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Home My WebLink AboutX2019-0733 - Permitsu$, City of Newport Beach - Building Division IIIIIIIIIIIIIIIIII�III�IIIIIIIIIIIIIIIIIIIIIIIIIIIiu 2016. Type of Construction: V-BSPR Occupancy Group: R -31U Added /New sq.ft.. Bldg: 2400 Added /New sq. ft. Garage: 390 No of Stories: 3 II COMB Permit: X2019-0733 Bldg Height: 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 1 9 0 7 3 3 Project No :0763-2017 N -. :. Permit Counter Phone (949)6;«439;4 �� Inspection Requests Phone (949)644-3255 $0.00 e•3� Combination Type - SFP ELEC MECH PLUM GRAD /Fi n {+� RE01 Issued Date : 03/05/2019 Inspection Area 2 `RED : cm PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. - r 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: CHANGE OF CONTRACTORINEW SFR W/ATT GARAGE 2400/390 (REPLACES X2017-1150) ` Y. Legal Desc.: BALBOA ISLAND SEC 2 BLK 11 LOT 16 Owner: TRIMAR PROPERTIES Contractor: FERNANDEZ ROBERT CONSTR INC Architect Address:. 205 ONYX AVE STE B Address: 923 EVERGREEN PLACE Address: NEWPORT BEACH, CA COSTA MESA CA 92627 Phone: Phone: 949-981-9169 Phone: State Lic: k • °'t° 4r Applicant: JOSEILA GREEN DESIGN Con State Lic: 677390 Engineer: CARRILLO JESUS EDUARDO Address: PO BOX 411603 Lic Expire:. 04130/2020. Address: 8207 BROOKGREEN RD ° ` •ee OO LOS ANGELES, CA 90041 Bus Lic: BT30046730 DOWNEY CA 90240 o a Phone: 826-319-4102 Lic Exp Date: 03131/2019 Phone: s o e e State Lic:C-077737 • • m Code Edit: 2016. Type of Construction: V-BSPR Occupancy Group: R -31U Added /New sq.ft.. Bldg: 2400 Added /New sq. ft. Garage: 390 No of Stories: 3 No of Units: 1 Bldg Height: 0 Bldg Sprinklers: Y Flood Zone: AE Building Permit Fee: $0.00 Plan Check Fee: $0.00 Fire Inspection: 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 TOTAL FEE: $35.00 PROCESSED BY: ZONING APPROVAL: GRADING APPROVAL: Worker's Compensation Insurance Carrier: WIC EXEMPT Policy No: (NO EMPLOYEES) Expire: Building Setbacks Excise Tax: Additional Fee Grading Bonds Fee: Grading PC Consultant Grading Permit Fee: Grading PC Fee: WQ Insp. Fee: Electrical %: Mechanical %: Plumbing %: Rear: 1 Fj Front: I $ Left: I Right: / Parkino Spaces $0.00 $35.00 $0.00 $967.60 $0.00 $212.40 $0.00 $0.00 $0.00 $0.00 Plan Check Fee 0 Designer: Address: Phone: Special Conditions: Planning Department - Fire Department Plan check Fee Fire Inspection: Fair Share: Fire Plan Rev SJH Trans: Demolition Fee In -lieu Housing Fee: .Building Dept Adm Public Works Department - Park Dedication : $0.00 PNV Plan Check : $0.00 San Dist: $0.00 NMUSD Fee: $0.00 odea R 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: odea R O mOOO® O Om oe m:o °F 0 OPAOC 000eo emouc` 4 mnomeo r ° o:emoe cm r omooc c:mac $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 Fee Due at Permit Issuance : $35.00 PUBLIC WORKS APPROVAL: PLAN CHECK BY: 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) I have placed next to the applicable item(s) (Section 7031.5, Business and Professions Code: Any city or county that requ' i a t i r molish, or repair any structs, pri3r to its issuance, also requires the applicant for the permit to file a signed statement that he or she is licensed pursuant to the f "t i Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code) or that he or she is exempt from licensure and the basis for the site j ion 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 i�m 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 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 legall) sell a structure that 1 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, lis available upon request when this application is submitted or at the following Web site:hltp://www.leginfo.ca.gov/calaw.htmi. Signature of PropgrjyQ*ner or Authorized Agent Date L:I;VQED CQNTRQCTOR'S DECLARATION I hereby affirm ulider�enalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 700 Div' ' n 3 the Business and Profess' ode, a T y 'e rise is in full force anal effect. License Pass License No Date . Contractor Signature IYOR4NERS' CO,JPENSATION DECLARATION NARNINe: FAILURE -TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED T OUSAND DOLLARS ($100,000), IN ADDITION TO THE Cps- aF•dbMPENSATIQIQ, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. 4grpby affirm uOdEr ptgalty of perjury one of the following declarations: :1104a4 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 osrfaralaace of the work for which this permit is issued. Policy No. LJI��1r . have•and wn15AAU4in 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 �.nealence carrier and policy number are: ^ may. Policy Number Expiration Date s'of Agent ertify that, in the p, if I should become of thew rk 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 he wor rs' com nsation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. signature of Applicant Dat )ECLARATIONREC39RDIN C NS UCTION LENDING AGENCY hereby affirm under penalty f perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). ender's Name Lender's Address ly 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 ordi ces and state relating to building construction. I authorize representatives of this city or county to en ve-i led property for inspection purposes. �'�� - �� nnnature of Prooertv Owner or Authorized Anent Print Property Owner's. or Authorized Agent's Name i we DATE BY` I REGULATIONS PARTOF 061 OF TITLE 40 AND AQMD RULEMPLIANCE WITH CODE OF RAL I FOR OFFICE USE ONLY EXPIRED I I/ l I U I SUBMITTED ASBESTOS NOTIFICATION TO PERMIT EXTENDED UACIMD PERMITFINALA58EST05 NOTIFICATION IS NOT APPLICABLE TO CERTIFICATEOF /l ID PROPOSED DEMOLITION OCCUPANCYISSUED /� /�I .r // SIGNATURE: Permit No: Plan Check No: Address : Suite No: Owner: Work Description X2019-0733 0763-2017 204 COLLINS AVE _ TRIMAR PROPERTIES 205 ONYX AVE STE B NEWPORT BEACH, CA Code Year Edition :2016 Occupancy Group: R -3/U ConstructionType: V -B -SPR Occupant Load: N/A Fire Sprinklered: Y CHANGE OF CONTRACTOR/NEW SFR W/ATT GARAGE 2400/390 (REPLACES X2017-1150) THIS CERTIFICATE ISSUED PURSUANT TO THE REQUIREMENTS OF SECTION 111 OF THE CITY OF NEWPORT BEACH ADMINISTRATIVE CODE ATTESTS THAT AT THE TIME OF ISSUANCE, THIS STRUCTURE WAS IN COMPLIANCE WITH THE VARIOUS ORDINANCES OF THE CITY OF NEWPORT BEACH REGULATING BUILDING CONSTRUCTION OR USE. Chief Building Oficial: Samir Ghosn, MS, PE, CBO. Signature :__�,'7, � (�1�J Date: -2 l �