HomeMy WebLinkAboutX2022-0991 - Permits_MARKED TO DISCARDCity of Newport Beach - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone (949)944-3288
- Inspection Requests phone (949)644-3255
n> Combination Type - BLDG
PERMIT EXPIRES 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTIO
Construction Hours: Monday - Friday 7:00 a.m. to 6:30 p.m. and
Job Address: 621 DONALD PL NS
Description: SFR BLOCK WALL 6' x 131 LF (INSIDE P/L)
Legal Desc.: N TR 10156 LOT 2 .0,4
Owner: BRENNAN KEVIN
Address: 621 DONALD PL
NEWPORT BEACH, CA 92663
Phone
Applicant:
BRENNAN BRIAN
Address:
1995 BATAVIA
ORANGE CA 92863
Phone:
714-412-6919
Code Edit :
2019
Type of Construction:
VB
Occupancy Group:
R3/U
Added /New sq.ft. Bldg:
0
Added /New sq. ft. Garage:
0
No of Stories:
No of Units:
Bldg Height:
Zx
Bldg Sprinklers:
Flood Zone:
11 Construction Valu on:
12
Building Permit Fee:N. $28aO
Plan Check Fee: $24 0
Overtime Plan Ck:
$0.
Investigation Fee:
0.00
Record Management :
.00
Energy Compliance:
$ 0
CA Seismic Safety :
$0.
Disabled Access :
$0.00
Hazardous Mat
$0.00
Building Green Fee :
$1.00
TOTAL FEE: $729
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Contractor: P R
Address: 1.54
Phone:
Lic: 673267 rj
$0.00
$0.00
nsultant
Fee:
e:
�2�00
11
Y ` $0.00
$0
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Phone
Engineer:
Address:
COMB Permit: X2022-0991
Project No : 0919-2022
Issued Date : 04/05/2022
Inspection Area : 3
D512025 OR PERMIT WILL BE INVALID
work on Sundays or Holidays
State Lic:
Phone: St
Designer:+Rr%Q\RIA_:O Address'TAVIA63NGE CA 928Phonn 412.6919
,l,�ibl Cos:
0Of
Pla mg Departmen
Plan check Fee
Fair Share
SJH Trans
In -lie H ing Fee
Publ ks De
Dedica n
r M/Pla h-
San Di
N D e:
$0.00
,�0
XX 0.
Fire Department
Fire Inspection:
/
. 0
$0.00
Fire Plan Rev
Demolition Fee
$0.00
Building Dept Adm
General Service
$0.00
Refund Deposit
$50.75
Grading Bond:
$0.00
$0.00
C)
Di
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
$0.00
Fee Due at Permit Issuance : $729.35
PUBLIC WOR:(S APPROVAL:
PLAN CHECK BY:
APPROVA'_ TO.S'SUE:
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for th son(s)_,indicated below by the checkmark(s) I have placed next to the applicable items)
(Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, er, i ove,demolish, or repair any structure, prior to itsssuance, also requires!he applicant for
the permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contr rs' State ense 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 exempti . Any violation ection 7031.5 by any applicant for a permit subjects the applicant to a civil penalty of
not more than five hundred dollars ($500). a _
J I, as owner of the property, or my employees with wages as their sole compensation, will
Iusiness and Professions Code: The Contractors' State License Law does not apply to m .90
nprovements are not intended or offered for sale. If, however, the building Or improvemoft
nproved for the purpose of sale).
I, as owner of the property, am exclusively contracting with licensed Contrac/rth,
ns-
pply to an owner of property who builds or improves thereon, and who contract
7 I am exempt from licensure under the Contractors' State License Law for follo r
ly my signature below I acknowledge that, except for my personal res iden in whit .rrus
ell a structure that I have built as an owner -builder if it has not been co ructecc��ruts entire)
'rofessions Code, is available upon request when this application is muted oXt the 1L
signature of Property Owner or Authorized Agent
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perjury that I am licensed un provislonyof Chapter 9 (cop
nd effect. License Class icanse 1 1 'S
L) all of or L s of tf* work; and the structure is not intended or offered for sale (Section 7044,
ner of property w hrough ern k oyees',cr personal effort, builds or improves the property, provided that the
is sold within \ ar of co eti0 he Ovafker-Builder will have the burden of proving that it was not built or
00
the Qf,t (Sectio 044, Business Prbftb'9sions Code: The Contractors' State License Law does not
'c+cts''d licensed ntractor pursuant tot Corft.Fa�tors' State License Law).
ea
with
Business
CORKERS' COMPENSATION DECLARATION
EARNING: FAILURE TO SECURE WORKERS' COMPENSATION C ERAGE AWFUL AND LL SUBJECT AN EMPLOYER TO CRIMINAL PENALT ND IL FINES UP TO
DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN TION 07 HE LABOR GOhf NTEREST AND�"TORNEY'S FEES. -f /Relat;
hereby affirm under penalty of perjury one of t ollowin clarations1 have and will maintain a certificate o ons �,t elf -insure for workers' rompensatw,jj#bed by the DirtIr1c triormance of the work for which this pe it is Policoo.i:'J' ) of0have and wi ma am workers' ati insuraRee as required by Section 37007 the Labor therformanIsurance carrier ndp icy numb. %
me of Agent A./Il
certify that, in the p rma*ewch this permit is IssU2t, if I should beco fGjesnsation provisions of
nature of Applicn_CLARATION RE A GING AGENCY
:relay affir and r penalty o��cppnstruct 'ion lend' ing a
Ider's NameOr
my signature,belaw, I certify tI certify t ed ach. a following: ' se following: ' s
I am the property owner or authonii to a e prop ty owner's be
I have read this application and the info at on a provi is com
I agree to comply wlthallapplicable oiFy, a
I authorize representati+ii,,B; of this city o"r' ou e e t -
ACTION
DATE'-.
BY
DEPWATlWOR\Q.WIPLL
RF�G ��ONS PAIiF 610E
1 D
PERMIT EXPIRED
t -'
15 MITTEDASBEST .
PERMIT CANCELLED
EPA
PERMIT EXTENDED
EIAQMD
PERMIT FINAL
CERTIFICATE OF
OCCUPANCY ISSUED
U ASBESTOS NOTIFICATI(
PROPOSED DEMOLITION,,
SIGNATURE:
Date
in full force
I$t00,000), IN ADDITION TO THE
for by Section 3700 of the Labor Code, for
this permit is issued. My workers'
not employ any on in any me o as to e e subject to the workers' compensati law of California, and ogre
3700 of the Labor Code, 1 shall fort Ith y those provisions. I
D ` rformance o t rk fo Ic is permit is issued (Section 3097, Civil Cod
er's Address ,�--�/I
IYating to bu' in
co ,ru on. t' '/
t�erlY-fer ectio u ses. \ /7 /�7'//}�-/��/,,�li� �'� �/f�
Print ro v Owner's or Authorized Aoent's Name Y 111� lam' " Da : L /V'
NOTAPPLICABLE TO
I FOR OFFICE USE ONLY