
Workers' Compensation Insurance
Carrier :
Policy No
W. C. Expire
Code Edition :
2022
Fire Sprinklers :
NO
Type of Construction :
V-B
Fire Hazard Zone :
NO
Occupancy Groups :
R-3
No of Units :
1
Bldg Height:
No of Stories :
11
Building Setbacks :
Front: 10, Side: 4, Side: 4, Rear: 10
Flood Zone :
X
Use Zone :
R-1 - Single -Unit Residential
PROCESSED BY:
SPECIAL CONDITIONS:
Architect: BARRYWALKER
Address : PO BOX 11658 NEWPORT BEACH, CA
92658
Phone: (949)246-4085 ,
State Lic
Engineer: '
Address
Phone :
Designer
Address
Phone:
Construction Valuation : $5,000.00
Added/New/TI sq, ft. Bldg : 0
Alteration sq. ft. Bldg : 204
Added/New sq. ft. Garage: 0
TOTAL sq. ft. : 0
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that ( am exempt from the Contractors' State License Law for the reasons) indicated below by the checkmark(s) I have placed next to the applicable Item(s)
Section 7031-5, Business and Professions Cade: Any city or county that requires a permit to conshuot, alter. improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for
he permit to File a signed statement that he or she is licensed pursuantto the provisions of the Contractors' State License Law (Chapter 9 (Commencing with Section 7000) of Division 3 of the Business and
Irofesslons 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 penalty of
iot more than five hundred dollars ($500).
1 I, as owner of the property, or my employees with. wages as their sole compensation, will do U all of or L) portions of the work, and the structure is not intended or offered for sale (Section 7044,
3usiness and Professions Code: The Contractors' $into License Law does not apply to an owner of property who, through employees' or personal effort, builds or Improves the property, provided that the
mprovemems 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
roved for the purpose of sale).
I, as eevnel 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
a to an owner of property who builds or Improves thereon, and who contracts for the projectswdh a licensed Contractor pursuant to the Contractors'State License Law),
!9 1 am exempt from licensors 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 Gwnor-builder If It has not eon constructed in its antiroty by licensed contractors. I understand that a copy of the applicable law, Section 7044 of thrises and
Professions Code., is available upon request wfien ?hI, applicak` '� s. miffed or the following Web ilia:httpJt'www.legmfo.ga,govtcalaw h#ml. pate D 7r (71,7
Signature of Property Owner or Authorized Agent _____ .....,.._�
LICENSED CONTRACTOR'S DECLARATION
t hereby affirm under penalty of perjury that am licensed undt� provisions aF Chapter g (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is In full farce
and effect. License Class License No Date Contractor Signature
WORKERS' CCTMoE-NSATION DECLARATION
WARNING: FAILURE TO PE:VRE WOMSRS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNORE07HOUSAND DOLLARS (10KOW, iN AOOTrION TO THE
COST OF IOMPENSATtON,. DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES.
neoaoy affirm uidrr pa natty of perjury one of the following declarations:
I hove and will maintain a certificate of Consent to sell -insure for workers' Compensation, issued by the Director of industrial Relations as provided for by Section 3700 of the Labor Code, forth
p,arforranee of the work for which this permit is issued, Policy No.
El; have and wit mairn7in workers' compensation Insurance, as required by Section 3700 of the Labor Cade, for the performance of the work for which this permit is issued. My workers' componsadol
irsura;ize carrier and policy number are:
Policy Number
Date
-3,nac-Agent _ .""
,11 rertfi' thal, in t,to p.t, tormanco of the work for which this permit is issued, I shall oat employ any person in any manner so as to become subject to the workers' compensation laws of California, and
rat, if I annual beronie subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
ignalure of Appk'ca n _ Date
—
mature FLGnRDING CONSTRUCTION LENDING AGENCY
hereby affirm under penalty of perjury that there is a construction lending agency for the performance of the. work for witch this permit is issued (Section 3097, Civil Code),
ender's Name Lender's Address
y my signature below, I carlify 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 or 'trances and state laws relating to building construction.
I authorize representatives of this city or county to a identified property for inspection Purposes.
iinnalrirP of Proneriv Owner or Authorized Anent Prinl Pfaperty Owner's ar Authorized Agent's Nama
ACTION DATE aY S E.LARATION OF COMPLIANCE W17H CODE OF FEDERAL FOR OFFICE USE ONLY
n RF,GLRATIONS PART 51 OF TITLE AO AND AQMORULE
1403
araaefr crnlarnI t I MMITTFD ASBESTOS NOTIFICATION TO
PERA41TEXrENDED >JAUMU __ ___ _
P[RrlAtr iiNA1 lie
1f .0�`9ESTOS NOTF4CATi0Nl5NOTAPPUCABLE TO
CEROFtCAMOF 4PROPOSE{?LJEMOCCUPANCY ISSUED ��r� I SIGNATUREi