HomeMy WebLinkAboutX2022-0447 - Permits�EWPORT
City of Newport Beach
Community Development Department- Building Division
F
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone: (949) 644-3288
a.�
Inspection Requests Phone: (949) 644-3255
°g4Foa'"p
newportbeachca.gov/inspections
Combination Type - SFP
Work Class - Repair
II III I II I II I I III III COMB Permit : X2022-0447
lan Check No : 03
Issued Date e 91281202
92-2022
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION, BUT NO LATER THAN 3 YEARS FROM ORIGIINAIL ISSUANCE DATE
NO CONSTRUCTION RELATED NOISE ON SATURDAY OR SUNDAY IN HIGH DENSITY AREAS AND NO WORK ON SUNDAY AN4 HOLIDAYS IN At-IxAFZE S
i
Job Address : 203 OPAL AVE
Description : SFR T/O (E) 13 SQ,
Owner: 203 OPAL LLC
Address : 279 FLOWER ST
COSTA MESA, CA 92627
Phone
Applicant:
BRIDGETALLEN
Address:
2102 ALTON PKWY #B
IRVINE, CA 92606
Phone:
(714)450-2839
Owner/Builder :
Address :
Phone
Code Edition : 2019
Type of Construction : V-B
Occupancy Groups: U,R-3
Bldg Height :
Building Setbacks
Flood Zone
Use Zone :
PROCESSED BY
RESUB SEC 1 B�� 10 _app ilcahle:
_ Contractor r-=.-.GSWvpEVELOPMt_NT^it401N
( Address : 279 FLOWER ST■
■
COSTA MESA, CA 92626
:z
Phone:
(949)433-8070
"' Con State Lic
: 954565
Lic Expire:
04/30/2024
Bus Lic :
BT30075076
Bus Lic Expire . 04/30/2023
46rkers' Compensation Insurance
Carrier: NO EMPLOYEES
Policy No : EXEMPT
qSt a €>;byre : plan
(work s'tal started)
Fire Sprinklers : NO
Note:
Fire Hazard Zone : NO
1�ote: No ofll it , �
No of Stories : 2
Front: 10, Side: 3, dgo 3 RPa,� r®.
X; AO 1
R-BI - Two -Unit Residential, Balboa Island
SPECIAL CONDITIONS:
❑ agWft atr:❑ 100% refund
Address :
to Q, qj?:
State Lic :
Engineer:
DEVERAABELARDO
Address:
22701 RASHDALL AVE
CARSON, CA 90745
Phone :
(888) 765-2489 x7526
Designer
Cris d plea
Phone.
(no work started)
Construction Valuation
Added/New/TI sq. ft. Bldg;),O
1
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' Slate License Law for the reason(s) indicate
CLion 7031.5. Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, DAMON
permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Law
ressions Code) or that he or she is exempt from (censure and the basis for the alleged exemption. Any violation of Section
more than five hundred. dollars ($500)..
I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of of f_) portions of the,
.iness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through amf
rovements are not Intended or offered for sale. If, however, the building or improvement is sold within one year of comploif+
roved for the purpose of sale).
I, as owner of the property, am exclusively contracting with licensed Cantracto�s to construct the project (Section 7044, Bul
ly to an owner of property who builds or r the projg0ts with e licensed Contractor pui
J I am exempt from licensure under the Ct
y my signature below t acknowledge that, e
oil a structure that I have built as an owner,
nmfessions Code., is available upon request
,ignature, of Property Owner or Authorized A
.ICENSED CONTRACTOR'S DECL.AS
hereby affirm under penalty of perjury that I
nd effect- License Class
COMPENSATION
lARNING; FAILURE TO SECURE WORKERS' COMPENE
DST OF COMPENSATION, DAMAGES AS PROVIDED Fr
hereby off mr under penalty of perjury one of
I I have and will maintain a certificate of
Brformance of the work for which this permit
11 have and will maintain workers' nompen
isurance carrier and policy number are:
of Agent
rt fy that, in the perfgrmance of the
to
of
Below by the checkmadi(s) I have placed next to the applicable item(s)
or repair any structure, poor to its Issuance, also requires the applicant For
hapter 9 (commencing with Section 70DD) of Division 3 of the Business and
31:5 by any applicant for a permit subjects the applicant to a civil penalty of
k, and the structure is not Intended or offered for sale (Section 7044,
Res' or personal effort, builds or improves the property, provided that the
the Owner-Boilder will have the burden of proving that It was not built or
and Professions Code: The Contractors' State License Law does not
to the Contractors' State License Law).
aches'State License La'. or Ne oil, wmy re son -- _
ttpt to qnal maid 1 hi I I�y{�s he slid ar at leest 7nndarss
r Our to completion of the impravemon s
jdor h - ru D i its dnNy by AetSnse Toniractoreand i(iryt a copy of the applicatilce law, Section
Illaaan this application is sub I sd a he fol wfi%j'A'eb stte�Htiry:-k�,wamtaa„gordygl�W 'ji�ijl. I le.
7t...__ _.. _. ....------.......................--��--�--._........_.�___�___ Date
f0
�;
r Ilce ' d iovisioh5 , r C h ipter 4 nmmen Inq win, Section 00) or I7 r Ion 94 tYf� Qtr s mdf Or
rise No Cate/' .` ��ZContractor Signature
,TIO
{} \\QQ(( t��t'yy`
'ION COVERAGE 19 UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER To CRIMINAL PENALTIES AND GIV2 F(NE�,0 TD(o
IN SE: THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
for
hereby affirm under penalty of perjury that eldIAL
enders Name
Iy my signature below, I Certify to each of t folloM
I am the propert7 nryiisr or authorized t aDf on
I have read this "nucation and the Info
I Fv"P lb comply with all applicable city and col
I authorize represenboives of this city of county
r
fo self insure for r o*kers compensation, Issugd by the Director of Ind §trial Relations as provided for by Section 3700
Poiic} No
Insurance as required by Section 3700 or the Labor Code, for the performance of the work for which this permit is issued
Date
IrApAyllar't person In
of the Labor Code,: I
lending agency for the performance of the work for which INsjpermit is issued (Section 3097, Civil
and state
for inspection purposes.
ACTION DATE. BY ✓ j DECLARIk14011 OF COMPLIANCE W17H CODE OF FEDERAL FOR OFFICE USE ONLY
[ BFGULAUONS PART 6t OF TITLE 40 AND AQPVD RULE
1403 (
P,Hgsul EXPIRED ! ; LJI SURMITTED ASBESTOS NOTIFICATION TO
PERMt7 CANCELLED L1C'PA
PEiN'T EX -ENDED _....... _uAQMD
PEi 7 tSIONIJC_A
._ Lp_ NO___....._O
_
CEIPCAE OF TOL
AOCLUPANCV i55UEJ 516N,I
Insp, initials:
cannot
)as and
force
ADDITION TO THE
the Labor Code, for
workers' compensa
of. California, and