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HomeMy WebLinkAboutF2023-0239 - Permits�EWPpRT City of Newport Beach IIII I IIIIIIIIIIIIIIIIIIIIII II Community Development Department -Building Division F 2 0 2 3 0 2 3 9 100 Civic Center Drive, Newport Beach, CA 92660 U S Permit Counter Phone: (949) 718-1888 .e.newportbeachca.gov/civic `g4poaN`P Combination Type - SFPt-- Work Class - Addition/Alteration COMB Permit F2U23-0239 Plan Check No : PC2023-1223 Issued Date : 05/23/2023 Inspection Area : 8 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 : 429 RIVERSIDE AVE Legal Desc : A TR. FIRST ADD TO NEWPORT HEIGHTS BLK 24 LOT 16 Description : SFR FIRE SPRINKLER SYSTEM WITH 32 HEADS (XR2022-2354) Owner: CHRISTOPHER FLETCHER Contractor: MONTY CASEY Architect Address : 500 31ST ST Address: 1101 KINGSTON DR Address: NEWPORT BEACH, CA 92663 LA HABRA, CA 90631 Phone : Phone : (714) 476-5370 Phone Con State Lie : 876004 State Lie Lie Expire : 04/30/2024 Applicant: MONTY CASEY Bus Lie: BT30040107 Engineer Address : 1101 KINGSTON DR Bus Lie Expire : 0713112023 Address LA HABRA, CA 90631 Phone: (714) 476-5370 Workers' Compensation Insurance Phone: Carrier: NATIONAL CASUALTY COMPANY Owner/Builder: Policy No : SWC1373758 Designer: MONTY CASEY Address : W. C. Expire : 2/15/2024 Address: 1101 KINGSTON DR LA HABRA, CA 90631 Phone: Phone: (714) 476-5370 Code Edition : 2022 Fire Sprinklers : YES Construction Valuation : $3,200.00 Type of Construction : V-B Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg: 0 Occupancy Groups : R3/U No of Units : 1 Alteration sq. ft. Bldg : Bldg Height : No of Stories : 2 Added/New sq. ft. Garage: 0 TOTAL sq. ft. 0 Building Setbacks : Front: 10, Side: 4, Side: 4, Rear: 5 Flood Zone: X Use Zone : R-1 - Single -Unit Residential .. • - -. PROCESSED BY: ' SPECIAL CONDITIONS: , , OWNER -BUILDER DECLARATION' I hereby affirm under penally of perjury that I am exempt from the Contractors' State License Law for the mason(s) Indicated below by the checkmark(s) I have placed next to the applicable items) 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 to 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 of more than five hundred dollars ($500). 1, as owner of the property.., or my employees with wages as their sole compensation, will do (_) all of or (_) portions of the work, and the structure is not intended or offered for sale (Section 7044, iusiness and Professions Cade: 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 mprevements 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 nprumd for the purpose of sale). 1 I, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7D44, Business and Professions Code: The Contractors' State License Law does not ply to an owner of properly who builds or improves thereon. and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). 1 am exempt from licensure under the Contractors' State License Law for the following reason: V 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 legalh ell a structure that I have built as an owner-bullder 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 sila:http:ltwee.leginfo.ca.,gov/calaw,htmi, signature of Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION. hereby of rim under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Professio s Code, and my license is in full force Ind effect. License Class License No Date S/ 12 I11 Contractor Signature. t �� VORKERS' COMPENSATION DECLARATION rARNING: 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 hID0,000M.. IN AOOrTION TO THE OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES. horeby affirm under penalty of perjury one of the following declarations: -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 th, 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 work for which this permit is issued. My workers rance carrier and policy number are: r Policy Number Expiration Date 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 should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. or Applicant Data 4114A J IECLARATION 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 ender's Name Lender's Address ly my signature below, I certify to each of the following: I am the property owner or authorized In 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 state laws relating to building construction I authorize reprresa'atives of this city or county to enter the above -identified property for inspection purposes. �� Signature Of PrODer'V C`c,ner or Authorized ADeilt lkl � Print Property Owner's or Authorized Aoent's Name 1 y� • .� i ttiN ( DATE ( By ( DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY [ REGULATIONS PART 61 OF TITLE 40 AND Af1MD RULE PkN+YJr Cf.NCFLI _ ©EPA PER�AIT EXTFNDEG __ i-..W({.Mp PERMIT FINAL - — i ASBESTOS NOTIFICATION l$ NOT APPLICABLE TO CERTIFICATE of PROPOSED DEMOLITION OO:CCPAM=Y ISSUED SIGNATURE: Civil Code), Date