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Home My WebLink AboutXR2022-1920 - PermitsCity of Newport Beach D Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 644-3288 �i. Inspection Requests Phone: (949) 644-3255 Cyr/FORN�P newportbeachca.gov/inspections Combination Type - SFP ELEC MECH PLUM Work Class - New 111111111111111111111111111111111�� COMB Permit: XR2022-1920 Plan Check No: PC2022-1774 Issued Date: 01/17/2023 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 : 205 TOPAZ AVE Description: NEW SFR 2371 & 409 SF Owner: 205 TOPAZ AVE IDS INC Address : 923 EVERGREEN PL COSTA MESA, CA 92627 Phone: Applicant: ROBERT FERNANDEZ CONSTRUCTION INC Address: 923 EVERGREEN PL COSTA MESA, CA 92627 Phone : Owner/Builder : Address : Legal Desc : A TR BALBOA ISLAND RESUB SEC 1 BLK 12 LOT 10 Contractor: ROBERT FERNANDEZ CONSTRUCTION Architect: INC Address: 923 EVERGREEN PLACE Address COSTA MESA, CA 92627 Phone : (949) 981-9169 Phone: Con State Lie: 677390 State Lie Lie Expire: 04/30/2024 Bus Lie: BT30046730 Engineer: Bus Lie Expire : 03/31/2023 Address : Workers' Compensation Insurance Phone Carrier : Policy No: EXEMPT Designer: W. C. Expire: Address : Phone: Phone SOMA JR PHILIP GEORGE 252 SOUTH BRENTWOOD ANAHEIM, CA 92804 (949)252-7660 Code Edition : 2019 Fire Sprinklers : YES Construction Valuation : Type of Construction : V-B Fire Hazard Zone : NO Added/New/Ti sq. ft. Bldg: Occupancy Groups : U,R-3 No of Units : 1 Alteration sq. ft. Bldg : Bldg Height: No of Stories : 3 Added/New sq. ft. Garage: TOTAL sq. ft. Building Setbacks : Front: 8, Side: 3, Side: 3, Rear: 5 Flood Zone : X; AO 1 Use Zone : R-BI - Two -Unit Residential, Balboa Island . PROCESSED BY:)E— SPECIAL CONDITIONS: 3 BEDRM TO 3 BEDRM $1,000,000.00 2,371 409 2,780 OWNER -BUILDER DECLARATION I hereby affirm under penally of perjury that I am exempt from the Contractors' State License Law for the reasons) indicated below by the checkmark(s) I have placed next to the applicable items) (Section 7031.5, Business and Professions Code: Any city or county that requires a permit to conslruct, 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 not more than five hundred dollars ($500). I, 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 owner of property 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 within 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). 11 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 apply to an owner of property who builds or improvesthereon; and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law), 0 1 am exempt from ticansure 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 permit, I cannot legally 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 theapplicable law, Section 7044 of the Business and Professions Code., is available upon request when this application is submitted or at the following Web site:http:llwww.ieginfo.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 Sect 7 0 of Division 3 of the Business and Profe o e, d license is In full force and effect License Class License No Dat Contractor Signature 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 HUNDRED THOUSAND DOLLARS ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 370E 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 tot workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, forth 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 Cade, for the performance of the work for which this permit. is Issued. My workers` ranee carrier and policy number are. Policy Number of Agent Date 1-Ilertify that. in the perf rma - of th work for which this permit is issued, I shall not employ any person in any manner so as to become subject to in workers' ompensation laws of California, and agre ist, if I should becom bje to he rkers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ignature of Applicant IEGLARATION REGA pl N LENDING AGENCY hereby affirm under penalty f p rjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097,. Clv 1 Code). ender's Name Lenders Address iy my signature below, I carli'fy 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 ail applicable city and unt or ' nces and state laws relating to building construction. I authorize representatives of this city br count. t e e ab Ids.�i Uiadproparty for inspection purposes. tonature of ProDerty Owner or Authon>ad A¢a.tt / Print Property Owner's or Authorized Agent's Name rrxoirAS�tly4in PERMIT EXTENDED PERMITFINAL 1/Zy p�L CERTfPICA7E OF OCCUPANCY ISSUED 6ECUK4TION CO COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY dcGULATIONS PART 61 OF TITLE 40 AND ACIMD RULE NOTIFICATION TO APPLICABLE TO