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Home My WebLink AboutF2022-0629 - PermitsCity of Newport Beach D��EWPO,4T Community Development Department- Building Division �y D 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 644-3288 C,CipppN�P Inspection Requests Phone: (949) 644-3255 newportbeachca.gov/inspections Combination Type - SFP Work Class - New F 2 0 2 2 0 6 2 9COMB Permit: F2022-0629 Plan Check No : PC2022-3110 Issued Date: Inspection Area : 4 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 : 900 ALMOND PL Legal Desc : N TR 4705 BLK LOT 10 Description : SFR FIRE SPRINKLERS (X2021-3311) 39 HEADS Owner: SMITH GARY M TR SMITH LIVING TR Address : 1958 PORT CARNEY PL NEWPORT BEACH, CA 92660 Phone : Applicant: MONTY CASEY Address : 1101 KINGSTON DR LA HABRA, CA 90631 Phone: (714)476-5370 Owner/Builder : Address : Phone Code Edition : 2019 Type of Construction : V-B Occupancy Groups: Bldg Height: 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: 2/15/2023 Fire Sprinklers : YES Fire Hazard Zone : NO No of Units : 1 No of Stories : 2 Building Setbacks : Front: 10, Side: 6, Side: 6, Rear: 6 Flood Zone : X Use Zone: R-1-6000 - Single -Unit Residential (6000 indicates minimum lot area) PROCESSED BY: K 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 : $3,900.00 Added/New/TI sq. ft. Bldg : 0 Alteration sq. ft. Bldg : Added/New sq. ft. Garage : 0 TOTAL sq. ft. : 0 OWNER-13UILDER 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) ;Se<dion 7031_5, Business and Professions Code: Any city or county that requires a permit to COTSIrUCL alter, improve, demolish, or repair any structure, prior to its Issuance, also requires the applicant for ;hc 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 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 to a civil penalty of not more than five hundred dollars ($500). El 1, as ownerof 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, 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 net built or improved for the purpose of sale). 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 Lawdoes not apply to an owner of property who builds or improvesthereon; and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). 0 I am exempt from licensure under the Contractors' State License Law for the following real 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 legalij sell a structure that I have built as an owner -builder if ithas not been constructed in its entirety by licensed contractors. I understand that a copy of the applicable law. Section 7044 of the ausinoss and Professions Code., is available upon request when this application is submitted or at the following Web site:nttp:ilwvw.leginfo.ca.gov(calav+.html, Signature of Property Owner or Authorized Agent __ Date LICENSED CONTRACTOR'S DECLARATION I hereby affirm under penalty of penury that I am licensed under provisions of Chapter 9 (Commencing with Section 7000) of Division 3 of the Business and Professi0 s0 Code, and my license is In full farce and effect. License Class License No Date 1. 1� �'>` Contractor Signature L�— 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 COLLARS (E100,000). iN ADDF ION TO THE COST OF COMPENSATION: nAMAOES AS PROVIDED FOR IN SECTION 3706 OF THE I ASOR CODE, INTEREST, ANO ATTORNEY'S FEES. I hereby affirm under penalty 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, forth h ormance of the work for which this permit is issued. Policy No. I aye and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for (he performance of the work for which this permit. is issued. My workers' compensatia Ins ante carder and policy number are: Policy Number of Agent Date 3 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 Cal fomia, and agre tat, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, 1 shall forthwith comply with those provisions. f� I signature of Applicant,_..... D�i+e—` IECLARATION REGARoj 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). Rader's Name Lender's Address ly 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 city and county ordinances and state laws relating NT building construction. I authorize representatives of this city or county, to enter the above -identified property, for inspection purposes. g tionature of Property Owner or Authorized Anent ) zn+-tii -._ -____ Print Property Owner's or Authorized Agent's Name s i�t •--y : • -• y Date ACTION I DATE BY DECLARAIPONOF COMPLIANCEW17H CODE OF FEDERAL FOR OFFICE USE ONLY REGULATIONS PART Et OF TITLE 40 AND AQMD RULE 1403 PERMIT EXPIRED I I LJ I SUBMITTED ASBFSTOS NO FIFICATION TO PERMIT CANCELLED PERMIT EXTENDED PERMIT FINAL UASBESTOSNOTIFICA'r[ON IS NOTAPPUCASL£ TO CERTIFICATE OF I PROPOSED DEMOLITION OCCUPANCYISSUED Zy SIGNATURE: o.c sR YJ O� m€ 2 .26 y m m q L n D T 6 N u U O f.` s g Y $ a C toS qSO a CL 0 g E m— fs COLLD e S $ a CD C 9 O IV m 3 R 7 Em ggg g s I'm o iF eo �; as e $ c m o uv EA m c EN v ga g� 3m €0 y1w a.'$ m 'c° s q E mx _ m $ 3 s c e i c= B o 9In yN .a2 O c ; 0 0 yT ?11 Em gEa C (�luepa ; y a v �n Oq W!O meE pq9d0 c rn "''g SO 'a 0O 0W o•aO i� "a � °9C � a Y� $$ se Q Gy tl q mT fly °1m cN 7 mi CLC WF a, .gad C6 �E ty'Oq a R C y� C CI09 F- w A L ti ti ti a W I,C 2 P P P � m P l me o 00 z o c a W O a EE an 00 IL �D Y r EEa, p�pv tl00 v m H LL m Z C $ (9 O O eye0