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HomeMy WebLinkAboutXR2022-2818 - Permits�EWPoCity of Newport Beach 11111111111111111111111111111111111111111111111111111111111 COMB Permit : XR2022_ 2818 D� J Rr Community Development Department- Building Division X R 2 0 2 2 2 8 1 8 > 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : 0392-2022 Y+� ? Permit Counter Phone: (949) 644-3288 Issued Date : 10/25/2022 .a.< Inspection Requests Phone: (949) 644-3255 at�Foa' Inspection Area : 2 newportbeachca.gov/inspections Combination Type - SFP Work Class - Other 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 : 203 OPAL AVE Legal Desc : A TR BALBOA ISLAND RESUB SEC 1 BLK 10 LOT 23 Description: SFR SFR T/O (E) 13 SQ, INSTALL (1) LAYER UNDERLAYMENT, CLASS'B' MIN (CHANGE OF CONTRACTOR) Owner: 203 OPAL LLC Address : 279 FLOWER ST COSTA MESA, CA 92627 Phone : Applicant: BRIDGET ALLEN Address : 2102 ALTON PKWY #B IRVINE, CA 92606 Phone: (714)450-2839 Owner/Builder : Address : Phone Contractor: TESLA ENERGY OPERATIONS Address : 2102 ALTON PARKWAY #B IRVINE, CA 92606 Phone: (650)638-1028 Con State Lic : 888104 Lic Expire: 12/31/2022 Bus Lic : BT30026827 Bus Lic Expire : 02/28/2023 Workers' Compensation Insurance Carrier: ZURICH AMERICAN INS CO Policy No: EWS107458504 W. C. Expire : 10131/2022 Code Edition : 2019 Fire Sprinklers : NO Type of Construction : V-B Fire Hazard Zone : NO Occupancy Groups : R-3 No of Units : 1 Bldg Height: No of Stories : 2 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: Architect: Address : Phone: State Lic Engineer: DE VERA ABELARDO Address: 22701 RASHDALL AVE CARSON, CA 90745 Phone : (888) 765-2489 x7526 Designer: Address Phone: Construction Valuation : Added/New/TI sq. ft. Bldg Alteration sq. ft. Bldg : Added/New sq. ft. Garage: TOTAL sq. ft. Bldg : I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) indicate (Section 7031.5., Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, demobs this permit to file a signed statement that Ile or she is licensed pursuant to the provisions of the Contractors' State License Law Professions Code) or that he or she is exempt from licensure and the basis for the alleged exemption. Any violation of Section not more than five hundred dollars ($500).. 0 I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or U portions of the I Business and Professions Code: The Contractors' State License Law does not apply to an owner at property who, through emf Improvements are not intended or offered for sale. If, however, the building or Improvement is sold within one year ofcompleti(—mtproved for the purpose of sale). L! 1, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Bus apply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor put © I am exempt tram licensors under the Contractors` State License Low for the following reason ____ By my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one year sell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I under Professions Code, is available upon request when this application is submitted or at the following Web site:http:// v ,leginfe.c Signature of Property Owner or Authorized Agent LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (cornmermling with Sectio 7 00) of DI, and effect. License Class License No Date ( Ci M ielow by the checkmark(s) I have placed next to the applicable fteri or repair any structure, poor to its issuance, also requires the applicant for fhapler 9 (commencing with Section 7000) 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, ees` or personal effort, builds or improves the property, provided that the the Owner-Suilder 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), that a copy of theapplicable law, Section 70" of the Business and tcalow.hdri Date 3-of the Business and Proj ions ILe is' t-fe i Contractor Signature VORKERS` COMPENSATION DECLARATION r i IARNING; FAILURE TO SECURE WORKERS'COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIESND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS a 1100,0001, IN ADDITION TO OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'$ FEES. hereby affirm under penalty of perjury one of the following declarations: J I have and will maintain a certificate of consent to selfdnsure for Workers' compensation, issued by the Director of In( 'errfformance of the work for which this permit is issued_ Policy No. 211j t ve and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Coda,. for the perfoi isurance carrier and policy number are: :abler Policy Number no of Agent certify that, in the per! rmance of the work for which this permit is issued, I shall not employ any person in any manner so , if I should become st�Tject to the proylsions of Section 3700 of the Labor Code; I shall forthwith c ialure of ADDlican rrebyaffirm under ga4dafy of per5urythat there is a construction lending agency for the performance of the work for which knees Name Lender's Address my signature below, I Codify to each of Ilia. following: I am Vic, 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 and ou ty ordinances Dad state laws relating to building construction I authorize representatives of this city or gouty elyter3yy;JgenNf nspacUon purposes. ACTION DATE p By v 1"RUtAYIdNS PART�6S OFr N7LF.CE lAP hM1R AQN10 RCITH CDE OF n F AL f OR OP(ICE PERMIT EXPIRED 1J I SUBMITTEd ASRPSI'r1S PERMIT NCELLED PERMIT FINAL CERTIFICATE OF OCCUPANCY ISSUED Relations as provided for by Section 3700 of the Labor Code, for of the work for which this permit is Issued. My workers' Date to become suoject to the worker ' mpensation laws of California, and afire AV with those provisions. Da IGlZSl2Z wren t is issued (section 309 , Civil ode).