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X2022-0019 - Permits
^`mot okr City of Newport Beach - Building Division o� 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone (949)644-3288 Inspection Requests Phone (949)644-3255 e��+r`uu+•' Combination type - BLDG PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION. I Construction Hours: Monday - Friday 7:00 a.m. to 6:30 p.m. and Sa Jab Address: 2620 CLIFF OR N13 _ Description: DEMO NON PERMITTED RETAINING WALLIBUILD NEW RETAINING WALL MAA HT Legal Desc.: N TR 919 BILK 1 LOT 14`' Owner: O'CONNOR CLAUDIA Address: P.O. BOX 15803 NEWPORT BEACH CA 92659 Phone: 7141504-2238 Applicant: C'CONNOR CLAUDIA Address: P.O. BOX 15803 NEWPORT BEACH CA 92659 Phone: 7141504-2238 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: Flood Zone: X Construction Valuation: $7.5 Building Permit Fee: $424.00 Plan Check Fee: $0.00 Overtime Plan Ck: $0.00 Investigation Fee: $0.0CX9�) Record Management: $0.00"y Energy Compliance: $0.00 CA Seismic Safety, $0.00 Disabled Access : $0.00' Hazardous Mat $0.00 Building Green Fee : $1.00 PROCESSED BY: Contractor: Address: from Phona. Con State Lic:.' O/B .: Lic Expire:. Bus Lic: Lic Exp ate: ar's 0161mitersa n Ins ce, ' rler: .,z'k ` olicyF-. Expir g tbackst;,ER Wgr, n .L,� _ t: 10 , . Additional:.° Gr g Bon G PC Consult radinj!i .,knit Fee: +Grading .. ee: I'llVQ I ee " p W, Electrical °/ rm�oll TOTAL FEE: $425.00 ZONING APPROVAL: GRADING APPROVAL: $0.00 `A 5 'Na [attar Che Planning Department - Planovibeck Fee : Housing Fee ; COMB Permit: X2022-0019 Project No: 0161-2017 Issued Date : 0110412022 Inspection Area 3, e COMPLE E - 01/04/2025 OR PERMIT WILL BE INVALID I.M. to .00 p.m. work ap.Sundays or Holidays .AC XP PERMIT X201 31) 7 Architect:''"^ Address:`, �•e .7� Phone: State Li Engineer: FRETBUEfARKCA DE JESUS Address: 7446HE DR 90620 St Phone: St Designer: R Address: Phow.a` s{�y p 11 Z&C44ions: Fire Hazard Zo e : N Fire Department Fire Inspection: Fire Plan Rev Demolition Fee Building Dept Adm General Service Refund Deposit Grading Bond: $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 a" so-ov Fee Due at Permit Issuance : $425.00 BLIC WORKS APPROVAL: i 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 requires a permit to construct, alter, improve, demolish, or repair any structure, prior to 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 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 not more than five hundred dollars ($500). ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or L) 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 improved 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 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). ❑ I am exempt from Iicensure 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 legal 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 ofthe 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 Property Owner or Authorized Agent „Date LICENSED CONTRACTOR'S DECLARATION ' I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) Nis jon 3 of the Business and Prof s Co e, d li 9 Is in full force and effect. License Class License No Date L Contractor Signature J/ WORKERS' COMPENSATION DECLARATION FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED :OMPEN^f T'CN, nAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. hereby affirm under penalty of perjury one of the following declarations: IN ADDITION TO THE 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 )rraance of�:he wort: for which this permit is issued. Policy No. have and will Taintain 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' compensa range carrier and onlicy number are: Policy Number w Agent Date certify that, ir, Lne 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 if I should bLCorr.E subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applicant Date CLARATION REGARDING CONSTRUCTION LENDING AGENCY - �reby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). tder'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 o er's behalf. a I have read this application and the informationJn.,ter provid rrect. I agree to comply with all applicable, antl crdinan s nd tat relating to building construction. f'!/'(•1C�'r/", 1, I authorize representatives of this city or county the Ide property for inspection purposes. nature of Prooertv Owner or Authorized Agent�, Print Property Owner's or Authorized Agent's Name ACTION DATE BY DECLNRQTICN OF COMIjLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY REGULATIONS PART 61 F TITLE 40 AND AQMD RULE PERMIT EXPIRED I SUBMITTED ASBESTOS NOTIFICATION TO PERMITCANCELLED EPA PERMIT EXTENDED QMD PERMITFINAL CERTIFICATE OF OCCUPANCYISSUED ASB T NOTIFICATION IS NOTAPPLICABLE TO ROPOSE DEMOLITION SIGNATU E: