HomeMy WebLinkAboutF2022-0552 - PermitsCity of Newport Beach
Community Development Department - Building Division
100 Civic Center Drive, Newport Beach, CA 92660
'
yn.
Permit Counter Phone: (949) 644-3288
Inspection Requests Phone: (949) 644-3255
cqc/ccSeN`�
newportbeachca.gov/inspections
Combination Type - SFP
Work Class - New
11111111111111111111111111111111111111111111111111111111111111 JillCOMB Permit : F2022-0552
Plan Check No : PC2022-2683
Issued Date : 10125/2022
Inspection Area : 1
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 : 1914 COURT AVE Legal Desc : A TR FIRST ADD TO. NEWPORT BEACH BLK 119 LOT 8 ►Z �, "'� rn
Description : SFR FIRE SPRINKLERS (X2022-0711) 21 HEADS
Owner: NEWPORT HOMES LLC
Address: 6859 E REMBRANDT AVE STE115
MESA, AZ 85212
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: 2/15/2023
Code Edition : 2019
Fire Sprinklers :
YES
Type of Construction : V-B
Fire Hazard Zone :
NO
Occupancy Groups : R3/U
No of Units :
1
Bldg Height:
No of Stories :
3
Building Setbacks : Front: 5, Side: 3, Side: 3, Rear: 5
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 : $2,100.00
Added/NeW/TI sq. ft. Bldg
Alteration sq. ft. Bldg :
Added/New sq. ft. Garage: 0
TOTAL sq. ft. Bldg : 0
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that t 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 ftem(s)
9eclion 7031.5, Business arid 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
rofesslons Code) or that he or she is exempt from licensors and the basis fortha alleged exemption. Any violation of Section 7031.5 by any applicant for a permit subjects the applicant to acivil penalty of
of more than five hundred dollars ($500).
3 1, as owner of the property, or my employees with wages as their sole compensation, will do t_) 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
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),
1, 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
ly 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 am exempt from lecensure under the Contractors' State License Law for the following reason:.__ ......-___
ty my signature below I acknowledge that, except for my personal residence in which I must have resided for at lonst one year prior to completion of thetmprovements covered by this permit, I cannot legally
oil a structure that I have built as an owner-buildor if ithas not been constructed in its entirety by licensed contractors, j understand that a copy of the applicable law. Section 7044 of tho Business and
'rofessions Cade, is available upon request when this application is submitted or at the following Web site;http:/fw'»w.Ieginfo.ee.gov/e low,himl.
signature of Property Owner or Authorized Agent _ Date
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty of perfury that 1 am licensed under provisions of Chapter g (commencing with Section 7000) f�Divistsn 3 of the Business and Proles ions Code, and my license is in full force
nd effect, License Class License No Date u 1 Contractor Signature
VORKERS' COMPENSATION DECLARATION
ARNING: FAILURE TO SECURE wORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUUJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL PINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100A00), IN ADDITION TO THE
OST OF COMPENSATION; DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, WEREST, AND ATTORNEIcs FEES. '
hereby affirm under penalty of perjury one at the following declarations:
I nave 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 Ott
erf mane of the work for which this permit la 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 permit is issued. My workers'
carrier and policy number are:
Policy Number
of Agent
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 Cahfomiar and afire
if i should become sob ect to the workers Compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. 1
nature of Applicant c......_. __,_..�_.. ._........____....._.m Da,—.J, o Lt r
v .nxTsr�u acn♦ gun r•na�croran rrn �� I iiati1.11 nnc.inu
Reby 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),
ider`s Name Lender's Address
my signature below, I certify to each of the following:
I am the property owner or authorized to art 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 representatives of thiscity or county, o enter the above -identified property for inspection purposes. /� 1
,..I„ro of Pln ,ry n,,,,.,ar. nr A Ihneti-sarl Annnr? / P60 Prnnahv n,. ar c nr iNn 11. .
ACTION
PERIAITEXTENDEP
P[.R,YHT FINAL �_
CERTINCATE OF
OCCUPANCY ISSUED
DATE. BY I DECLARATION. Or COMPLIANCE WITH CODE Or FEDERAL FOR OFFICE USE ONLY
3. REGut ATIONS PART 61 OFTiTLE 40AND AC1MD RULE
I SUBMITTED AS.BFSTOS NOTI FICAT'C'N TC
L,_I.AyRj$T N I"WCAI ION 15 NOT APPLCAN.IE TU
PROPOSED DEMCLITION