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Home My WebLink AboutXR2023-2179 - Permits��WPoR, City of Newport Beach 11IIIIIIIIIIII IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII jj COMB Permit : XR2O23-2179 Community Development Department- Building Division X R 2 0 2 3 2 1 7 9 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No: PC2023-0053 Permit Counter Phone: (949) 718-1888 Issued Date : 03108/2023 newportbeachca.gov/civic Final Date: cqC/FpFN�P Combination Type - Permit Status: Issued Work Class - Alteration 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 BILK 9 LOT 19 Description: MFR REMOVE/REPLACE 15 WINDOWS AND DOORS *NO HEADER CHANGE* (RENEW EXPIRED PERMIT XR2023-0010) Owner: MIKE GROSS Contractor : Architect Address : 133 Opal Ave Address : Address Newport Beach, CA 92662 Phone: (626)232-4400 Phone: Phone: Can State Lic : State Lic: Lic Expire: Applicant : DANNY REYNOSO Bus Lic : Engineer Address : 17832 E Edna PI Bus Lic Expire : Address Covina, CA 91722 Phone : (626) 536-7786 Workers' Compensation Insurance Phone Carrier : Owner/Builder : MIKE GROSS Policy No : Designer Address : 133 Opal Ave W. C. Expire: Address Newport Beach, CA 92662 Phone: (626)232-4400 Phone: Code Edition : 2022 Fire Sprinklers : NO Construction Valuation : $10,000.00 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: 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: 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 checkrnark(s) I have placed next to the applicable itemfs) 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 is permit to fle 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 licensure and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant fora permit subjects the applicant to a civil penalty of more than five hundred dollars ($500). I, as ownerof the property, army 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, •usiness and Professions Code: The Contmcfnrs' State License Law does not apply to an owner of arty 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-Bufiderwili have the burden of proving that it was not built or nproved for the purpose of sale). 1 1, as owner of the property, am exctusivaly 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). I I am exempt frorn 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 legall, all a structure that I have built as an owner -builder if It as not b Constructed in its onliroty, by licensed contractors. I understand that a copy of the applicable law, Section 7944 of tf3o Business and 'rofessions Code., is available upon request whe: hks apphc• on bmtttod o t the following owing Web site:htip.f/wwwaagnfo.ca,govlcalaw.html. •ignature of Property Owner or Authorized Agent oat a Lam) .ICENSED CONTRACTOR'S DECLA.RATI hereby affirm under penalty of perjury that I am IIc nsed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is In full force ad effect. License Class License No Date Contractor Signature COMPENSATION DECLARATION FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS lSID0.000), IN ADDITION TO :OMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'& FEE& hereby affirm under penalty of perjury one of the following declarations: I have and will maintain a certificate of Consentto self -insure for workers' compensation. issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for ormance 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' compensa Trance carrier and policy number are: Policy Number of Agent Date JI 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 agre Lot, if I should be c I e sqG.NSTRucfK06NWLLENDNd_A'GE +rr2rkp c mpereation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Ignaiwe of Applican DECLARATION REV- hereby affirm under penry that there is a construction lending agency for the performance of the work for which this permit Is issued (Section 3097, Civil Code). enders Name Lender's Address y my signature below, I Cerfify 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 an c my I a sand slate kaws gle-hlaildiag construction. I authorize representatives of this city or cou t t me IOOE=rtfeniileeK} for inspection purposes. ACTION DATE i 9T DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY y RFGULATIONS PART 61 OF TITLE 40 AND AOMD RULE 1403 PERMIT EXPIRED I I SU-MITTFD A5131I NO IFICATION TO PERMIT CANCELLED 1� n/ F€RMi7fXTENDED �LJ 1Q Ji PERMIT FINAL NEX�n TI FICA N 15 NO1 gPPLICAHL 70 CERT IFICATE OF ltl �D PROPCIS11 OCCUPANCY ISSUED SICNATU—�--