HomeMy WebLinkAboutXR2023-1933 - PermitsaEWPo�r City of Newport Beach IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII II COMB Permit: XR2U23-1933
C4 .- Community Development Department -Building Division X R 2 8 2 3 1 9 3 3
100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2023-0053
}+t S Permit Counter Phone: (949) 718-1888 Issued Date : 07/17/2023
.� newponbeachca.gov/civic Final Date:
CgGlF00.��P Combination Type - MFP 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 Description: MFR `ADD'L ress . 133 OPAL V COPE" INSTL POST AND REPLACE WINDOW @ THE BLK 9 LOT 19
EREEAR UNIT (R V2023- 348)
6 IN
, �4_3` F CE �TO AR
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 : DANNY REYNOSO
Address : 17832 E Edna PI
Covina, CA 91722
Phone: (626) 536-7786
Contractor
Address :
Phone :
Con State Lic
Lic Expire
Bus Lic :
Bus Lic Expire
Workers' Compensation Insurance
Carrier :
Policy No:
W. C. Expire:
Architect
Address
Phone :
State Lic
Engineer: EDGAR HERRERA
Address : 1929 GREENLEAF DR
LOS ANGELES, CA 917k'2' ' ' ,
Phone:
Designer:
DANNY REYNOSO
Address :
17832 E Edna PI
Covina, CA 91722
Phone :
(626) 536-7786
Code Edition :
2022
Fire Sprinklers :
NO
Construction Valuation :
Type of Construction :
V-B
Fire Hazard Zone :
NO
Added/New/Ti sq. ft. Bldg
Occupancy Groups :
U,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: OWNER/BLDR AUTH SCANNED
$5,000.00
0
0
0
I hereby affirm under penally 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 item(s)
coon 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
permit to file a signed statement that Ito or she is licensed pursuant to the provisions of the Contractors' Stale License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and
fessions Code) or that he or she is exempt from poeusure 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
more than five hundred dollars ($500).
1, as owner of the property, or my employees with wages as their sole compensation, will do (_J all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044,
mess and Professions Code. The Contmctnrs' State License Law does not apply to an owner of properly who, through employees' or personal effort, builds or improves the property, provided that the
GvemenIs are not intended or offered for sale. It, 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
d for the purpose of sale).
L r 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
I caner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law).
J 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 legail,
ell a structure that I have built as an owner-buildor it it has not b?tmctod in its anti roty by licensed contractors. I understand that a copy of the applicable law, Section 70 of the Business and
'rofessions Code, is available upon request 's op i is s fitted or at the following Web site:htip:fAv".Ieginfo.ca.gov/ca;aw.htmi,
d nature of Property Owner or Authorized A t Z3
9 I� Y 9 _—__._,______...��,.._,_.._..._.,.�.._�...____�.1___ _. _ ._....._..._
.ICENSED CONTRACTOR'S DECLA TI N
hereby affirm under penalty of perjury that I am license u r provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is In full force
nd effect. License Class License No Date Contractor Signature
COMPENSATION DECLARATION
rARNING' 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 (0100,000), IN ADDITION TO THE
:OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the following declarations:
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
crmance of the work for which this permit is issued. Policy No.
have end will malatnin 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' compeosa
rance carrier and policy number are:
Policy Number Expiratic
Phone q
Date
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 worker compensation laws of Califomia, and agre
it e v ; mpensahon provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
oicaril
il�r�u} affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code),
Tiros* Name Lender's Address
„ my signature i>•elow, l ceI ceRi#y o each of the following:
I Pm 'ITS property owner or authorized to act on the property owner's behalf,
I have read tnis application and the information I have provided is correct.
I agree to comply with all applicable city and county ordina s a. state laws relating to building construction.
I authorize representatives of this city or untt to en above-i, enilfted property for inspection purposes. y�e �J
ignature of Property Owner or Authto • pant Print Property Owner's or Authorizee.Aaent's Name VA 14'Y �` %DSO Da
ACTION DATE-' I I By ATICN OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE usE bNLP
RF,6 H ATIONS PART 6I OF TITLE 40 AND AOMD RULE
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PERMIT EXPIRED t U isuamiTTEDASBFSTOSNOTFICATICNTO _
PERMITCANCEtLED
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PERMIT FXTENOED
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