HomeMy WebLinkAboutX2015-2090 - Permitse� City of Newport Beach - Building Division IIIII�I�IIII�I�II�IIIIIIIIIIIIIIIIIIII�Iu II
• es 100 Civic Center Drive, Newport Beach, CA 92660 X 2 0 1 5 2 0 9 09
�,•,. Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)Pa14-3255
rvz,* Combination Type - SFP
COMB Permit: X2015-2090
Project No
Issued Date: 07/25/2015
Inspection Area : 2
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION.
INSTALL OR VER7� FY�BON MQ�FJCARMONOXIDE DETECTORS /PLUMBING FIXTURES TO BE UPGRADED_-5;
Job Address: 2215 CLIFF DR NB r`- �� — �
Description: SFR CHANGE OUT (9) WINDOWS (CITY ST 4 AAA-rt A'�— �-5 r V
Legal Desc.: TR 919 LOT A NWLY 50 FT SELY 200 FT
Owner: MORE KEITH P KR TR Contractor: HOGAN COt„1.WUC ON A-;3e7. + a
Address: 534 SANTA ANA AVE Address: I ERNARDINOAVE �('.dFte§s: --1
'0 ;atLt 9
NEWPORT BEACH CA 92663 N' �W ORT BEACH CA 92663 r I nov,
Phone: one: 949-642-269001`/0 O� State Lic: t
Applicant: HOGAN JOHN ''� t t 608 ., Engineer:
Address: 455 SAN BERNARDIN VE ¢ r 09/30/ 15i r A}dres :�Cjri�• --��
NEWPORT BEACH CA 3 oLte = Bus Li 80 _1 : v� ` ;•
Phone: 949-642-2690 Dae'�+ 6,t.� `tea �4""dam Phone: State Lic.
Code Edit: 2013 Wor ''s Comp eft 4 1 raiis6 Designer HOGAN JOHN
Type of Construction VB rri N MPLOYEES f dd ess: 455 SAN BERNARDINO AVE
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Occupancy Group: R3/U s No (WC EXEMPT 4 NEWPORT BEACH CA 92663
Added /New sq.ft. Bldg. 0 Expire ' z-,.i✓''� 3 one: 949-422-2324
roac 1 ,.j' .� Z_
Added /New sq. ft. Garage: 0-Tc-.a_
No of Stories: 2 1 1 acks -'Rea .y'#' Special Conditions: LANDSLIDE AY2l�k III
No of Units: 1 < nx',+g
Bldg Height: 0 `. eft: / s , k � g fi
Bldg Sprinklers: i Right: /
Flood Zone: X- .„j�"Zone. Parkin Spaces: 0 '' "Ffaia'r'dZo le N ,.
Construction Valuation: $10,000.00 4 1 � Oa;jraiY Y� '� >L
�.� X .
Building Permit Fee: $279.00 Exase Ta �"-; °• ,0.0 Planning Department - Fire D
Plan Check Fee: $157.68 A Fein A a .0 Plan check Fee : $32.00 ire In ; $0.00
Overtime Plan Ck: $0.00 `Z.-_ y,-;, y-�x?� Fair Share: ,�ppp� $0.00
Investigation Fee: $0.00 Gra ons}�(talat„ ,� 5$0:�0 SJH Trans. $0.00 I . De b ition F
Record Management: $2.00 . Gra i g Per mYe $0.00 In-' sing Fee :DO-i t A $0.00
Energy Compliance: $0.00 ra ng PC Fee: $0.00 ublic Works Depag - General Service $0.00
CA Seismic Safety: $0.00 Q Insp. Fee: Park De ' A" Qr.."��'?�� Refund Deposit $0.00
Disabled Access : $0.00 , Plan �J`eblk- " $0.00
Hazardous Mat $0.00 etiol"%: $0$aruUf°:� $0.00
Building Green Fee : $1.00 chanical %: $0.,qo u =NMUSD Fee: $0.00 $0.00
$0.00
TOTAL FEE: $411.68
PROCESSED BY:
ZONING APPROVAL:
Plan Check Fee: $0.00 Fee Due at Permit Issuance : $411.68
PZ;BLIC6VORKS APPROVAL:
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P@AN'CH'FCK BY:
_ APPROVAL TO ISSUE:
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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 structurt-, prior tC 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 licensure and the basis for the alleged exemption. Any violation of Section 7031.5 _bey air yyapplieant�ib' p rmit:.subjects the applicant to a civil penalty of
not more than five hundred dollars ($500). - >--
--,ate='s"
❑ I, as owner of the property, or my employees with wages as their sole compensation wi I.bf`r tJ portions of the work, and the structure is not intended or offered for sale (Section 7044,
Business and. Professions Code: The Contractors' State Licenn LaY, ggs=net o an n ow er of propertywho throug� a �g�s' or personal effort, buildsor improves the property, provided that the
improvements are not intended or offered for sale-_df, UV e building or improvement is sold within one LAP@hreiitllT, fKe Owner -Builder will have the burden of proving that it was not built or
improved for the purpose ofs,,,o
U I, as owner of the pro rty, am exclusively cb tra g I I o construct the project (Septigngojj 4i3ei$dsslarki-PYofessions Code: Th§Contractors' State License Law does not
apply to an owner of prop y whte+bA+jltls_rpr it a d contracts for the projg" . Icensed n actor pursuant to the Contractors' State L nse Law).
Sig e
❑ I am. ezeFnpt from lice ure 8'�der the Contractors' ate Li a LaMf,�or te fol�WV7 %+reason,
By my signature below I a nowledge that, except fo - rso slAft AlvI must s1 < for at leagtyppti?)y� r etion of the improv ents covered by this permit, I cannot legal
sell a structure that I have ilt aullder �d hates notr'ee �cortsjr Irpt en t�Y�.fC1F n travu``PPbbrs-. 11 understand that a copy of the applicable aw, Section 7044 of the Business and
Professions Code, is avails le up reques 'hen appl' aR ub tt� at oowlffg eb site:http://www.leginfo.ca.gov/calaw.html.
Signature ofProperty Ow
or Authorized nt ,3 Date
LICENSEDCONTRACTQQR S G�, T[ON _
I hereby affirm under penalty pf peODrq at I am Ilcensed under pro I f�Ch9 ter&?'r(t6e imenc o f Ban 70 ) of Iwsi 3 "a Business and Profes ' e, and my license is in full force
and effect License �¢rr xContractor Signatur
�
rARNING: FAILURE TO SECURE W01
:DST OF COMPENSATION, DAMAGE'.
hereby affirm under penalty a
7 I have and will maintain a
erformance of the work for wh
JI have and will maintain wo
Isurance carrier and policy nu
p of Agent
certify that, in the p1
if I should become
Iatu re of Applicant P
to
isJVI
P T N CO RAGE IS.I� l�,kND SHA SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP
PED R IN SECT Eq`Y6�1 HE BOR CODE, INTEREST, AND ATTORNEY'S FEES.u` - following declarations: ,� c
rtificate of copse t to so,, I,Nnaure for workers' compensation, i ued I y t rjr � u trial lati
ps
this permit is I wed Pcy No. _r.-,w3s U per, ,.I,\5
s 'pei4u log„�k irano; �s q tre bya3e�tio 3700 of the Labor Codo-to O,fq' r rltcibll'c`e o tth) w®I
forwhich this permit is issued, I
Rip any person in any manner
of the Labor Code, I shallall fo�ftDNiE
ONE HUNDRED TH(kISAND DOLLARS ($100,0D0), IN ADDITION TO
by 13ection 3700 of the Labor Code, for
for which INS )penti!A issued. My workers'
laws of California, and
Da}e V7
:reby affirm under penalty of perjry th"r rl•eonstruc' ,jpyffiing`-afj�flcy for the performance of the work for which this permit is issued (Section 3097, Civil Code).
Ider's Name _—^ Lender's Address
Ioe my signature below, elow, certify t'fS' oa 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
I authorize representatives of this city or county toe
of Property Owner or Authorized
A1T"If DAIT
PF,7U1TFYPfRFf)
PERfuRT E1t7ENDED
P[Rarf1T 177NAL
CEAT7FTCATEOF
OCCUPANCYISSVED
and state laws relating to building construction.
ve-identified property for inspection purposes.
Print Property Owner's or Authorized Agent's
f{y ULU. wk r full Vr l.(M9Y WLC Wrr Tl4VL Vr
FEDERdL REGULATFONSPART 61 OF TITLE40 AND
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