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Home My WebLink AboutF2023-0021 - PermitsQ ��WPO�T o d '. ? a. Cq[/FOR��P City of Newport Beach Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 644-3288 Inspection Requests Phone: (949) 644-3255 newportbeachca.gov/inspections Combination Type - MFP Work Class - Alteration F 2 0 2 3 0 0 2 1II COMB Permit: F2023-0021 Plan Check No : PC2023-0074 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: 707 LIDO PARK DR Legal Desc : P BK235. PG 25 PAR 1 UN 1 P M 235-25 PAR 1 UNIT 1 OF PROJECT LOCATED ON AP Description: MFR FIRE SPRINKLERS 41 HEADS (XR2022-2075) Owner: FREDERICK OREILLY Contractor: MONTY CASEY Architect Address : 11541 HEATHCLIFF DR Address : 1101 KINGSTON DR Address SANTA ANA, CA 92705 LA HABRA, CA 90631 Phone: Phone: (714)476-5370 Phone: Con State Lie : 876004 State Lie Lie Expire : 04/30/2024 Applicant: MONTY CASEY Bus Lie: BT30040107 Engineer: Address : 1101 KINGSTON DR Bus Lie Expire : 07/31/2023 Address LA HABRA, CA 90631 Phone: (714) 476-5370 Workers' Compensation Insurance Phone: Carrier: SECURITY NATIONAL INS CO Owner/Builder : Policy No: SWC1373758 Designer: MONTY CASEY Address : W. C. Expire : 2/15/2023 Address : 1101 KINGSTON DR LA HABRA, CA 90631 Phone: Phone: (714)476-5370 Code Edition : 2022 Fire Sprinklers : YES Construction Valuation : $4,100.00 Type of Construction : V-B Fire Hazard Zone : NO Added/New/Ti sq. ft. Bldg : 0 Occupancy Groups : R2 No of Units : 2 Alteration sq. ft. Bldg: Bldg Height: No of Stories ; 2 Added/New sq. ft. Garage : 0 TOTAL sq. ft. 0 Building Setbacks : Front: 20 Flood Zone X Use Zone: RM - Multiple Residential a ° a� o® PROCESSED BY: 330 'vo °oa aoe o m SPECIAL CONDITIONS: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reason(s) indicatei I 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. alter, improve, demobs I, 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 Vlcensure and the basis for the alleged exemption. Any violation of Section 031.5 by any applicant for a permit subjects the applicant to a civil penalty of lot more than five hundred dollars ($500). El I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or (_) portions of the work, and the structure is not intended or offered for sale {Section 70", Business and Professions Code: The Contractors' State License Law does not apply town 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. It, however, the building or improvement Is sold within one year of completloin, 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 70", Bun mass and Professions Code: The Contractors State License Law does not a ply to an owner of property who builds or improves thereon, and who contracts for the projects with a licensed Contractor put uant to the Contractors' State License Law). I am exempt from licensure under the Contractors' State License Law for the foilovAng reason: By my signature below I acknowledge that, except for my personal residence in which I must have resided for at feast one year prior to completion of the improvements covered by this permit, I cannot legal], soil a structure that I have built as an owner -builder if it has not boon constructed in its entirely by licensed contractors. I undenstand 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 sfte:http:ltwww.Isginfo. .govicalaw.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 Dr Ision 3 of the Business and ProfASI1 ns Code, and my license is In full force and effect. License Class License No Date \ \ IN Contractor Slgnaturall _X_r COMPENSATION DECLARATION IARNING: FAILURE TO SECURE WORKERS" COMPENSATION COVERAGE le UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENAL? '.OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3/06 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. hereby affirm under penalty of perjury one of the following declarations: 3 1 have and will maintain a certificate of consent to self -insure for workers' compensation, Issued by the Director of Bltormance of the work for which this permit Is issued. Policy No. ;I have and will maintain workers' compensation insurance, as requrred by Section 3700 of the Labor Code, for the pe raurence, carrier and policy number are. 4rPlar Policy Number tame of Agent certify that, in the performance of the work for which this permit is issued, I shall not employ any person in any manner so If f should become sub)eEttto the workers' compensation provisions of Section 3700. of the Labor Code, I shall forthwith c tature of ADolicanf I e-tt! -� __. — 3reby affirm under penalty of perjury that there is a construction lending agency for the performance of the work for which lder's Name Lender's Address 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 to enter the Game-Jd6aN8ed property for inspection purposes. By I OFCI.A1A1iON,OF CWA?LIANCE WITH CODE OF FEDERAL j RcIUCATONS FART 810E TITLE 40 AND ACiNH1 RWLF PfAMiTWOVEIF0 AQM �� t t'LJD __ SNOTIrIONISNOTAPPUCABLE TO CERFICA€OF `_iI ASBESI 710N OCCUPANCYISSUE0 SIGNATURE: CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS tS100,0001, IN ADDITION TO THE Relations as provided for by Section 3700 of the Labor Coda, for of the work for which this permit Is issued. My workers' Date to become subject to the workers' compensation laws of California, and agre oly with those provisions. termit is issued (Section 3097. Civ£rCode). FOR OFFICE USE ONLY