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HomeMy WebLinkAboutF2022-0600 - PermitsrEWto,T City of Newport Beach 1111������������������111111111111111111111111111111111 II COMB Permit: F2022-0600 �`� -• Community Development Department- Building Division F 2 0 2 2 0 6 0 m rt n 100 Civic Center Drive, Newport Beach, CA 92660 Plan Check No : PC2022-2939 TMU T' Permit Counter Phone: (949) 644-3288 ; a e rry, *^. �" a'"°" :' Inspection Requests Phone: (949) 644-3255 `� Issued Date : 11/22/2022 newportbeachca.gov/inspections �'"' Inspection Area : 3 Combination Type - SFP Work Class - Addition/Alteration 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: 337 HOLMWOOD DR Legal Desc : N TR 1*136 BLK LOT 14 Description: SFR FIRE SPRINKLER SYSTEM ALT W/ (17) HEADS. (X2022-1069) Owner: KEVINEMERSON Address : 337 HOLMWOOD DR NEWPORT BEACH, CA 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 Lic: BT30040107 Bus Lic Expire : 07/31/2023 Workers' Compensation Insurance Carrier: SECURITY NATIONAL INS CO Policy No : SWC1373758 W. C. Expire : 2/1512023 Code Edition : 2019 Fire Sprinklers : YES Type of Construction : V-B Fire Hazard Zone : NO Occupancy Groups : R3 No of Units : 1 Bldg Height : No of Stories : 1 Building Setbacks : Front: 20, Side: 4, Side: 4, Rear: 0 Flood Zone: X Use Zone: R-1 - Single -Unit Residential PROCESSED BY: SPECIAL CONDITIONS: Architect Address Phone: State Lic Engineer Address Phone: Designer: MONTY CASEY Address: 1101 KINGSTON DR LA HABRA, CA 90631 Phone : (714) 476-5370 Construction Valuation : $1,700.00 Added/New/Ti sq. ft. Bldg : 0 Alteration sq. ft. Bldg : Added/New sq. ft. Garage : 0 TOTAL sq, ft.: 0 OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I am exempt from the Contractors' Slate License Law for the reasons) indicated below by the checkmark(s) I have placed next to the applicable rem(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 the permit to fife 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 Professions 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 10 a civil penalty of not more than five hundred dollars ($500). ❑ I, as owner of the property, or my employees with wages as their sole compensation, will do L) all of or U portions of the work, and the structure is not. intended or offered for sale (Section 7044, Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effort, builds or improves the property, provided that the Improvements are not Intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner -Builder will have the burden of proving that It was not built or improved for the purpose of sale), 13 I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044. Business and Professions Code: The Contractors' State License Law does not apply to an owner of property who builds or Improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' Stale License Law). 1 am exempt from icensure antler the Contractors' Stale License Law for the following reason ��—----.— By my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one year prior to completion of the improvements covered by this permit, I cannot legally sell a structure that I have builtas an owner -builder If it has not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the Business and Professions Code, is available upon request when this application Is submitted or at the following Web. site:http://w .Veginfo.ca.gov/calaw.htmi. Signature of Property Owner or Authorized Agent _ Date LICENSED CONTRACTOR'S DECLARATION. I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) f Divi ion 3 of the Business and Profs$ 'on$ C and my license is In full force and effect. License Class License No Date 'l it LL _ Contractor Signature WORKERS' COMPENSATION DECLARATION WARNING: 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 ($100,000), IN ADDITION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'& FEES. I hereby affirm under penalty of perjury one of the following declarations: 1:11 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 thi performance of the work for which this permit is issued. Policy No. �I©I have and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Cade, for the performance of the work for which this permit is issued. My workers compensatior Insurance Carter and policy number are: Policy Number Date to of Agent Phone 7F certify that, in the performance of the work for which this permit is issued, I shell not employ any person in any manner so as to become subject to the workers' compensation laws of California, and _ if I should become subieDt to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ZI Date�� r 17 k L- hereby affirm under penalty of perjury that there is a construction lending agencyfor the performance of the work for which this permit is issued (Section 3097, Civil Code). ender'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 slate laws relating to building construction. I authodzs renreaentatives of this city or county to enter the above -identified property for inspection purposes. :ionature of RZobert4 Owner or Authorized Ae011l �\ �- _ Print Property Owner's or Authorized Agent's Name DATE I BY DECLARATIONS. OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 51 OF TITLE 40 AND AQMD RULE EXPIRE') _�r u I SUBMITTED ASBESTOS NOTIFICATIONTO PERVIT ❑ASBEEfOSNOTIFICATION IS NOT APPLICABLE TO itk lf;CATE OF ROPOSED DEMOUTION J,,LC FANCY ISSt SIGNATURE: N rU N m QQ J� 4 w Aa c u tJ $ c as tiW UB 0 A.Ll3 rn E pad E E m i r V .Y uq Q Q c ry s m 4 LO F r�O �y hr� a a� m A p m A a • aCi U p � U 0 z°1 ❑❑❑ ❑❑ f- N cA ❑ ❑.❑❑ ❑ ❑❑ M ir; 1I0