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HomeMy WebLinkAboutX2022-0446 - Permits047'_" City of Newport Beach II III I II I I II II III II Community Development Department- Building DivisionCOMB Permit:X2U22-U446 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : D392-2022 Permit Counter Phone: (949) 644-3288 Issued Date : 09/28/2022 Inspection Requests Phone. (949) 644-3255 Inspection Area : 2 newportbeachca.gov/inspections Combination Type - SFP ELEC Work Class - Other PERMITS EXPIRE 180 D YS AFTER ISSUANCE L ��// IWSTEE"M9N-,�6MT•Nr'` ' nT YEARS FROM ORIGINAL ISSUANCE DATE NO CONSTRUCTION RELA D Nob t8? SATURD .yv DENSITY AREAS AND NO WOR IN ALL AREAS If applicable: Job Address : 203 OPAL AVE Legal Desc : A TR BALBOA ISLAND RESUB SECE1]E&@%L(T® 100% ref Description : SFR (2) ENERGY ST RA ST S Owner: 203 OPAL LLC Contractor : GSW DEVELOPMENT INC12I t0 WhOXF6 tro,-r r Address: 279 FLOWER ST - - - Address : 279 FLOWER ST Address COSTA MESA, CA 9262 {r`' M COSTA MESA, CA 9262@­y4Mk Phone : Phone : (949) 433-8070 Phone .v :,:iggpStaktjic : 954565 State Lie: Lie Expire : O��30/2024 s Applicant: BRIDGET ALLEN Bus Lie : BT30075076 Engineer: DE VERA ABELA DO. n Address : 2102 ALTON PKWY #B Bus Lie Expire : 04/30/2023 Address : 22701 RASHDAL AVE: IRVINE, CA 92606 CARSON, CA 90 5 Phone: (714) 450-2839 a ro ke tion Insur nce 88 765-2489 x 26 - Carrier L YEES d ®1 s cci r: �( h Owner/Builder: (Work �rr ) EXEMPT (no work St r Address : W. C. Expire: ): Phone: votle: Phone: Code Edition : 2019 4 rs : NO Construct o Va n : 20;600.00 Type of Construction : V-B �¢ID� ne : NO �tSPA�3�t 8 so• ft. B 0 Occupancy Groups : U No of Units —_"f4atipa is ft. Bldg Bldg Height: No of Stories : 1 Added/New sq. ft. Garage : 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 penury that f am exempt from the Contractors' Slate License Law for the n:ason(s) indicate, (Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, alter, improve, Earache the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Law Professions Code) or that he or she is exempt from licensors and the basis for the alleged exemption. Any vioLiation of Section not more than five hundred dollars ($500). © 1, as owner of the properly, or my employees with wages as their sole compensation, will do (_) ail of or (_) portions of the e Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through emp improvements are not intended or offered for sole. If, however, the building or improvement is sold within one year of compleb< improved for the purpose of sale). ❑ I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, BuE apply to an owner of property who builds or Improves thereon, and who contracts for the projects with a licensed Contractor put LJ I am exempt from icensure By my signature below t ackrim roll a structure that f have built Professions Code, Is available i Signature of Profrarty Owner or LICENSED CONTRACTOR I hereby affirm under penalty of and effect. License Class below by the checkmark(s) I have placed next to the applicable item{s) , or repair any structure, prior to its Issuance, also requires the applicant for chapter 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 It, and the structure is not intended or offered for sale (Section 7044, (-as' or personal effort, builds or improves the property, provided that the the Owner -Builder 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, except for my par na da e n hie 11 Bi avo resided for at least one year rior to completion of the improvement lyr„atelgn}lt3ar it it has not - I on trpc� in it�untir by licensed contractors. 4�ndgrs aprl tiTaj q copy of the applicable law, 1ARNING: FAILURE TO SECURE WORK S' CON 'AST OF COMPENSATION, DAMAGES PRDVIC hereby affirm under penalty of in rjury -11 have and will maintain a o rgificIll. uerformance of the ruork for whist this 31 have and will maintain work ' coil isuranc , carrier and policy num t r are: :arriar 14ne of Agent youldb the of Tat, If I shoultl become jat;t tr�tta ilgnature of Applicant under provisions of Ch pterll toornmencinq mth. License No KRpTYON to whom: _NSAT/ON"COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER r0 CRIMINAL PENALTIES OLML FUMES UP TO ONE HUNDRED THU 1 FoR AN sEcOCm 3JT" or THE LABOR CODE, INTEREST, ANO ATTORNEY'S FEES. othe ror cenit to s..tea Yesulp for v„vkers cnn7peHS811On.. ISSLIed by the Ulrector of Ind strial Relations as provided for by Hit is rsur d- Poll No _ ensation msurance as reRuued by Secttoii'3700 of`pie-Libor Code, for the perfoellance of the work for which this pe Policy Number employ I of the I hereby affirm under penalty of plinip, LhAt there is a construction lending agency for the performance of the work for which enders Name 4 ly,Cite: Lender's Address 3y my signature below, I certify t each of the following: rty I am the propeowner or a ihorized to act on the property owner's behalf. I have read this annitcation and the infarmalion I have provide Is corrac . I agree to comply with all opplica --N I authorize rap,'ese. ri'a'ives of this city or sou an ahoy tiff far Inspection purposes. > naturL. of Pro err Owner or Auinonzad A en Print Property Owner's or AUI) -........ p y. At PION I PATE By 'CLARATION OF COMPLIANCE CODE OF FEDERAL FOROFF10E REGLAA r10NS PART fit OF TITLE 40 AND AOMD RULE _ 1403 PE3 AI EXPIRED i _ I t SUBMITTED A'5RE5TOS NOTIFICATION TO PE 7M,7 WENDED I - t, I-UARMD T� __.__._..,___.,____.,—,_m PCRN717 hiNAE ��� ��� t..t AS13W6S NOTIFICATION IS NOT APPLICA9LE 10 CE dI'IrIrwlE OF T� ¢ PROPOSED DEMOUTiON Occo" NCY IssuEci i { SIGNATURE: Date permit is issued (Section 3097, sp. iiiIs: �' MEMO this permit, I cannot of the Business and D DOCSARS ($100,000). IN ADOn WN TO lion *00 of the Labor Code, for is IssDed. My workers' compensa ionsation laws of California, and al 2 J • 2v2.2-