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Home My WebLink AboutX2019-0734 - Permits,r City of Newport Beach - Building Division V 100 Civic Center Drive, Newport Beach, CA 92660 ' Permit Counter Phone (949)644-3288 r.. Inspection Requests Phone (949)644-3255 Construction Valuation: Combination Type - SFP IIIIXIII2III0IIIVII9IIIIIIVII7III3IVIII1 Jill COMB Permit: X2019-0734 Project No: 0763-2017 Issued Date : 03/05/2019 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 Job Address: 204 COLLINS AVE NB Description: CHANGE OF CONTRACTOR *ADDITIONAL SCOPE" ADD 14 SF (REPLACES X2018-1865) Legal Desc.: BALBOA ISLAND SEC 2 BLK 11 LOT.16 Owner: TRIMAR PROPERTIES Address: 205 ONYX AVE STE B NEWPORT BEACH, CA Phone: Applicant: - JOSEILA GREEN DESIGN Address: PO BOX 411603 LOS ANGELES, CA 90041 Phone: 626-319-4102 Code Edit: 2016 Type of Construction: V -B -SPR Occupancy Group: R31U Added /New sq.ft. Bldg: 14 Added /New sq. ft. Garage: 0 No of Stories: 2 No of Units: 1 Bldg Height: 0 Bldg Sprinklers: Contractor: FERNANDEZ ROBERT CONSTR INC . Architect: Address: 923 EVERGREEN PLACE Address: COSTA MESA CA 92627 Construction Valuation: Phone: 949-981-9169 Phone: Con State Lie: 677390 Engineer: Lie Expire: X04/3012020 Address: Bus Lie: BT30046730 Planning Department- Lie Exp Date: 03131/2019 Phone: Worker's Compensation Insurance Designer: Carrier: WIC EXEMPT Address: Policy No: (NO EMPLOYEES) x$0.0o0 Expire: $0.00 Phone: Building Setbacks Rear: / Front: I Left: / Right: / State Lie: CARRILLO JESUS EDUARDO 8207 BROOKGREEN RD DOWNEY CA 90240 562-708.3586 State Lic:C-077737 ...... 0000 e e m a Boa oa omoA a A Special Conditions: O fiV6 o • o 0o m + Fire Hazard Zone : N 0 0 ceemsu o ° A e el c Aa 9 > oco 90 O oomo° A aooa°o o ° Construction Valuation: $0.00 + ...... Building Permit Fee: $0.00 Excise Tax: $0.00 Planning Department- Fire Department ®c Plan Check Fee: $0.00 Additional Fee: $35.00 Plan check Fee: $0.00 Fire Inspection: x$0.0o0 Overtime Plan Ck: $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 '.. Record Management : $0.00 Grading Permit Fee: $0.00 In -lieu Housing Fee : $0.00 Building Dept Adm $0.00 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 P/W Plan Check: $0.00 Grading Bond: $0.00 Hazardous Mat . $0.00 Electrical %: $0.00 San Dist: $0.00 Building Green Fee :. $0.00. Mechanical %: $0.00 NMUSD Fee: $0.00 $0.00 Plumbing %: $0.00 $0.00 TOTAL FEE : $35.00 nil Plan Check Fee : $0.00 Fee Due at Permit Issuance : $35.00 PROCESSED BY: PUBLIC WORKS APPROVAL: ZONING APPROVAL: PLAN CHECK BY: GRADING APPROVAL: APPROVAL TO ISSUE: 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) 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 1e 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 'rofessions 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). 1 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 n roved 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 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). ] I am exempt from licensure under the Contractors' State License Law for the following reason: ly 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) 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 Cade, is available upon request when this application is submitted or at the following Web site:http://www.leginfo.ca.gov/calaw.html. signature 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 Section 700 IWslon 3 of he Business and Professions Did , and !cense I d1f force nd effect. License Class License No Date-Nontractor Signature VORKERS' COII MNSATION DECLARATION •••. jtNINGAFAILURE 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 $'f GRCOMPENJITISIN,% MAGES AS PROVIDED FOR IN SECTION 9703 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. h;rreby affirm undel•penalty, of perjury one of the following declarations: 0 1 lisve and will*maintain a certificate of consent to self -insure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for th ecforrnance of AW 4 for which this permit is issued. Policy No. • •• lI• MaVe and will* m.aintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permit is issued. My workers' compensatiol Laurance carrier aad policy number are: I• Policy Number Expiration Date G c rtIfy that, N Cne'p$rformance of the work f )rwhich 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 VI Should bgr'ome subjec t worker ompensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of AppMaan! Date CLARATION REGAKDING CRU TIO LENDING AGENCY. ;reby affirm under penalty of pe ' ry t t there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, vil 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 county ordinances and tate laws relating to building construction. I authorize representatives of this city or county to eJ�te above entified roperty for inspection purposes. nnhim .,f arnnen„ n,.,ner „r A„lhndvnd Annnr / Print Prouertv Owner's or Authorized ADent's Name DATE 6Y DWARATREGULATI� PAROF O610 TIITLE 40 AND AOMD RULE CE WITH CODE OF AL I FOR OFFICE USE ONLY TO CERTIFICATE OF I�ITFINAL /� u ASBESTOS PO E DEMOLITION IS NOT APPLICABLE TO OCCIIPANCYISSUED ��///