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Home My WebLink AboutXR2023-2123 - PermitsaEWPoar City of Newport Beach 111IIIIIIII111111111111111p1111111111111p11111111p111111COMB Permit : XR2O23-2123 0� I Community Development Department- Building Division X R 2 0 2 3 2 1 2 3 y -" 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2023-0053 Permit Counter Phone: (949) 718-1888 Issued Date : 08/08/2023 u Qo- � newportbeachca.gov/civic Final Date: Cq//FORN�P Combination Type - ELEC MECH PLUM Permit Status: Issued Work Class - Alteration 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 OVAL AVE Legal Desc : A TR BALBOA ISLAND RESUB SEC 1 BLK 9 LOT 19 Description: DUPLEX *ADDITIONAL SCOPE* REMODEL (4) BATHROOMS AND KITCHEN (400 SF), REPLACE (2) WATER HEATERS, REPLACE ELEC THROUGHOUT MAIN UNIT Owner: MIKE GROSS Contractor : Architect Address : 133 Opal Ave Address : Address Newport Beach, CA 92662 Phone : (626) 232-4400 Phone : Phone Con State Lic : State Lic Lic Expire : p Applicant: JOSE BLANCO Bus Lic: Engineer : °- Address : 1409 EAST 48TH PLACE Bus Lic Expire : Address : L F LOS ANGELES, CA 90011 Phone : (323) 393-8977 Workers' Compensation Insurance Phone : ---* Carrier : Owner/Builder : MIKE GROSS Policy No : Designer: DANNY REYNOSO Address : 133 Opal Ave W. C. Expire: Address : 17832 E Edna PI Newport Beach, CA 92662 Covina, CA 91722 Phone : (626) 232-4400 Phone : (626) 536-7786 Code Edition : 2022 Fire Sprinklers : NO Construction Valuation : $50,000.00 Type of Construction : V-B Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg : 0 Occupancy Groups : U,R-3 No of Units : 2 Alteration sq. ft. Bldg : Bldg Height: No of Stories : 2 Added/New sq. ft. Garage : 0 TOTAL sq. ft. 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: ( 0 SPECIAL CONDITIONS: A01 FLOOD ZONE, LIQUEFACTION, HIGH DENSITY AREA, REV2023-1484 OWNER -GUILDER DECLARATION I hereby affirm under penally of perjury that I am exempt from the Contractors' State License Law for the reason(s) indicated below by the checkmarkjs) I have placed next to the applicable items) (Section 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 the 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 Professions Code) or that he or she is exempt from ficensure 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 ni more than five hundred dollars ($500). f, as owner of the property, or my employees with wages as their sole compensation, will do all of or U portions of the work, and the structure is not Intended or offered for sale (Section 7044, Business and Professions Code. The Contractors' State License Law does not apply to an owne o roperty who, through employees' or personal effort, builds or improves the property, provided that the Improvements are not Intended or offered for sale. If, however, the building or improvement is sold wit in one year of completion, the Owner -Builder will have the burden of proving that it was not built or Improved for the purpose of sale). 0 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 apply to an owner of properly who builds or improvesthereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors State License Law). I am exempt from Icensure under the Contractors' State License Law for the fallowing 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 permitI cannot legal) sell a structure that I have built as an Owner -build r if !knee I een onstructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 0 111 Bus noss and Professions Code, Is available upon request when a icaGo b Itte at the falCbwing Web si0e;http:llvrr,'w.leginfo.ea.ggv/celaw.html. Signature of Property Owner or Authorized Agent � __, _____, Cat ��- LICENSED CONTRACTOR'S DECLAS I hereby affirm under penalty of perjury that I am license under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, d my license is In full force and effect. License Class License No Date Contractor Signature COMPENSATION DECLARATION WARNING: FAILURE TO SECURE WORMERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SMALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS t$100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3T0S OF THE LABOR CODE, INTEREST', AND ATTORNEY'S FEES. I hereby affirm under penalty of perjury one of the following declarations: ❑ 1 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. 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: is of Agent certify that, in the performance if I should become subject tP' of Applicant Policy Number Date work for which this permit Is issued., I shall not employ any person in any manner so as to become subject to the workers' (ke a' compensation provisions of Section 3700 or the Labor Code, I shall forthwith comply With those provisions. I rtUL At di KtbAIMPINVLi UVNJ I KIJU I IVN LtNVINIJ AULN.;Y hereby affirm under jienatty of perjury that there is a construction fending agency for the performance of the work for which this permit Is issued (Section 3097, ender's Name Lender's Address Iy my signature below, I certify to each of the following: I am trio 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 cou ty ordma s late laws relating to building construction. authorize representatives of this city or cou�'1'u�,,//'toff enter e a ve niified proDerCy� for inspection purposes. ianatlue of Property Owner or Authorized AGant /� Rivill-PFooertv Owner's or Authorized Anant's Nama ACTION DATE BY ✓ j 5ra-ARATiON OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY f REGULATIONS PART 6t OF TITLE 40 AND AOMD RULE PERMITEXPiRED I LJISIIRMIT-EDASB�ST.75NJTIFICATIONTO PERMiT CANCELLED __ -� CA P-�-- PERMITEXTENDED _. A- _.... _. -.._ .O - .... k %S7 F1NA1 ' ABBE$1IFICAII 'NO A fOCER71FlCA7f OF LT �OCCUPANCYISSUEO ; $IrNAT1' of Califomia, and Af(i f//mP /