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Home My WebLink AboutX2019-0522 - Permitswru, City of Newport Beach - Building Division *X2019-0522* COMB Permit: X2019-0522 100 Civic Center Drive, Newport Beach, CA 92660 Project No: 2740-2016 EQ 'x Permit Counter Phone (949)644-3288 0 £'. Inspection Requests Phone (949)644-3255 ""+cv. Combination Type - SFP Issued Date : 02/1912019 Inspection Area `. 2 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. 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: 106 OPAL AVE NB Description: SFR *ADDITIONAL SCOPE". ADD 40 SF TO FIRST FLOOR (REV18-1074) "'CHANGE OF CONTRACTOR" , Legal Desc.: BALBOA ISLAND REBUS SEC 1 BLK 11 LOT 35 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 - Phone: Phone: 949-981-9169 Phone: State Lic Applicant: MARTINEZ JOSE Don State Lid: 677390 Engineer: CHAVEZ EDUARDO�, Address: PO BOX 411603 Lic Expire: 04/30/2020 Address: 437 ARCADIA WAY .LOS ANGELES CA 90041 Bus Lic ST30046730. WALNUT CA 91709 , •. ° Phone: 626-319-4102 Lie Exp Date: 03/31/2019 Phone: 818-909-0079 State Lic:C-076372 °°.°. Code Edit: -' 2016 Worker's Compensation Insurance Designer. Type of Construction: V-BSPR Carrier: WIC EXEMPT Address: ° Occupancy Group: R31U Policy No: (NO EMPLOYEES) ° • ° . • � e Added /New.sq.ft. Bldg: 40 Expire: Phone: ° ° Added/New sq. ft. Garage: 0.°O°O° °° •°° No of Stories: 2 Building Setbacks Rear: I Special Conditions: •, No ofUnits : 1 Front: / + ° • °••o. Bldg Height: 0 Left: / `... °.••.. Bldg Sprinklers: Right: / Flood Zone: Use Zone: Parking Spaces: 0 Fire Hazard Zone : N ° Construction Valuation: $0.00 ° ...... Building Permit. Fee: $0.00 Excise Tax: ,.$0.00 Planning Department- Fire Department ®.:°.` °s•® Plan Check Fee: $0.00 Additional Fee : $35.00. Plan check Fee.:. $0.00. Fire Inspection: $0.00 Overtime Plan Cki $0.00 Grading Bonds Fee: $0.00. Fair Share : $0.00 Fire Plan Rev $0.00 Investigation Fee: $0.00 Grading PC Consultant: $0.00 SJH Trans : $0.00 Demolition Fee s' Record Management: $0.00 Grading Permit Fee: $0.00 In-lieu Housing Fee: $0.00 Building Dept Adm $0.00 j Energy Compliance:. $0.00 Grading PC Fee: $0.00 Public Works Department - General Service $0.00 '.. CA Seismic Safety: $0.00 WQ Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $0.00 Disabled Access: $0.00 - PNV Plan Check: $0.00 Grading Bond: $0.00 Hazardous Mat $0.00 Electrical %: $0.00 San Dist: $0.00 00 Mechanical %: Building Green Fee : - $0rE$35.0)0 $0.00 NMUSD Fee: $0.00 $0.00 j Plumbing %: $0.00 $0.00 TOTAL F Plan Check Fee : $0.00 Fee Du Permit Issuance : $35.00 PROCESSED BY: `�tr PUBLIC WORK PPROVAL: ZONING APPROVAL: PLAN CHECK Y: I�, GRADING APPROVAL: : APPROVAL TO OWNER -BUILDER 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 checkmark(s) I have placed next to the applicable item(s) lection 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 is 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 'rofessicns Code) or that he or she is exempt from licensure 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 of more than five hundred dollars ($500). 7 I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, lusiness 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 nprovements 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 nproved for the purpose of sale). 1 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 only 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). am exempt from licensure under the Contractors' State License Law for the following reason: ',ymy 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. ell 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 'rofessions Code, is available upon request when this application is submitted or at the following Web site:http://wm.leginfo.ca.gov/calaw.htm]. ignature of Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with SectionYENALTIES sion 3 of the Business and Pro es 'e d Rd -my license is in full force nd effect. License Class License No Date ontractor Signature YORKERS' COlVJPF�NSATION DECLARATION MtB2NING:FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAAND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE pSf EFPf:OMPENaA1h0N,U;MAGES AS PROVIDED FOR IN SECTION 7706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm und& peflalty of perjury one of the following declarations: a I 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 BGformance of the milVor which this permit is issued. Policy No. JI 41 and willaain;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' compensatioi 'me cannewar d� policy number are: ort& Policy Number Expiration Date that, in the performance of ould betrgme Su ect to th .. ture of Applico work f r whic his 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 ker ' omp a 4Izovisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ^ / PTI ENDING AGENCY �f Eby affirm under p4nalty of pef ury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). ier's Name Lender's Address ly 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 county ordinances and at laws relating to building construction. I authorize representatives of this city or county t r t ified any for inspection purposes. ature of Property Owner or Authorized Age Print Property Owner's or Authorized A ION DATE BY DECLA 10 COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY �� REGULATIONS PART 61 OF TITLE 40 AND, RULE PERM/TEXPIRED I \ I \ I U I SUBMITTED ASBESTOS NOTIFICATION TO PERMITFINAL p ❑ ASBESTOS NOTIFICATION IS NOT APPLICABLE TO CERTIFICATE OF 1� I'� / PROPOSED DEMOLITION OCCUPANCYISSUED /� SIGNATURE: