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Home My WebLink AboutF2022-0635 - Permits�2EWPORT City of Newport Beach p @ Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 ,Z Permit Counter Phone: (949) 644-3288 Inspection Requests Phone: (949) 644-3255 CgGrFOAN`P newportbeachca.gov/inspections Combination Type - SFP Work Class - Addition/Alteration F 2 0 2 2 0 6 3 5COMB Permit : F2022-0635 Plan Check No: PC2022-3126 Issued Date : Inspection Area : 3 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 : 2018 NAUTILUS LN Legal Desc : N TR 3763 BLK LOT 74 Description: SFR FIRE SPRINKLERS (X2022-0870) CABANA ONLY- 2 HEADS Owner: RYAN EKEDAL TRUST / EKEDAL RYAN J Contractor: MONTY CASEY Architect Address : 2018 NAUTILUS LN Address : 1101 KINGSTON DR Address NEWPORT BEACH, CA 92660 LA HABRA, CA 90631 Phone : Phone : (714) 476-5370 Phone : ,r,,, Con State Lic : 876004 State L" k, e Lic Expire: 04/30/2024,; v g Applicant: MONTY CASEY Bus Lic : BT30040107 EA ili� Address : 1101 KINGSTON DR Bus Lic Expire : 07/31/2023 Address LA HABRA, CA 90631 Phone: (714) 476-5370 Workers' Compensation Insurance Phone: Carrier: SECURITY NATIONAL INS CO Owner/Builder : Policy No: SWC1373758 Designer: MONTY CASEY Address : W. C. Expire : 2/15/2023 Address : 1101 KINGSTON DR LA HABRA, CA 90631 Phone: Phone: (714) 476-5370 Code Edition : 2019 Fire Sprinklers : YES Construction Valuation : $200.00 Type of Construction : V-B Fire Hazard Zone : NO Added/New/TI sq. ft. Bldg : 0 Occupancy Groups : No of Units : 1 Alteration sq. ft. Bldg : Bldg Height: No of Stories: 1 Added/New sq. ft. Garage: 0 TOTAL sq. ft. 0 Building Setbacks : Front: 20, Side: 6, Side: 6, Rear: 6 Flood Zone : X Use Zone: R-1-6000 - Single -Unit Residential (6000 indicates minimum lot area) PROCESSED BY: SPECIAL CONDITIONS OWNER -BUILDER DECLARATION I hereby allirm under penalty of perjury that I am exempt from the Contractors' State license Law tar the resson(s) indicated below by the checkmark(s) I have placed nexthp the applicable item(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 TD permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contmctors' State License Law (Chapter 9 (commencing with Section 7000) of Division 3 of the Business and Irofessions Code) or that he or she is exempt from licansure and the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant fora permit subjects the applicant to a civil penalty of of more than five hundred dollars ($500). 1 I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or L) portionsofthe work, and the structure is not intended or offered for sale (Section 7044, lusiness 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). 11, 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 pply 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), I I am exempt from licensure under the Contractors' State License Law for the following reason: 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 legally all a structure that 1 have builtas an ownor-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 Irofesslons Code, is evallable upon request when this application is submitted or at the following Web site:http:/lwww.leginfo.ca.gov/calaw.html. lignature 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 70. 0) o3 of the Business and Professions Code, and my license is In full force nd effect. License Class License No Date f Division I Contractor Signature, �� JORKERS' COMPENSATION DECLARATION .00 'ARNINGC 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 (S1D0;000), IN ADDITION TO THE DST OF COMPENSATION: DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEY'S FEES. hereby affirm under penalty of perjury one of the following declarations: I have and will maintain a certificate of consent to selfArsure for workers compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for prmance of The work for which this permit is issued. Policy No. and will maintain workers' compensation insurance, as required by Section 3700 of the Labor Code, for the performance of the work for which this permitis issued. My workers' carrier and policy number are: Policy Number Expiratic of Agent Phone # Date JI 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 agree Tat, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with (hose provisions. lignature of Applicant ) ?___1-1 Date ['�'1'L IECLARATION REGARI)19G 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 Cade). enders 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 and the information I have provided is correct. I agree to comply with all applicable city and county ordinances and slate lases relating to building construction. I authorize representatives of this city or coup�y to enter the above -identified property for inspection purposes. lignature of ProDery Owner or Authorized Aoela✓ _N Print Prooertv Owner's or Authorized Aaent's Name Date I) 11- Iar ACTION DATE. ( W E DECLARATION POF ART 6.i 0 TNCE 40 H C DE OF RULE FEDERAL I FOR OFFICE USE ONLY RIONS PERMIT EXPIRED I I LJ I SUBMITTED ASBESTOS NOI IFICATION TO PERMIT CANCELLED I LJEPA PERMITFINAL CERTI IFICATE Of I5•3.1/1�I PROPOSED DEMOLITIONIQN IS N01'APPLICABLE TO OCCUPANCYI55UEf7 SIGNATURE: