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Home My WebLink AboutF2022-0464 - Permits��eWPORr City of Newport Beach p N Community Development Department - Building Division 100 Civic Center Drive, Newport Beach, CA 92660 U i Permit Counter Phone: (949) 644-3288 m. Inspection Requests Phone: (949) 644-3255 newportbeachea.govfinspections Combination Type - Work Class - New 1111��1111111111 ��1111111111COMB Permit: F2022-0464 Plan Check No : PC2022-2190 Issued Date : 11/03/2022 Inspection Area : 3 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 : 302 KINGS RD Legal Desc : N TR 1219 BLK H LOT 12 Description: SFR FIRE SPRINKLERS (X2021-0620) 67 HEADS Owner: CHERYLKERR Address : 12777 GARDEN GROVE BLVD APT308 GARDEN GROVE, CA 92843 Phone: Applicant: MONTY CASEY Address: 1101 KINGSTON DR LA HABRA, CA 90631 Phone: (714)476-5370 Owner/Builder : Address : Phone Contractor: MONTYCASEY 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 Architect Address Phone: State Lie Engineer: Address : Phone Designer: MONTY CASEY Address: 1101 KINGSTON DR LA HABRA, CA 90631 Phone: (714)476-5370 Code Edition : 2019 Fire Sprinklers : YES Construction Valuation Type of Construction : V-B Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg Occupancy Groups : R3/U No of Units : 1 Alteration sq. ft. Bldg : Bldg Height: No of Stories : 3 Added/New sq. ft. Garage TOTAL sq, ft. Bldg: 0 Building Setbacks : Front: 20, Side: 4, Side: 4, Rear: 0 Flood Zone : X Use Zone : R-1 - Single -Unit Residential Q 75 PROCESSED BY: $6,700.00. SPECIAL CONDITIONS: UYVniK-LSU€LUCR UML LMRN r JUIN 1 hereby affirm under penalty of perjury that 1 am exempt from the Contractors State License Law for the reasons) indicated below by the checkmark(s) I have placed next to the applicable items) ;action 7031.5, Business and Professions Code: Any city or county that requires a pormil to construct, alter, improve, demolish, or repair any structure, poor to its issuance, also requires the applicant for a 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 rofessions 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 A more than rive hundred dollars ($500). 1, as owner of the property, or my employees with wages as their sole compensation, will do L) all of of (_) 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 1provements 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 iproved for the purpose of sale). ] I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7D44, Business and Professions Code: The Contracto s" State License law does not ly 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). .l I am exempt from licensure under the Contractors' Stale License Law for the following reason: y 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 legall) all a structure that I have builtas an owner -builder if ithas not been constructed in its entirely by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and rofe5sions Code, Is available upon request when this application Is submitted or at the following Web site:http:llwww.leginfo.ca.govlcalaw.html. Ignature of Property Owner or Authorized Agent Dale JCENSED CONTRACTOR'S DECLARATION hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of D vision 3 of the Business and Profes ions Code nd my license is in full force nd effect. License Class License No Date l L Contractor Signature WORKERS' COMPENSATION DECLARATION 'ARNING: FAILURE TO SECURE WORKERS COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINER UP TO ONE HUNDRED THOUSAND DOLLARS ($100,000L IN ADDIfiON TO THE OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION S705 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: ] 1 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 arfonnance of the work for which this permit is issued. Policy No. ;6ave and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the workfor which this permit is Issued. My workers' compereatioi Isurance carrier and policy number are: _ Policy Number Date is of Agent ' I—— " certify that, in the performance of the work for which this permit Is issued, 1 shall not employ any person in any manner so as to become subject to the workers' compensation laws of Califomia, and agroe , if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. aalure of Applicant �^-�._,,,.,,,. Data_�� _ ny reby affirr vrder penally of perjury thatthere is a construction landing agency for the performance of the work for which this permit is issued (Section 3097, Civil Code). r'er's Name Lenders Address Ily 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 reari this application and the information I have provided is correct. I agree to eomply with all applicable city and county ordinances and state laws relating to building construction. I authouve repr.:sentatives of this city or county to enter the above -identified property for inspection purposes, y ^ ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL I FOR OFFICE USE ONLY REGULATIONS PART fil OF TITLE 40 AND AQMD RULE PF8MITEX°IRE_ L.JISUBMrI ILV ADHF.DIuS rvv nnl.>.,nnv �v L P:�RMIT CANCELLED EPA PERMIT E:,TENOfC QMD PGRMIi FIND! iy S ASBESTOS NOTIFICATION I5 NOT APPLICABLE TO CERTIFICATE Of PROPOSED DEMOLITION OCCUPANCY ISSUED SIGNATURE: