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Home My WebLink AboutF2022-0030 - Permits (3)C�aevraoRT City of Newport Beach Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 y Permit Counter Phone: (949) 644-3288 u moo.. S Inspection Requests Phone: (949) 644-3255 CqC/rp AN�� newportbeachca.gov/inspections Combination Type - Work Class - New COMB Permit : F2022-0030 F 2 0 2 2�� I� Plan Check No : 0148-2022 Issued Date : 01/27/2022 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 : 74 LINDA ISLE Z"LL I Desc : N TR 4003 BLK LOT 74 Description: SFR FIRE SPRINKLERS (X2021-0 56) 48 HEAD Owner: Contractor: MONTY CASEY Architect Address : Address : 1101 KINGSTON DR Address LA HABRA, CA 90631 Phone: Phone: (714)476-5370 Phone: Con State Lie : 876004 State Lie Lie Expire : 04/30/2024 Applicant: Bus Lie: BT30040107 Engineer: Address : Bus Lie Expire : 07/31/2023 Address Phone: Owner/Builder Address : Phone Code Edition : Type of Construction Occupancy Groups: Bldg Height: Building Setbacks Flood Zone Use Zone : PROCESSED BY: Front: 10, Front: 25, Side: 4, Side: 4 X R-1 - Single -Unit Residential SPECIAL CONDITIONS: revised # of heads 11/8122 Workers' Compensation Insurance Phone Carrier: SECURITY NATIONAL INS CO Policy No: SWC1373758 Designer: W. C. Expire: 2/15/2023 Address : Phone: Fire Sprinklers : NO Construction Valuation Fire Hazard Zone : NO Added/New/Ti sq. ft. Bldg : 0 No of Units : 0 Alteration sq. ft. Bldg : No of Stories : Added/New sq. ft. Garage: 0 TOTAL sq. ft. : 0 INS ILEu 1 0R 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 item(s) Section 7031.5, Business and Professions Code: Any city or county that requires a permit to construct, altar, improve, demolish, or repair any structure, prior to its issuance, also requires the applicant for 1e permit to file a signed statement that lie 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 'rofessiohs Code) or that he or she is exempt from lioensure 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 L) all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, rusiness 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 nprovemants are not Intended or offered for sale. If, however, the building or improvement is sold within one year of completion, the Owner-Suildar will have the burden of proving that It was not built or nprovod for the purpose of sale). I I as owner of the property, am exclusively contracting With licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' Stale License Law does not pply 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). 3 1 am exempt from licensure under the Contractors' State License Law for the following reason: ly 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 built as an owner-buiider if It has not been constructed in its entirety by liconsad 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 sileinttpaM'twraeginfo.ca.go4/calaw.html, 0gnature of Property Owner or Authorized Agent .Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penally of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3of the Business and Professions Code, and my license is in full force nd effect. License Class License No Date Contractor Signature VORHERS' COMPENSATION DECLARATION EARNING: 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 GET OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3705 OF THE LABOR CODE, INTEREST, AND ATTORNEV'S FEES. hereby affirm under penalty of perjury one of the following declarations: I have and will maintan 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 'ormance 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 work for which this permit is issued, My workers" compeosa' trance carrier and policy number are: Policy Number of Agent Date certify that, in the 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 California, and if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply Win those provisions. ignature Of Applicant T _ Date` rECi..ARATION REGARDING CONSTRUCTION LENDING AGENCY 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). ender's Name Lenders 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 andthe information I have provided is correct. I agree to comply with all applicable clay 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. .ionalure of ProDefly Owner or Authorized ADenl Print Procertv Owner's or Authorized Aoent's Name ACTION DATE BY ' DECLARATION OF CONIPLIANCE W17H CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART 51 OF TITLE 40 AND AQNE. ID RULE ... PERMIT FXTENDED f L�AQMD T--r t_I ASBESTQS NO13FICATON IS NOI APPLICABLE TO CERTIFICATE OF MS PROPOSED DEMOLITION OCCUPANCY ISSUER 51,3NATURE; 0I❑❑❑n❑0❑c11:1 ❑r_I❑❑ Yj 4 o g �cYy C ri L b � � m u'i eei per; exi ai t� � t�l k♦E C� U of ,JL r L v