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Home My WebLink AboutXR2023-0869 - Permits2EWVO�,T City of Newport Beach Community Development Department- Building Division y y 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 644-3288 Inspection Requests Phone: (949) 644-3255 CqC/pppN�P newportbeachca.gov/inspections Combination Type - Work Class - Alteration 111��III��III 111111111111111111111111111111111111111111 �1COMB Permit : XR2023-0869 a �n Plan Check No : PC2023-0053 Issued Date : 0410412023 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 : DELTA 1 REVISION & ADD'L SCOPE TO REPLACE (E) SIDING WITH STUCCO AT FRONT ELEVATION 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 626 232-4400 Contractor Address : Phone: Con State Lie Lie Expire Bus Lie: Bus Lie Expire Workers' Compensation Insurance Carrier: i Policy No W. C. Expire Phone . ( ) 1i35i i Code Edition : 2022 �i` :k Fire Sprinklers : NO Type of Construction : V-B Fire Hazard Zone : NO Occupancy Groups : U,R-3 •:W� No of Units : 2 Bldg Height : No of Stories : 2 Building Setbacks : Front: 10, Side: 3, Side: 3 R ar: 5 Flood Zone : X; AO 1 Use Zone : R-BI -Two-Unit Residential, Balboa Island S'• PROCESSED BY: SPECIAL CONDITIONS: HIGH DENSITY ZONE & A01 FLOOD ZONE. LIQUEFACTION Architect Address Phone: State Lie Engineer Address Phone Designer: DANNYREYNOSO Address : 17832 E Edna PI Covina, CA 91722 Phone: (626)536-7786 Construction Valuation : $5,000.00 Added/New/TI sq. ft. Bldg : 0 Alteration sq. ft. Bldg : Added/New sq. ft. Garage: 0 TOTAL sq. ft. 0 ' ' ' 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 derrt(s) Section 7031.5, Rosiness and Professions Code: Any city or county that requires a permit to construct, alter, improve, demolish, or repair any structure, prior toils issuance, also requires the applicant for Io 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 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 of more than five hundred dollars ($500), 11, as owner of the property, or my employees with wages as their sole compensatlon, will do (_), all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, ,usiness 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 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 nproved for the purpose of sale). 3 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 ppty 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 III acknowledge that, except for my personal r ' nco in which I must have resided for at least one year prior to completion of the improvements Covered by this permit, I cannot legally ell a structure that have built as an owner -build iLlzas- bo.+n constru its entirety by Ueensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and rofessions Code„ is available upon request w n hu appllc ubmitted or the following Web site:htfpalww'sv.leginfo.ca.govlcalaw.hfmL signature of Property Owner or Authorized Agent Date _Lys Z 3 .ICENSED CONTRACTOR'S DECLARATION _ hereby affirm under penalty of perjury that I am licensed 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 rid effect. License Class License No Date Contractor Signature COMPENSATION DECLARATION FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SU84ECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP 70 ONE HUNDRED THOUSAND DOLLARS t5100,000f, IN ADDRION TO THE 'OMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3T0S OF THE LASOR CODE, INTEREST, AND ATTORNEYS FEES. hereby affirm under penalty of perjury one of the following declarations: I have and Oil maintain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relationsas 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' compensatlon 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 vane carrier and policy number are: of Agent rtify that, in the performance of I should bee me sulbjec ire of Applicant l Policy Number Date this permit is issued, I shall not employ any person in any manner s0 as to become subject to the workers' compensation laws of California, and ation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Date ,i'v^23 sreby affirm under penalty of per-1077 a there is a construction lending agency for the performance of the work for which this permit Is issued (Section 3097, Civil Code). )der's Name Lender's Address my signature below. I certify to each of the following: I am the properly owner or authorized to act on the properly owner's behalf. I have reed this application and the information I have provided is correct. f agree to co, oply with all applicable ci cool cc` AeQSZi.I late laws relating to building construction. I authorize 13piesentatives of this city rs`unt io enter t Bove -loan ified property for inspection purposes. .r,aiure of Property Owner or Authorized Ape. Print Property Owner's or Authorized Aae l Name ACTION I DATE. ?LI, 87_EXPIRED UdTCANCFLLEO PERiMiT FINAL tcn'i fMr'ATE OF O::aIPANCY i5SCV) REGULATIONS PART 61, OF TITLE 40 AND AON1D RULE 1403 ASRFSTOS NOTIFICATION TO TU FOR OFFICE USE ONLY t