HomeMy WebLinkAboutXR2023-2063 - PermitsCity of Newport Beach
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Community Development Department - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone: (949) 718-1888
newportbeachca.gov/civic
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Combination Type - ELEC MECH PLUM
Work Class - Alteration
���III��1111111111111111111111111111111111111111111111 jj COMB Permit: XR2023-2063
Plan Check No: PC2023-1802
Issued Date : 07/26/2023
Final Date:
Permit Status: Issued
Inspection Area: 6
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 : 309 JASMINE AVE Legal Desc : A TR CORONA DEL MAR BLK 236 LOT 9 CORONA DEL MAR L
Description: DUPLEX REMODEL KITCHEN AND BATHROOM 120 SF. INSTALL FAU IN ATTIC. INSTALL 100A SUBPANEL.
Owner: RONALD B ARRACHE
Contractor: RONALD B ARRACHE
Architect
Address : 309 JASMINE AVE
Address : P.O. Box 4109
Address
NEWPORT BEACH, CA 92625
Newport Beach, CA 92661
Phone : (310) 415-6869
Phone : (310) 415-6869
Phone
Con State Lic : 360829
State Lic
Lic Expire: 07/31/2024
Applicant : RONALD B ARRACHE
Bus Lic: BT30004988
Engineer
Address : 309 JASMINE AVE
Bus Lic Expire : 06/30/2024
Address
NEWPORT BEACH, CA 92625
Phone: (310) 415-6869
Workers' Compensation Insurance
Phone:
Carrier: EXEMPT- NO EMPLOYEES
Owner/Builder :
Policy No: EXEMPT
Designer: RONALD B ARRACHE
Address :
W. C. Expire:
Address: 309 JASMINE AVE
NEWPORT BEACH, CA 92625
Phone:
Phone: (310)415-6869
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 : 120
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
PROCESSED BY:
SPECIAL CONDITIONS: HIGH DENSITY ZONE
REF (E2023-0625; E2023-0627; P2023-0270; H2O23-0461)
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 hems)
(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 licensers 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 (_) all of or (_) 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 properly, 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 improvesthereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).
i I am exempt from licensere under the Contractors' Stale License Law for the following 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 OR not legally
oil a structure that I have built as an owner-buddor 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 B ines and
'rofessions Code, is available upon request when this application is submitted or at the following Web site:http:Ifw w.leginfo.ca.gov/calaw.html.
.ignature of Property Owner or Authorized Agent _ _0ons
_
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of peptrry that I am licensed under provisions of Chapter 9 (commencing with Section 70) f Divi o 3 of the Business dm ens is In full farce
ntl effect. License Class License No Dat ContractorS al
WORKERS' COMPENSATION DECLARATION
'ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL PINES UP TO ONE HUNDRED THOUSAND DOLLARS I3100,000)., IN ADDITION TO THE
DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3705 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES_
hereby affirm under penalty of perjury one of the following declarations:
I I have 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 IN
erformance of the work for which this permit is issued. Policy No.
]I 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' compensatior
Isurance carrier and policy number are
:arrier Policy Numb Expiration Date
lame � of Agent Phone #
Zmodify that, in tha Donor ance of th wor r hich this or is issued, I shall not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agree
tat, If I should become s ork ' mpensad ovisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
,Ignalure of Applicant;_ Date
IECLARATION REOAR ONSTRUC ION LENOtN ENCY
hereby affirm under penalty of perjury that there is a construction lending agency for the ormance of the work for which this permit is issued (Section 3097, Civil Code).
Pnder's Name. Len r' Address
y my signalure 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 thla application and the information I have provided is cor ct.
I agree to coni Aith all applicable city and coup mane s On le law lating to building construction.
I au.Lorize reares.I datives of this city or cou ter IT b tlf ro a for inspection purposes.
ignature of Proka,ly Owner or Authorized Ag r - �J Print Property Owner's or Authorized A onfs Name
':TIOV DATE. BY ECLARAT€ON OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 61 OF TITLE 40 AND AOMD RULE
PERMTEXPIRED I j UI SUBMITTED ASRFS OS NOTIFICATION TO
PERMIT LANCECCcD EPA - -_- —
..... _ .. ._ _.._ ... ._ ._..._..
PE4Y*'T FNTENDED I OMO
PE"IfT FWAL I,� • (6•L3 O,I A7BESTO5 N IF TIO 5 NO APPLICAB 10
rERT7FIC4TE OF P POSED 9J L �� )
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