HomeMy WebLinkAboutx2019-1604 - Permits4"',City of Newport Beach - Building Division IIII@IIIIIIIIIIIII�IIIIIII�IIIIIIIIUIIIIIIII� it COMB Permit: X2O19-1604
100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 1 9 1 6 0 4 Project No : 1050-2019
Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255
Combination Type - BLDG Issued Date: 06/2012019
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: 1511 CLIFF DR NB
Description: SFR BLOCK WALL 6' X 90 LF (ON PIL, MARKERS ON SITE) EAST SIDE
Legal Desc.: N TR1219 BLK A LOT 5_,-
Owner.
CARROLLJOSEPH
Address:
1511 CLIFF DR
NEWPORT BEACH CA 92660
Phone:
Applicant:
CARROLLJOSEPH
Address:
1511 CLIFF DR
NEWPORT BEACH CA 92660
Phone:
949-751-7900
Code Edit: 2016
Type of Construction:
Occupancy Group: U
Added /New sq.ft. Bldg: 0
Added /New sq. ft. Garage: 0
No of Stories: 0
No of Units : 0
Bldg Height: 0
Bldg Sprinklers:
Valuation: $15,000.00
Building Permit Fee: $412.00
Plan Check Fee: $365.00
Overtime Plan Ck:
$0.00
Investigation Fee:
$0.00
Record Management:
$2.00
Energy Compliance:.
$0.00
CA Seismic Safety: - -
$0.00
Disabled Access :
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$1.00
Contractor: OWNER/BLDR
Architect:
Address: CARROLLJOSEPH
Address:
Phone:
Phone: State Lie:
Con State Lie: O/B
Engineer:
Lie Expire:
Address:
Bus Lie:
Lie Exp Date:
Phone: State Lie:
Worker's Compensation Insurance
Designer:
Carrier:
Address:
Policy No:
Expire:
Phone:
Building Setbacks Rear: 10'
Special Conditions:
Front: 20'
Left: 4'
Right: 4'
Use Zone: Parkins Soaees: 0
Fire Hazard 7nne - N
Excise Tax:
$0.00
Planning Department -
` Additional Fee:
$0.00
Plan check Fee
Grading Bonds Fee:
$0.00
Fair Share:
Grading PC Consultant:
$0.00
SJH Trans :
Grading Permit Fee:
$0.00
In -lieu Housing Fee:
Grading PC Fee:
$0.00
Public Works Department -
WQ Insp. Fee:
$0.00
Park Dedication :
$0.00
PNV Plan Check:
$0.00
Electrical %:
$0.00
San Dist:
$0.00
Mechanical %:
$0.00
NMUSD Fee:
$0.00
Plumbing %:
$0.00
II TOTAL FEE: $820.00 Plan Check Fee:
sue.
6, s
O
PROCESSED BY:
ZONING APPROVAL:
Fire Department
$40.00
Fire Inspection:
$0.00
$0.00
Fire Plan Rev
$0.00
$0.00
Demolition Fee
$0.00
Building Dept Adm
$0.00
General Service
$0.00
Refund Deposit
$0.00
Grading Bond:
$0.00
$0.00
$0.00
$0.00 Fee Due at Permit Issuance : $820.00
® e 9'U L`rC WQISKS,�:0PROVAL:
0 o a
® PLAN CHECK BY:
GRADING APPROVAL: r'o° „SPPR' - P"}'PO WE:
c o 0
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 requires a permit to construct, alter, improve, demolish, or repair any structure, prior+toits issuance, also requires the applicant for
re 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 Iicensure 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).
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
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).
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
pply 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 Iicensure under the Contractors' State License Law for the following reason:
',y 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 legalh
ell a structure that I have built as an owner -builder if it has not c structed 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 whe is app' tion ' t at the following We ite:hhp://www.leginfo.ca.gov/calaw.htmi.
signature of Property Owner or Authorized Agent D
.ICENSED CONTRACTOR'S DECLARATI N
hereby affirm under penalty of perjury that I am license nder provisions of Chapter 9 (c mencing with Section 7pnm -. Division 3 of the Business and P.`---ions Code, and my license is in full force
nd effect. License Class License No Date Contractor Signatur_
COMPENSATION DECLARATION
'ARNING: 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
OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm under penalty of perjury one of the following declarations:
7 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
erformance 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 Code, for the performance of the work for which this permit is issued. My workers'
rance carrier and policy number are:
Policy Number
of Agent
Date
�certify that, in the performance 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' compensation laws of California, and agm
t,`if I should become subject to ker ' comp tion provisions of 3700 of the Labor Code, I shall forthwith comply with those provisions.
nature of Applicant e
CLARATION REGARMNG C TRU N MNDfqQ5QE9CY
�reby affirm under penaltyRrorjury that there is nstruction lending agency far the performance of the work for which this permit is issued (Section 3097, Civil Code).
rder'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.�E�%
I have read this application and the information I have provided is correct.
I agree to comply with all applicable city and county ordin as and state laws relating to buildi construction.
I authorize representatives of this city or count t er the ntified property for tion purposes.
nature of PmDertv Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name
ACTION DATE BY RAAGNIT F COMPLI ITH CODE OF FEDERAL FOR OFFICE USE ONLY
rEGULATIONS PART 61 ITLE 40 AND AOMD RULE
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PERMIT C4NCELLED OEPA
PERMIT EXTENDED OMD
PERMIT FINAL �L ASBESTOS NOTIFICATION IS NOTAPPLICABLE TO
CERTIFICATEOF •'/N.PROPOSED DEMOLITIOPP: •'� ••• ••• e•• •�
OCCUPANCYISSUED { 1 SIGNATURE: • • e s • e • e
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