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Home My WebLink AboutX2020-0337 - PermitsCity of Newport Beach - Building Division IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIII IICOMB Permit :X2020-0337 Per Civic Center Drive, Newport Beach, CA 92660 X 2 0 2 0 0 3 3 7 Project No : 0265-2020 Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 �"zrsav' Combination Type - BLDG Issued Date: 02/06/2020 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: 204 COLLINS AVE NB Description: SFR 9' HIGH X 8 LF WOOD FENCE INSIDE P/L *MARKERS ON SITE* NO CONRTO I r5 U�T Legal Desc.: BALBOA ISLAND SEC 2 BLK 11 LOT 16 ! rl 4d 1 Owner: TRIMAR PROPERTIES Address: 204 COLLINS AVE Record Management : NEWPORT BEACH 92661 Phone: 949-981-9169 Applicant: FERNANDEZ ROBERT Address: 923 EVERGREENPLACE Bus Lic: COSTA MESA, CA 92627 Phone: 949-981-9163 Code Edit: Type of Construction: Occupancy Group: Added /New sq.ft. Bldg: Added /New sq. ft. Garage: No of Stories: 0 No of Units : 0 Bldg Height: 0 Bldg Sprinklers: Construction Valuation: Contractor: FERNANDEZ ROBERT CONSTR INC Address: 923 EVERGREEN PLACE Record Management : COSTA MESA CA 92627 Phone: 949-981-9169 Con State Lic: 677390 Lic Expire: 04/30/2020 Bus Lic: BT30046730 Lic Exp Date: 03/3112020 2016 Worker's Compensation Insurance Carrier: WIC EXEMPT U Policy No: (NO EMPLOYEES) 0 Expire: Building Permit Fee: $412.00 Plan Check Fee: $365.00 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: $818.00 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Architect Address: Phone: StatA.l NATURDA Engineer: SOMA JR PHILIP GEORGE • • • • a7 Address: 252 SOUTH BRENTWOOD •• ° m•.000 ANAHEIM CA 92804 a •••° ° ° Phone: 949-252-7660 State Lic:C-046231 • . ° , ° ° e000 °B o Designer: o••• • m Address: o• a m•mo Phone: INSPECTOR °•••°m Building Setbacks Use Zone: Rear: 5' Front: 8' Left: 3' Right: 3' Parkina Spaces: 0 Special Conditions: Fire Hazard Zone : N o ° o m • • ° • o 0 c000co o°O°Cm °mooc° .... Excise Tax: $0.00 Planning Department - Fire Department Additional Fee : $0.00 Plan check Fee : $40.00 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 $0.00 Grading PC Fee: $0.00 Public Works Department - General Service $0.00 WQ Insp. Fee: $0.00 Park Dedication : $0.00 Refund Deposit $0.00 PAN Plan Check : $0.00 Grading Bond: $0.00 Electrical W $0.00 San Dist: $0.00 Mechanical W $0.00 NMUSD Fee: $0.00 $0.00 Plumbing %: $0.00 $0.00 RE Plan Check Fee : $0.00 Fee Due at Permit Issuance : $818.00 PUBLIC WORKS APPROVAL: PLAN CHECK BY: 5 APPROVAL TO ISSUE: 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) 1 have placed next to the applicable item(s) '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 :he 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 3rofessions 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 iot 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 unproved 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 apply 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). ❑ 1 am exempt from licensure 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 the applicable 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://www.leginfo.ca.gov/calaw.html. Signature of PrWpgAj Qwner or Authorized Agent Date �ICEN,SED CONTRACTOR'S DECLARATION I helebt affirm 0dgr•*nalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 700) Di ' n 3 of ;-the Business and urofes ion de, a my license is in full force and effect. License Class License No Date 2'6Contractor Signature ,� ✓ORFHERS' COMPENSATION DECLARATION 'ARMING: FAILUREROSlC�URE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMIN PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($700,000), IN ADDITION TO THE NT OF•COMPE ftT)Qt& DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES, her@Ry affirm wadApenalty of perjury one of the following declarations: 310116ve anAvill 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 dirfo4lfiance of tha,work for which this permit is issued. Policy No. lI.oa•hvg and uYiR rr6llQain 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' compensatlol Isurance carrier -avid policy number are: ;artier • • • • Policy Number Expiration Date rof Agent •••• ... _.._.. _ I� certify that, in the perfo nce 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' ompensation laws of California, and agree t.'11 should become su to th orker ' mpensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. �t nature of Applicant D to 2—��2c�-Z CLARATION REGAR TRUCTION LENDING AGENCY �reby affirm under pe IN of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 304, 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 cou y rdinanc and ate laws relating to building construction. 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