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HomeMy WebLinkAboutX2022-0991 - PermitsCity 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 lJi Ili iiiiiiiiiiiii1ii II O p MUST Ba. kETf 'd ' rom8:00 a.m. tq 6. 0 kp ' ^6 ;�' 1 � INC_ N� Q Archi ZA Jess: O� 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