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Home My WebLink AboutXR2023-0049 - Permits��WPORT City of Newport Beach Q Community Development Department - Building Division y 100 Civic Center Drive, Newport Beach, CA 92660 u Permit Counter Phone: (949) 644-3288 ? Inspection Requests Phone: (949) 644-3255 newportbeachca.gov/inspections Combination Type - Work Class - Alteration COMB Permit : XR2023-0049 Plan Check No : PC2023-0053 Issued Date : 0210112023 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 : 133 OPAL AVE Legal Desc : A TR BALBOA ISLAND RESUB SEC 1 BLK 9 LOT 19 Description: MFR REMOVE FRONT WINDOWS & PORTION OF WALL TO CREATE NEW BI FOLD DOORS Owner: MIKE GROSS Address : 133 Opal Ave Newport Beach, CA 92662 Phone: (626)232-4400 Applicant: DANNY REYNOSO Address : 17832 E Edna PI Covina, CA 91722 Phone: (626)536-7786 Owner/Builder : MIKE GROSS Address : 133 Opal Ave Newport Beach, CA 92662 Phone: (626)232-4400 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 Phone: Designer Address Phone : 6 ry HERRERA EDGAR E 1971 S SUNRISE DRIVE MONTEREY PARK, CA 91754 Code Edition : 2022 Fire Sprinklers : NO Construction Valuation : Type of Construction : V-B Fire Hazard Zone : NO Added/NewlTl sq. ft. Bldg Occupancy Groups : R-3 No of Units : 2 Alteration sq. ft. Bldg : Bldg Height: No of Stories : 2 Added/New sq. ft. Garage TOTAL sq. ft. : Building Setbacks : Front: 10, Side: 3, Side: 3, Rear: 5 Flood Zone : X; AO 1 Use Zone : R-BI - Two -Unit Residential, Balboa Island PROCESSED BY: SPECIAL CONDITIONS: 0/13 FORM ATTACHED $10,000.00 0 0 0 NO CONSTRUCi IC)i ,-,,, 'ON THE WEEKEND ` OWNER -BUILDER DECLARATION € 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 -Items) Section 70315, 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 ID 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 licensors and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant fora permit subjects the applicant to a civ;) penally of 6�ttt 'm'ore than five hundred dollars ($500). 11, as owner of the property, or my employees with wages as their sole compensation, will de (_) all of or onions of the work, and the structure Is not intended or offered for sale (Section 7044, rusiness and Professions Code: The Contractors State License Law does not apply to an owner of propert)who, through employees' or personal effort, builds or improves the property, provided that the nprovements 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 nprovedfor the purpose of sale). Z 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 pply 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). 1 I am exempt from licensure under the Contractors' State 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, I cannot lag,all} ell a structure that I have built as an owner -builds if i has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Secti 7 44 of th Businasls rofessons Code,, is available upon request when ih appllcafio s u mitt or at th rl Website:httpalwww.eginfo.ca.gov(caiaw.html. .ignature of Property Owner or Authorized Agent _ Do .ICENSED CONTRACTOR'S DECLARATI---- hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9- (commencing with Section 7000) of Division 3 of the Business and Professions Code, Let my license is In full force nd effect. License Class License. No Date Contractor Signature WORKERS' COMPENSATION DECLARATION iARNING: FAILURE TO SECURE WORY.FRS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE ORT OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 37QS OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEee hereby affirm under penalty of perjury one of the following declarations: 1 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 th erformance of the work for which this permit is issued. Policy No. have and will maintain workers' compensation insurance, as required by Section 37CO of the Labor Code, for the performance of the work for which this permitis issued. My workers' rance carrier and policy number are: Policy Number of Agent Date It certify that. in the pert mano1 of the work for which this permit is issued.. 1 shall not employ any parson in any manner so as to become subject to the works ompensatinn lawsmia, and ogre Tat, if I should beco s bject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. signature of Applies - D LECLARATION REGA DIN NSTRUC7fON LENDING AGENCY hereby affirm under penal f perjury that there is a construction lending agency for the performance of the work for which this permit Is issued' (Section 309 Ci 'I Code). enders Name Lender's Address ly my signature below, I certify to each of the following: I am the property owner or authorized to out on the. property owner's behalf. I have read this application and the information I ha provided is correct. I agree to representatives all applicable city and co t ordinances and state laws relating to building. construction. q� ,wr� (� f i authorize representatives of this coy or county i rite abo dentlfied property for inspection purposes. ,A/\ (/ /b S Y t tignatum of Property Owner or Authorized Agent � PF�LPLopertv Owner's or Authorized Acent's Name i Dat ACTION DATE BY I DECCARLYrIONOF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY / \ E REGULATIONS PART 51'OF TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED I ASBESTOS NOTIFICATION TO PERMIT CANCELLED �SUBMITTED ---r L�EPA PERMIT EXTENDED €.k08 PERMIT FINAL OF _ ES O5ONF OON 15 MCI APP'J';AblE TCCERTIFICATE PSF C T OCCUPANCYISSUED SIGNATUR