HomeMy WebLinkAboutX2019-2500 - PermitsCity of Newport Beach - Building Division
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100 Civic Center Drive, Newport Beach, CA 92660
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Permit Counter Phone (949)644-3288
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Inspection Requests Phone (949)644-3255
Combination Type - BLDG
II n IIIII III�III III I IIIIIIIIIII IIII IIn11 COMB Permit: X2019-2500
Project No : 0161-2017
Issued Date : 08/0712019
a 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 8:00a.m. to 6:00 p.m. No work on Sundays or Holidays
Job Address: 2620 CLIFF DR NB t'll 1
Description: DEMO NON PERMITTED RETAINING WALLIBUILD NEW RETAINING WALL MAX HT 30" X 111 LF **STOP WORK"* (RENEW EXPIRED PERMIT)`1J \\\\\\
Legal Desc.: N TR 919 BILK 1 LOT 14
Owner:
O'CONNOR CLAUDIA
Address:
P.O. BOX 15803
NEWPORT BEACH, CA 92659
Phone:
714-504-2238
Applicant:
O'CONNOR CLAUDIA
Address:
P.O. BOX 15803
NEWPORT BEACH, CA 92659
Phone:
714-504-2238
Code Edit: 2016
Type of Construction:
Occupancy Group: U
Added /New sq.ft. Bldg:
0
Added /New sq. ft. Garage
No of Stories:
quo.
No of Units . 0
Bldg Height. 0<,
Bldg Sprinklers:
Flood Zone: X�'.
Construction Valuation: $0:00
Contractor: OWNER/BL,4R Arshitect:
Address: OCONNORCLAUD�J .,"; {Address ,
O�Ai1TH ATTACF[EY't
Phone: ! a�ol° Phone State, Lic: - -
�' U �
Con S ic: OIB �/\Engineer: PRIETO JOSE DE JE S
LL pire: e�h Address: 7446 COMANCHE DR
us Lic: ". �O*� BUENA PARK CA 9062 "
Lic Exp D .+,Ae Phone: Stat ic:C-076526
Worker' ompensatn ra �s�;+y� Designer:
Carrier, ¢'- _ Address: A
V wag'�, ,,�,cpirel� a, Phone: '
�3va, °v. �. A _.. F
wlkitig*s�.,a Rear,Special?6nr�ti '*'� 1016-0091*"
�i 00
kIbh cy 4� _t V
Use Zor7a jA i?3df n S ces: 0 _ Fir _a¢� d Zone: N73,
Building Permit Fee:
$0.00
Excise Tax
$0.00
Plan Check Fee: $0.00
Overtime Plan Ck:
$0.00
- Additional Fee'
Bonds Fee.
$206.00
$0 0b g
Investigation Fee:
$0.00
QGra,ing
ng PC Consultant
$000
Record Management:
$0.00
ng Permit Fee
- $0.00
Energy Compliance:
$0.00
Grading PC Fee:
CA Seismic Safety:
Disabled Access:
$0.00
$0.00
WQ Insp. Fee:
$0.00
Hazardous Mat
$0.00
Electri al %:
$0.00
Building Green Fee :
$0.00
Mech- cal %:
$0.00
Plumbing %:
,$0.06
`
TOTAL
FEE : $206.00
W V
Plan Check Fee
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Planning Department- J,(I( ,� ''Fire artment
Plan check Fee: _N $0.0 re Inspection: $0.00
Fair Share : $O.Od Fire Plan Rev $0.00
SJH Trans : $"0�.0. Demolition Fee
In -lieu Housi as: 0.60 Building Dept Adm $0.00
Publi W s Depart General Service $0.00
edicationy Refund Deposit $0.00
! NV Plan Ch6cky."*'"* $0.00 Grading Bond: $0.00
San Dist' $0.00
NMUSb Foe. $0.00 $0.00
$0.00
$0.00 Fee Due at Permit Issuance : $206.00
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 applicableitem(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
he 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
crofessions 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
10 ore 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 L) portions of the work, and the structure is not intended or offered for sale (Section 7044,
3uness 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
mpr vements 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
m roved 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 oroperty 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 `r,m icensure under the Contractors' State License Law for the following reason:
By in/ 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 legally
;ell a structure that I ;.ave built as an owner -builder if jt has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 70 of the usn as and
P-ofersions Code, is available upon request when lib appp�licaton s,,s.,ubmltte or at the following Web site:http://www.leginfo.ca.gov/calaw.html. r�
Signature of Property Owner or Authorized Agent C:L� w Date 0
I ICcNSED CON F RACTOR'S DECLARATION
I tie, eby affirm under penalty of perjury that I arm'/licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions C de, and my license is in full force
Lr.d effect. _icel.EC Class License No Date Contractor Signature
NORKERS' COMPENSATION DECLARATION
NA.M.ING: 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 I$100,0001, IN ADDITON TO THE
COS. OF COMPINSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES.
hereby affirm undr:r penalty of perjury one of the following declarations:
❑ I have aim; 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 thi
oerformance of the work for which this permit is issued. Policy No.
]I 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' compensatior
lsurance carrier and policy number are:
;arrier Policy Number Expiration Date
Jame of Agent Phone #
3 certify that, in the performance oft 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' com nsation laws of California, and agree
hat, if I should become sub' ct t ors s' ompensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
Signature of Applicant Date v
)ECLARATION REGARDING CONSTRUCTION LENDING AGENCY
hereby 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, ivil Code).
.ender's Name Lender's Address
)y 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 state laws relating to building construction. �•
I authorize representatives of this city or county o e e ve-id ntified property for inspection purposes.
Signature of Property Owner or Authorized Agent Print Property Owners or Authorized Agent's Name �j'4'ti7 LC%/�/liJ ate O 1
ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY /
REGULATIONS PART 61 OF TITLE 40 AND AQMD RULE
PERMITEXPIRED ( Jf-Zt?I LnMn I.IJ I SUBMITTED ASBESTOS NOTIFICATION TO
PERMIT EXTENDED LIAQMD
PERMITFINAL SBESTOS OTIFICATION IS NOT APPLICABLE TO
CERTIFICATE OF OF D MOLY�I�y
OCCUPANCY ISSUED SIGNATUR . �/C/