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HomeMy WebLinkAboutF2022-0532 - PermitsW oRT City of Newport Beach Community Development Department- Building Division t y 100 Civic Center Drive, Newport Beach, CA 92660 u� 7... Permit Counter Phone: (949) 644-3288 Inspection Requests Phone: (949) 644-3255 newportbeachca.gov/inspections Combination Type - SFP Work Class - New COMB Permit: F2022-0532 Plan Check No : PC2022-2549 Issued Date : 10/12/2022 Inspection Area : 2 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 : 1821 TAHUNA TER Legal Desc : N TR 2813 BLK LOT 107 Description : SFR FIRE SPRINKLER SYSTEM W/ (33) HEADS. (X2021-2464) Owner: WILLIAM RIGHEIMER Address : 1821 TAHUNA TER CORONA DEL MAR, CA 92625 Phone Applicant: MONTY CASEY 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 Lic : 876004 Lic Expire : 04/30/2024 Bus Lie: BT30040107 Bus Lic 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 Lic 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 : $3,300.00 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 : 1 Added/New sq. ft. Garage : 0 TOTAL sq. ft. Bldg : 0 - Building Setbacks : Front: 10, Side: 4, Side: 4, Rear: 10 - Flood Zone : X Use Zone: R-1- Single -Unit Residential BY: 'IA/v 1 PROCESSED SPECIAL CONDITIONS: OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the ContractorsState License Law for thereason(s) indicated below by the checkmarka) I have placed next to the applicable item(s) Section 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 ie 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 'rofasslons Code) or that he or she is exempt from licensors 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). 7 I, 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, lusiness 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 [hat 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 n'Tproved for the purpose of sale), J I, as owner of the properly, am exclusively contracting with licensed Contractors to construct the project (Section 7044. Business and Professions Code: The Contractors' State License Law does not �pty 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). I am exempt from finensure under the Contractors' Stale License Law for the following reason ly my signature below f 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 pemtiL I cannot legally ell a structure that I have built as an owner -builder if it has not been constructed in its entiirely 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:ltwww.leginfo.cs.gov/calaw.html, signature of Property Owner or Authorized Agent ^, Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty or perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7O 0} of Divisi IT $8 of the Business and Profes cons Code. and my license is in full force ad effect. License Class License No Dete J l 1 1L Contractor Signature PORKERS' COMPENSATION DECLARATION 'ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS IE100,000), IN ADOMON TO THE O IT OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 0706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. hereby affirm under penalty of perjury one of the following declarations: I I have and well 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 thi erformance of the work for which this permit is issued. Policy No. have 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 ranee carrier and policy number are: Policy Number Date is of Agent Phone # 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 , if I shouldbecome subject to the workers' compensation provisions of Section 3700 of the Labor Gode, I shall forthwith comply with those provisions. of Date - I t4j, 14 1 hereby affirm under penalty of perjury that there is a construction tending agency for the performance of the work for which this permit is issued (Section 3097 ender s Ngme Lenders Address y my signature below, I certify to each of the following: ' am the frJf c iy owner or authorized to act on the property owner's behalf. I have reed t+rT application and the information I have provided is correct. i agree to comply with all applicable city and county ordinances and slate laws relating to building construction. I authorize representatives of this city or county to enter the above -identified property for inspection purposes, ft - iynature of P rpperly Owner or Authorized Agent I�Print Property Owner's or Authorized AGont's Name I �•..� Civil Code). 11 , Date 1 a ALTION DATE. BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART fit OF TITLE 40 AND AQMO RULE 140s "t¢I IT EXPIRED_D SSrrU--BMITTED ASBESTOS NOTIFICATION TO PER diT CAM1 ...... .-- �1 IJEPA -- 'Wd E7dlTEAENDED .'F.RMIT FINAL` CERTIFICATE OF — ,_. I1 ...__.... _—C�gQMD —._ ._..._._... f �A58E5'rO5 N071fICATION IS NOT APPLICABLE TO li DE. .. Otte\LI�N. OCCUPANCY ISSUED fVVV l"ASUR