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Home My WebLink AboutX2019-0523 - PermitsCity of Newport Beach - Building Division 'X2019-0523* 100 Civic Center Drive, Newport Beach CA 92660. - F _ Permit Counter Phone (949)644-3268 FIRE SPRINKLERS Inspection Requests Phone (949)644-3255SPRINK . v . a .. s•� Combination Type - SFP ELEC MECH PLUM GRAD REQUIRED COMB Permit: X2019-0523 Project No: 2740-2016 Issued Date: 02/19/2019 Inspection Area : 2 Construction Valuation: PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. Building Permit Fee: $0.00 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 $0.00 Job Address: 108 OPAL AVE NB $0.00 Record Management: $0.00 Energy Compliance: Description: NEW SFR W/ EXISTING ATTACHED GARAGE 2185 SF "CHANGE OF CONTRACTOR" $0.00 �jf $0.00 Legal Desc.: BALBOA ISLAND RESUB SEC 1 BILK 11 LOT 35 $0.00 S $0.00 I Owner: TRIMAR PROPERTIES LLC. Contractor: FERNANDEZ ROBERT CONSTR INC Architect: Address:. 108 OPAL AVE: Address: 923 EVERGREEN PLACE Address: NEWPORT BEACH CA 92662 COSTA MESA CA 92627 ••O° .. Phone. Phone: 949.981-9169 Phone: State Lie: +• Applicant: MARTINEZ JOSE Con State Lie: 677390 Engineer: CHAVEZ EDUARDO + ° • ...... Address: PO BOX 411603 Lie Expire: 04130/2020 - Address: 437 ARCADIA WAY o • ° ` " LOS ANGELES CA 90041 .Bus Lie: BT30046730 WALNUT CA 91709 ° : m • o'. - Phone: 626-319-4102 Lie Exp Date: 03/31/2019 Phone: 818-909-0079 State Lic:C-076372 m • • • ° :Code Edit: ' 2013 Worker's Compensation Insurance - Designer: MOLINA DESIGNS • ° ° j ° Type of Construction: V -B -SPR-. Carrier:.. - W/C EXEMPT Address: 4348 LYND. AVE Occupancy Group: R,3/U Policy No: (NO EMPLOYEES) - ARCADIA CA 91006 m e' •mm•°. obaoa Added/New sq.ft. Bldg: 2185 - Expire: Phone: 626-755-8301 Added/New sq.. ft. Garage: 0 No of Stories: 3 Building Setbacks Rear: 5 Special Conditions: ..... No of Units: 1 Front: 8 °++•m: Bldg Height: 0 Left;. 3 o .. m °°.m'•` Bldg Sprinklers: Y Right:...3 .... Flood Zone: AE : Use Zone: Parkinc Soaces: 0 Fire Hazard Zone : N Construction Valuation: $0.00 Building Permit Fee: $0.00 Plan Check Fee: $0.00 Fire Plan Rev 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 : $0.00 I TOTAL PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: $35.00 Excise Tax: Additional Fee Grading Bonds Fee: Grading PC Consultant Grading Permit Feer Grading PC Fee: WQ Insp. Fee: Electrical %: Mechanical %: _"iumbinq %: $0.00 $35.00 $0.00 $774.33 $0.00 $169.97 $0.00 $0.00 $0.00 $0.00 Plan Check Fee Planning Department- Fire Department . Plan check Fee: Fire Inspection: Fair Share Fire Plan Rev SJH Trans : Demolition Fee In -lieu Housing Fee r Building Dept Adm Public Works Department- Park Dedication : $0.00 P/W Plan Check: $0.00 San Dist: $0.00 NMUSD Fee:. $0.00 $0.00 PUBLIC WORKS I PLAN CHECK BY: Fee Due at Permit Issuance APPROVAL TO ISSUE: $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $35.00 Fire Department $0.00 Fire Inspection: $0.00 Fire Plan Rev $0.00 Demolition Fee $0.00 Building Dept Adm General Service Refund Deposit Grading Bond: Fee Due at Permit Issuance APPROVAL TO ISSUE: $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $35.00 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contrayt P _ to 'o, pg 111aw fqr f e reason(s);indicated below by the checkmark(s) I have placed next to the applicable item(s) ection 7031.5, Business and Professions Code: Any city or county that rea '" MOON; er,K,lgg�Wgdemolish, or repair any structure, prior to its issuance, also requires the applicant for a permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contr ctors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and ofessions Code) or that he or she is exempt from licensure and the basis for the al tib cation of Section 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of �t more than five hundred dollars ($500). 1 54 1 1, 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, Isiness 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 provements 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). 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 lioi ply 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). I am exempt from licensure under the Contractors' State License Law for the following reason: 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 permit, I cannot legall, II 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 the Business and ofessions Code• "available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. 3nature of Pr4pay Mner or Authorized Agent Date =4ED CONTRACTOR'S DECLARATION erebyaffirm rrt VIPpLTalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section000) 1 i o 3 of the Business and Pro s ' s Cgpe,<.anamy license is in full force d effect. License Class License No Date Contractor Signature ORKgRS' COAPE14SATION DECLARATION .hNINS: FAILURL•TOISECORE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE ST 99 COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. ply affirm up66ypElialty of perjury one of the following declarations: • ; P Have and will• maa intain 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 rfoaaance of the work for which this permit is issued. Policy No. I havt and VAIPdl9ih;in 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' compensatiol ilaance carrier and policy number are: • .. MCfer• • Policy Number Expiration Date )certi Agent• Phone# y that, in the performance of a 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 hould becomesubjec thorker mpensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. of Applicant Date ` :CLARATION REGA G STRU ON LENDING AGENCY —� ereby affirm under pally 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). nder's Name r Lender's Address my signature below, 1 certify to each of the following: I am the property owner or authorized to act on the I have read this application and the information I h( I agree to comply with all applicable city and counter I authorize representatives of this city or county ti DATE I BY EXPIRED PERMIT EMENDED PERMITFINAL CERTIFICATEOF OCCUPANCYISSUED owner's behalf. led is correct, and s e laws relating to��buuilding construction. 70= 'entified pro rty r inspection purposes. 70�r/^� fL�yvJfN Print Property Owner's or Authorized Agent's Name I OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY PART 61 OF TITLE 40 AND AQMD RULE 1403 LJ I SUBMITTED ASBESTOS NOTIFICATION TO UASBESTOS NOTIFICATION IS NOTAPPLICABLE TO PROPOSED DEMOLITION