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Home My WebLink AboutX2021-2589 - PermitsI$kT City of Newport Beach - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 .2 Inspection Requests Phone (949)544-3255 r`tirrna'x•> Combination Type - BLDG PLUM 11111111111111111111111111111111111111111111111111 111� 11COMB Permit: X2021-2589 Project No : 2252-2021 Issued Date : 0912712021 Inspection Area : 2 PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. PROJECTS MUST BE COMPLETED BY 09/27/2024 OR PERMIT WILL BE INVALID Construction Hours: Monday - Friday 7:00 a.m, to 6:30 p.m. and Saturday from 8:00 a.m. to 6:00 p.m. No work on Sundays or Holidays Job Address: 203 OPAL AVE NS Description: DEMO (E) SFR W/ATT GARAGE 880 SF (2 BEDROOM) Legal Desc.: BALBOA ISLAND RESUB SEC 1 BILK 10 LOT 23 Owner: WHITFIELD GARRETT Address: 279 FLOWER ST COSTA MESA, CA 92627 Phone: 949-433-8070 Applicant: 203 OPAL LLC Address: 279 FLOWER ST COSTA MESA, CA 92627 Phone: Code Edit : 2019 Type of Construction: VB Occupancy Group: R3/U Added /New sq.ft. Bldg: 0 Added /New sq. ft. Garage: 0 No of Stories: 1 No of Units : 1 Bldg Height: 0 Bldg Sprinklers: N Flood Zone: AO 1 Construction Valuation: $11,500.00 Building Permit Fee: $122.00 Plan Check Fee: $223.00 Overtime Plan Ck: $0.00 Investigation Fee: $0.00 Record Management : $0.00 Energy Compliance: $0.00 CA Seismic Safety : $0.00 Disabled Access: $0.00 Hazardous Mat $0.00 Building Green Fee : $1.00 TOTAL FEE : $2,444.98 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Contractor: GSW DEVELOPMENT INC Address: 279 FLOWER ST COSTA MESA CA 92627 Phone: 949-433-8070 Con State Lic: 954565 Lic Expire: 0413012022 Bus Lic: BT30075076 Lic Exp Date: 04/30/2022 Worker's Compensation Insurance Carrier: NO EMPLOYEES Policy No: Expire: Building Setbacks Rear: / Front: / Left: / Right: / Use Zone: Architect: PERRY DENNIS Address: 8092 VALENCIA DR FOUNTAIN VALLEY CA 92708 GJ Phone: 714/847-6218 State Lfc:C032055 Engineer: �'f0 Address: Phone: State Lic: e.-J Designer: r'il C) Address: Di Phone: Special Conditions: HAULER: JD DEMO NO CITY TREES ON SITE Excise Tax: $0.00 Planning Department - Fire Department Additional Fee : $0.00 Plan check Fee : $104.00 Fire Inspection: $0.00 Grading Bonds Fee: $0.00 Fair Share : $0.00 Fire Plan Rev $0.00 Grading PC Consultant : $0.00 SJH Trans : $0.00 Demolition Fee Grading Permit Fee: $0.00 In -lieu Housing Fee: $0.00 Building Dept Adm $27.00 Grading PC Fee: $0.()0 Public Works Department - General Service $265.00 WQ Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $1,692.00 PAN Plan Check : $0.00 Grading Bond: $0.00 Electrical %: $0.00 San Dist: $0.00 Mechanical %: $0.00 NMUSD Fee: $0.00 $0.00 Plumbing %: $10.98 $0.00 --� Plan Check Fee : $0.00 Fee Due at Permit Issuance : $2,444.98 PU3LIC'.VORKS APPROVAL: PLAN CHECK BY: J?,PRgVAL TO ISSUE: 0 0 OWNER -BUILDER DECLARATION --_ 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 item(s) ction 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 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 fessions Code) or that he or she is exempt from Iicensure 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). I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, uness 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 rovements 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 roved for the purpose of sale). 1, 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 Ily to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). LJ I am exempt from Iicensure under the Contractors' State License Law 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 prior to completion of the improvements covered by this sell a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of I Professions Code, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.govlcalaw.html. Signature of Property Owner or Authorized Agent Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sectioni.70,1i of Division 3 of the Business and P f Sion de, and Iicen a in and effect. License Class License No Date • Ci1.�ontractor Signatur • A, WORKERS' COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDR D THOUSAND DOLLARS (E100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. I hereby affirm under penalty of perjury one of the following declarations: 111 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 th performance of the work for which this permit is issued. Policy No. rmit, I cannot Business and have and will maintain 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' rance carrier and policy number are: Policy Number Date ie of Agent Phone n certify that, 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 workers' compensation laws of California, and agre ,if I should becomes subject to t rkers' o }pensation revisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. Iature of Applicant )( AWE' f(`�j�'' /Y�f—�C- `r'lt< 09. 27. 2021 veby affirm under ((enalty 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). ider's Name Lender's Address my signature below, I certify to each of the following: I am the 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 co ty ordinances and state laws relating to building construction. I authorize representatives of this city or co o entP�r'ff�e abo n fi yjoperty for inspection purposes. nature of Prooertv Owner or Authorized Agent �y-Print Property Owner's or Authorized Agent's Nam R I ACTION DATE BY ( TION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULA NS PART 61 OF TITLE 40 AND AQMD RULE 14 3 PERMIT EXPIRED _ I SUBMI ED ASBESTOS NOTiF.CATION TO _ �^ PERMITCANCELLED LJEPA PERMIT EXTENDED QM D PERMIT FINAL ASBESTOS OTIFICATION IS NOT AP LICABLE TO 1 jf CERTIFICATE OF PROPOSEDD IONM OCCUPANCY ISSUED `(�'�1 w1U11 IL! �0 SIGNATURE \( pC J/�a