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Home My WebLink AboutF2022-0605 - Permits��WPORT City of Newport Beach Q 0 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 c9C/p�pN�P newportbeachca.gov/inspections Combination Type - SFP Work Class - Addition/Alteration F 2 0 2 2 0 6 0 5COMB Permit: F2022-0605 Plan Check No : PC2022-2991 Issued Date: A, Inspection Area : 5 VYV -"" PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPEC NO CONSTRUCTION RELATED NOISE ON SATURDAY OR SUND^IN HIGH V_ -�k Job Address : 3130 BREAKERS DR Legal Desc : P BK 381 Description: SFR FIRE SPRINKLERS - 34 HEADS (X2022-2216) Owner: Address : Phone : PARROTT MARGARET JEAN TR / M J Contractor: MONTY CASEY PARROTT REVOC TR 3140 BREAKERS DR CORONA DEL MAR, CA 92625-3207, Applicant: MONTY CASEY Address : 1101 KINGSTON DR LA HABRA, CA 90631 Phone: (714)476-5370 Owner/Builder : Address : Phone NO LATER THAN 3 YEARS FROM ORIGINAL ISSUANCE DATE ,REAS AND NO WORK ON SUNDAY AND HOLIDAYS IN ALL AREAS 1 UN 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 Code Edition : 2019 Fire Sprinklers : YES Type of Construction : V-B Fire Hazard Zone : NO Occupancy Groups : R3/U No of Units : 1 Bldg Height : No of Stories : 4 Building Setbacks : Front: 5, Front: 10, Side: 4, Side: 4 Flood Zone : X Use Zone : R-2 - Two -Unit Residential PROCESSED BY SPECIAL CONDITIONS: 1 OF PI(k1 381-39 OF CONDO PRO JECT 930-25 r Architect Address Phone: State Lie: Engineer: Address Phone : Designer: MONTY CASEY Address: 1101 KINGSTON DR LA HABRA, CA 90631 Phone: (714)476-5370 Construction Valuation : $3,400.00 Added/New/TI sq. ft. Bldg : 0 Alteration ss;jtoBl AddecilN@3✓ salt Gbrlge : 0 rT6t4L"sgA.: 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 next to the applicable Fannie) (Section 7031.5, Business and Professions Code: Any city or county that squires a permit to construct, 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 previsions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000) of Division of the Business and Professions Code) or that he or she is exempt from licensureand the basis for the alleged exemption. Any violation of Section 703t5 by any applicant for a permit subjects the applicant to a civil penalty of not more than five hundred dollars ($500). 0 1, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or L) portions 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 Code: The Contractors' State License Law does not apply 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: By my Sig nolure below I acknowledge that, except for my personal residence in wh'Ich I must have resided for at Least one year prior to completion of the im provemants covered by thIs parm It, I cannot leg all sell a structure that I have built as an owner -builder if it has not been constructed in [ts entirety by licensed 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:http:/iwww.leginfo.ca,gov/calaw.html. Signature of Property Owner or Authorized Agent _v Oate LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7 0) of Division 3 of the Business and Profesyions� my license is In full force and effect. License Class License No Date l Contractor Signature i WORKERS' COMPENSATION DECLARATION ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SU84ECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TOONE HUNDRED THOUSAND DOLLARS (S100,000), IN ADDITION TO THE COST OF COMPENSATION: DAMAGES AS PROVIDED FOR 1N SECTION 3706 OF THE LASOR CODE, INTEREST, AND ATfORNEY'S FEES. I hereby affirm under penalty of perjury one of the following declarations: I 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 th pelormance of the work for which this permit is issued. Policy No. ZI ave 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' cdmpensatio isur nee carrier and policy number are: Ca - er Policy Number Expiration Date Name of Agent Phone if 01 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 that, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. I Signature of Applicant �'^-�� Data � L 1 1 Z i. DECLARATION REGA. ING CONSTRUCTION LENDING AGENCY � / I hereby affirm under p nalty of perjury that there is a construction lending agency for the performance of the work for which this permit is issued (Section 309 Civil Code). Lenders Name Lender's Address By 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. Si nature of Propertyy Owner. or Authorized Agent Print PropertypyOwner's or Authorized Agent's Name • . Z , . pate ( 7 ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY J1i REGULATIONS PART 51 OF TITLE AO AND AONID RULE 1403 PERMfTEXPIRED j I SUBMITTED ASBESTOS NOTIFICATION TO PERMITCAMCELLED OSPA PERMIT EXTENDED __ riLJA4MID PERMITFINAL L—�{� g MASBESTOS NOTIFICNLION 15 NOT APPLICABLt TO CERTIFICATE OF V1_ PROPOSED DEMOLITION OCCUPANCY ISSUED SIGNATURE: