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Home My WebLink AboutF2022-0544 - PermitsCity of Newport Beach ��EWPoRT Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 u s Permit Counter Phone: (949) 644-3288 a. c9�rFORN�P Inspection Requests Phone: (949) 644-3255 newportbeachca.gov/inspections Combination Type - Work Class - New piiiiiiiiiCOMB Permit : F2022-0544 Plan Check No; PC2022-2614 Issued Date : 10/19/2022 Inspection Area : 6 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 1/0 Job Address : 424 ORCHID AVE Legal Desc : A TR CORONA DEL MAR BLK 442 LOT 18 CORO() DEL MAR LOT 18 BLK 442(AND SWLY1/2 LOT 20 Description: MFR FIRE SPRINKLERS (X2019-4163) 48 HEADS S��h Owner: 424 ORCHID LLC Address : 27661 HOMESTEAD RD LAGUNA NIGUEL, CA 92677 Phone Applicant: MONTYCASEY Address : 1101 KINGSTON DR LA HABRA, CA 90631 Phone: (714)476-5370 Owner/Builder : Address : Phone Contractor: MONTY CASEY Address : 1101 KINGSTON DR LA HABRA, CA 90631 Phone: (714)476-5370 Con State Lie : 876004 Lie Expire : 04/30/2024 Bus Lie : BT30040107 Bus Lie Expire : 07/31/2023 Workers' Compensation Insurance Carrier: SECURITY NATIONAL INS CO Policy No: SWC1373758 W. C. Expire : 2/15/2023 State Engineer: Address : Phone: Designer: MONTY CASEY Address : 1101 KINGSTON DR LA-HABRA, (,A 60639 Phone . (714)A76-53 Code Edition : 2019 Fire Sprinklers : YES Construction Valuation : $4,800.00 Type of Construction : V-B Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg Occupancy Groups : R3/U No of Units : 2 Alteration sq. ft. Bldg : Bldg Height: No of Stories : 3 Added/New sq. ft. Garage: 0 TOTAL sq. ft. Bldg: 0 Building Setbacks : Front: 20, Side: 4, Side: 4, Rear: 5 Flood Zone : X Use Zone : R-2 - Two -Unit Residential PROCESSED BY: SPECIAL CONDITIONS: I hereby affirm under penalty of perjury that t 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) feet on 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 :o permit to file a signed statement that lie 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 Tofessions 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 of more than five hundred dollars ($500) 1, as owner of the property, or my employees with Wages as their sole compensation, will do U all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, usiness 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 nprovements 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 nproved for the purpose of sale). I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' State License Law does not �piy to an owner of property who builds or improvesthereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). I am exempt from licensure under the Contractors' State License Law for the following reason: y my signature below l 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 legally all a structure that I have built as an owner -builder if it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and 'rofessions Code., is available upon request when this application is submitted or at the following Web site:http:llw .ieginfo.ca.gov)calaw:html. ',ignature of Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (Commencing with Section 7p00) of Division 3 of the Business and Professions Coda, and my license is In PoII force nd effect. License Class License No Datb41%- Contractor Signaturg) i^ VORKERS' COMPENSATION DECLARATION 'ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SMALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVILFINES UP TO ONE HUNDRED THOUSAND DOLLARS (6100,000014 ADDITION TO THE DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES - hereby affirm under penalty of perjury one of the following declarations: J4 have and will maintain a certificate of consent to self -insure for workers' compensation.. Issued by the Director of industrial Relations as provided for by Section 3700 of the Labor Code, for IN srformance 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' carrier 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 not employ any person in any manner so as to become subject to the workers' compensation laws of California, and agre' tat, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. -ignalurs of Applicant \j,�... Date _ __ IECLARATIGN REG,�Rp1NG G NSTRl1CTION LENDING AGENCY' hereby 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). tinder's Name Lender's Address y 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 above -identified property for inspection purposes, % M �ionature of Pronertv Owneror Authorized Adentll% � Print Prooertv Owner's or Authorized Aaem's Namal V—X - w j—u Cr rr Date C i5 r' k ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQMD RLILE 1403 PEANttTEXPIRED I SUBMITTED ASBESTOS nIUTIgCPTION TO J PERMIT CANCELLED CPA PERMIT PCRYH7FINAL CERTIFICATEOF �-S-�' k.,A , T-Tr I,,,,IA BBE5105 NOTIFICATION 15 NOT APPLICABLE rO PROPOSED DEMOLITION OCCUPANCYISSUED SIGNATURE: ,