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Home My WebLink AboutF2022-0532 - Permits (3)�agWPORT City of Newport Beach 0 Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 644-3288 u ' Inspection Requests Phone: (949) 644-3255 cg4coa"`P newportbeachca.gov/inspections Combination Type - SFP Work Class - New 11111111111111111111111111111111111111111111111111111111111IlJillCOMB Permit : F2022-0532 Plan Check No: PC2022-2549 Issued Date : 10/1212022 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 Q Legal Desc : N TR 2813 BILK LOT 107 Description : SFR FIRE SPRINKLER SYSTEM 43 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 Can 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 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 : 1 Added/New sq. ft. Garage: TOTAL sq. ft. Building Setbacks : Front: 10, Side: 4, Side: 4, Rear: 10 Flood Zone : X Use Zone : R-1 - Single -Unit Residential PROCESSED BY: SPECIAL CONDITIONS: Architect Address Phone: State Lie Engineer Address Phone Designer: MONTY CASEY Address: 1101 KINGSTON DR LA HABRA, CA 90631 Phone: (714)476-5370 $3,300.00 0 0 0 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' Slate License Law for the reason(s) indicated below by the checkmark(s) I have placed next to the applicableitem(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 appllcantfor is 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 rrofessions 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). 3 I: as owner of the property, or my employees with wages as their sole compensation, will do L) all of or L) 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 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). 3 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 poly to an owner of property who builds or Improves: thereon, and who contracts for the projects witha licensed Contractor pursuant to the Contractors' State License Law). I I am exempt from hcensure under the Contractors' State License Law for the following reason: _1 ry 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', ell 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:llwwTv.leginfo.ca.gov/calaw:html. ilgnature of Property Owner or Authorized Agent _ _ Date _ T .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that. I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professions Code, and my license is in full force nd effect. License Class License No Date Contractor Signature COMPENSATION DECLARATION 'ARNING: FAILURE i O SEGJhE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TOONE HUNDREO THOUSAND DOLLARS ($100,000), IN ADDITION TO T CST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 370E OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby effirm under Per ally 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 urfoe nurice of the work for which this permit is issued. Policy Ne. haveand will rna,uh+in 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' ranee carrier and policy number are: Policy Number of Agent Date oertK,I that, in !he performance of the work for which this permit is issued, I shall notemploy any person in any manner so as to become subject to the workers' compensation laws of Califom a, and , if I should be^rime subject to the workers' compensation provisions of Section 3700 of the Labor Code, Ishall forthwith comply with those provisions. 're of Date 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 iy 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 applicallo 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. signature of Property Owner or Authorized Agent Print Properly Owner's or Authorized Aaent's Name ACTION DATE. BY i DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 61 OF TITLE 40 AND AQNID RULE 1403 PERMtT EXPIRED ISUBMITTED ASBFST05 NOTIFICATION TO _ PERMIT CANCEU ED _ LL j,�IFA PER,4f7T FXTENDfD �0 OAQMD v PERMIT FINAL _ ___ QASBESTOS NOT IF ICA I ION 15 NOTAPPLICABLI 10 CERTIFiCATE OF PROPOSED DEMOLITION PROPOSED F11A OCCUPANCY I � SIGNATUREr Date