HomeMy WebLinkAboutX2015-3124 - Permits�y US4mv"I'
City of Newport Beach - Building DivisionlllIII100 Civic Center Drive, Newport Beach, CA 92660Permit Counter Phone (949)644-3288
Inspection Requests Phone (949)644-3255
Combination Type - BLDG
COMB Permit: X2015-3124
Project No :
-d Date: 10/22/2015
ection Area : 2
PERMITS EXPIRE 130 DAYS AFTER ISSUANCE OR LAST 1//WENNSPECTION.
Job Address: 2215 CLIFF DR NB
Description: BLOCK WALL 42" HI X 30' LONG @ FRONT YARD, INSIDE PROP LINE, CITY
Legal Desc.: TR 919 LOT A NWLY 50 FT SELY 200 FT NELY 150 FT
Owner:
MOORE KEITH
Address:
2215 CLIFF DR
NEWPORT BEACH CA 92663
Phone:
Applicant:
HOGAN CONSTRUCTION
Address:
455 SAN BERNARDINO AVE _
NEWPORT BEACH CA 92663
Phone:
949-642-2690
Code Edit :
2013
Type of Construction:
Occupancy Group: U ems;
Added /New sq.ft. Bldg: 0
Added /New sq. ft. Garage: 0
No of Stories: 0
No of Units : 0 t t
Bldg Height: 0
Bldg Sprinklers: r�
Flood Zone: X ,.
Construction Valuation:
$5,000.00
Building Permit Fee:
$144.00
Plan Check Fee:
$103.68
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
TOTAL FEE: $282.68
PROCESSED BY:
ZONING APPROVAL:
GRADING APPROVAL:
Contractor: HQGAN'I
Address: —1-45 SAN
{ y i
'RUCTION PAschi act
ADO AVE v Address: ,
\CH CA W63 ,Avy'�,''+•
rvp�Mri a:
Jr' Engineer:
Address:
FPhone:
T
A �, esigner:
> •Address:
Phone: 10
s
w
Skeci a
. )01 .
(-NO
s `
Exci ax „$0'UO'k�` PlanningDepartment-
�dditional -Fee: :�`$000 .:._r.; Plan check Fee
Fair Share
Grading PC suite $0.00. "'µ SJH s
^rafting Pe , ,'40 00 - ieu Housin
Grading PC ee: $0.00 / Public Wo e i
WOIr1sp Fee. $0.00 / P6 edig )
Plumbing
NMUSD Fee:
i gym.®
a
a`a .
State Lic
a u
�6
• as a c
a®
as
State Lic:'
6 �
a: ao 6
Jqa .mua
@ PROP
$3 .
Fire Inspection:
$0.00
Fire Plan Rev
$0.00
Demolition Fee
„.00
$0.00
Building Dept Adm
$0.00
nt-
General Service
$0.00
$0.00
Refund Deposit.
$0.00
$0.00
$0.00
- -
$0.00
$0.00
$0.00
Check Fee: $0.00 Fee Due at Permit Issuance : $282.68
PUBLIC WORKS APPROVAL:
PLAN CHECK BY:/
APPROVAL TO ISSUE:
OWNER -BUILDER DECLARATION
1 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)
action 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
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
)fessions 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'al6jAiicant.for a permit subjects the applicant to a civil penalty of
more than five hundred dollars ($500). ti
I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044,
;iness and Professions Code: The Contractors' State License Law does not apply to an owner ofprape* who, through employees' or personal effort, builds or improves the property, provided that the
)rovements are not intended or offered for sale. If, however, the building or improverne
,n
,A:&,So&within one year of,cgmpletion, the Owner-Builde'€,will have the burden of proving that it was not built or
)roved for th® puW9se of sale). {_� o iy
I, as,owner.ot �ae.property, am exclusively contracting with lice `t`ontractors to construct thetproject (Section 79L44, pu'QnE5s)ahO �rofesslon Code: The Contractors' State License Law does not
)1Jlh*an owner of property who builds or improves t e ann contracts for the r jects with a licenseQ Contra6idr pursuant to the Contractor' State License Law).
.I an: exempl�rom licensure under a ors' State License Law for owing reason: ', ::`°) /0
_'
PraSr'sSgnature b@low I ackno - at, ex t r personal rice m which I r0,ustave resided for at least one year pri pletion of tY improvements covered by this permit, I cannot legal
Va trudure th>a I as n o n r i e een constructed Irrifs.err)veY� by licensed wndLgst ;ly s and that a copy of the applicable law, Section 7044 of the Business and
4assions Cq(d� s available ui%It"Ti e e t application Is lb E"8. of he�fu�lovuhg Web ai(✓e;116tp?fiavWw.leginfo.ca.gov/calaw.html.
nature of Pr' SertvtSwnec.oR h a t ^'1* `:-r Date
hergtly affirm ur'kter penalty of pequryrhatb"[ aYnollacensed uNergov�{'aions�932%ter 9 (commencing with Section 7000) of Di isior3 f tl)rusiness an Profes s C e e Is in full force
.ndeffeet. Licerge Class" �"3 (,' , Icef,�se 1T Date contractor Sign a .,�
11 0 AT1014 ECLII N ` #
1AFINRJG� FAILURE S '�„ W,,ORKER MiOMPENSATION COVERAGE IS UN UL .AND —A 4YsSUe;�Grsi AN p TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUND ED THOUSAND DOLLARS (E100,000), IN ADDITION TO THE
DST OF COMPENSATI�Ja.�4M'i�fiE$gSP,ftQ�IDED FOR IN SECTION 3T0eD0(CODE,'fRESJT✓�S FEES.
hereby affirm urld�eg4nalfyaP—erlury 0 e
I have and will m intaln of conto selfC7ufor wooers' compensation, issued by tie Dire otdvsffial ons as pr vided r by Section 3700 of the Labor Code, for th
erformance of the work for u-11ich rtthl it is ;tsue IicjHdo. ��, i ,.t\
]I have and will main , in w8tker o sat9dh s rance, as required by Section 3700 f th ab> o6eor the p�IFW(a s0 pf th ork r hich thi permit is issued. My workers' compensatioi
Isurance carrier and poy nuayb'�-
:arrieri Policy Num rfi c? +!� A 1 v� Expir
YnAlof Agent A
{
Vce ify that, in the perfot4nanceoik•for wh1DYi},Ekisi perrm is ued, I shall not employ any person in an er s0 as to _ 1 o the compensation laws of California, and agre
1 I should become su Ft t(cerSseompen satio,0;prprt'�S s5 of Section 3700 of the Labor shall forthwitF r vpl� 'th tho e
lignature of Applicant - " '!' Date
)ECLARATION REGARDIN -T TION LENDING AGENCY " -
hereby affirm under penalty oTperjury t t there is a constructio ngagency for the ante o r for which this permit is issued (Section 3097, Civil Code).
Ender's Name / rider's
ly my signature below, I certify ea44rt3Sie mg: _
I am the property owner or a honied to ad on the pro owner's. -
I have read this application the informs' ave�pidz?S correct.
I agree to comply with all appliVp y and.cgDr or es and state laws relating to building construction.
I authorize representatives of t%gk—or"'dount er a above -identified property for inspection purposes. a �tt
tignature of Property Owner or Authorized Agent Print Property Owner's or Authorized Agent's Name ll _ 0i4J4 HOG�Date ) DIT
Qf'7if I DATF AV DECLARATION OFCOMPLfiWCEWTH CODE OF hun UFNLt ih'k IHar
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PLZh71T rw4L PRUPOSED VEMOILITION.
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