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HomeMy WebLinkAboutF2022-0628 - PermitsF��WPoaT City of Newport Beach Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 e` z Pemit Counter Phone: (949) 644-3288 Inspection Requests Phone: (949) 644-3255 cqt/pppH�P newportbeachca.gov/inspections Combination Type - SFP Work Class - New COMB Permit : F2O22-0628 F 2 0 2 2 0����������������� II Plan Check No: PC2022-3109 Issued Date : Inspection Area : 1 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION, BUT NO LATER THAN 3 YEARS FROM ORIGINAL ISSUANCE DATE NO CONSTRUCTION RELATED NOISE ON SATURDAY OR SUNDAY IN HIGH DENSITY AREAS AND NO WORK ON SUNDAY AND HOLIDAYS IN ALL AREAS Job Address : 106 33RD ST Legal Desc : A TR NEWPORT BEACH CITY BLK 32 LOT 9 NEWPORT BEACH CITY LOT 9 BILK 32 NLY 62 FT Description : SFR FIRE SPRINKLERS (XR2022-2071) 28 HEADS Owner: JAMES GILL Address : 106 33RD ST NEWPORT BEACH, CA Phone Applicant: MONTY CASEY Address : 1101 KINGSTON DR LA HABRA, CA 90631 Phone: (714)476-5370 Owner/Builder : Address : Phone Code Edition : 2019 Type of Construction : V-B Occupancy Groups: R3/U Bldg Height : Building Setbacks : Front: 4, Side: 3, Side: 3, Rear: 10 Flood Zone : X Use Zone: R-2 - Two -Unit Residential Contractor: MONTY CASEY Address : 1101 KINGSTON DR LA HABRA, CA 90631 Phone: (714)476-5370 Con State Lic : 876004 Lic Expire : 04/30/2024 Bus Lic : BT30040107 Bus Lic Expire : 07/31/2023 Workers' Compensation Insurance Carrier: SECURITY NATIONAL INS CO Policy No: SWC1373758 W. C. Expire : 2/15/2023 Fire Sprinklers : Fire Hazard Zone No of Units : No of Stories PROCESSED BY: A SPECIAL CONDITIONS: Architect Address Phone: State Lic Engineer Address Phone Designer: MONTYCASEY Address: 1101 KINGSTON DR LA HABRA, CA 90631 Phone: (714)476-5370 YES Construction Valuation : $2,800.00 NO Added/New/TI sq. ft. Bldg : 0 1 Alteration sq. ft. Bldg : 3 Added/New sq. ft. Garage: 0 TOTAL sq. ft.: 0 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 nextto the applicable items) (Section 7031-5. Business and Professions Code: Arty city or county that requires a permit to contract, 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 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 not more than five hundred. dollars ($500). 111, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U potions 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). 0 I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Coder 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), © 1 am exempt from licensors 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 lel sell a structure that I have built as an ownor•builder if it has not been constructed in its entirety by liconsod contractors. I understand that a copy of the 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:nttp:llwvnv.leginfo.ca,govlcalavr.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 of DM ' n 3 of the Business and Professio s Code, and my license is in full force and effect. License Class License No Daie tit Contractor Signature WORKERS' COMPENSATION DECLARATION NARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UPTO ONE HUNDRED THOUSAND DOLLARS (S100,000}, IN ADDITION TO THE COST OF COMPENSATION; DAMAGES AS PROVIDED FOR IN SECTION 370E OF THE LABOR CODE, INTEREST, AND ATTORNE'Y'S FEES. hereby affirm under penalty of perjury one of the following declarations: have and will maintain a certificate of consent to Salf-insure for workers' Compensation, Issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for th rmance of the work for which this permit is issued. Policy No. 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` carder and policy number are: Policy Number of Agent Date I Certify that, in the performance of the work for which this permit is issued, I shall notemploy any person in any manner so as to become subject to the workers' compensation laws of California, and agre t, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. �qt 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). ider's Name Lenders Address my signature below, I certify to each of the following: i am the property owner or authorized to act on the properly 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 to 'to enter the above -identified property for inspection purposes. r� / naiurs of Pmrartv nwner or Authi Aapnf I , - Print Preoertv Owner's or Antimn7ed Aoent's Nnn1aY r I. I I]a}e I q 114 I %t ACTION DATE BY ` DECLARATION OF CONIPLIANCE. 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