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Home My WebLink AboutF2023-0211 - PermitsCity of Newport Beach O��EWPORT A Community Development Department- Building Division 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 718-1888 newportbeachca.gov/civic cgGro aA�" Combination Type - SFP Work Class - Addition/Alteration IIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIIICOMB Permit: F2023-0211 Plan Check No: PC2023-1074 Issued Date : 05/10/2023 Inspection Area : 5 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 : 170 SIDNEY BAY DR Legal Desc : N TR 16269 BLK LOT 6. Description: SFR FIRE SPRINKLER SYSTEM WITH 7 HEADS (X2022-1702) Owner: DENISON THOMAS R TR BAYARDELLETR Address ; 170 SIDNEY BAY DR NEWPORT COAST, CA 92657 Phone: (949)939-4090 Applicant: MONTY CASEY Address : 1101 KINGSTON DR LA HABRA, CA 90631 Phone: (714)476-5370 Owner/Builder: Address : Phone ELIZABETH Contractor: MONTYCASEY 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: NATIONAL CASUALTY COMPANY Policy No : SWC1373758 W. C. Expire : 2/15/2024 Code Edition : 2022 Fire Sprinklers : YES Type of Construction : V-B Fire Hazard Zone : YES Occupancy Groups : R3/U No of Units : 1 Bldg Height : No of Stories : 2 Building Setbacks : Flood Zone : X Use Zone : PC - Newport Coast PROCESSED BY: SPECIAL CONDITIONS: FIRE HAZARD SEVERITY ZONE; IRWD; LBSD 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 : $1,000.00 Added/NewITI sq. ft. Bldg : 0 Alteration sq. ft. Bldg : Added/New sq. ft. Garage: 0 TOTAL sq. ft. : 0 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 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 ie permit to file a signed statement that be 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). 3 I, as owner of the property, or my employees with wages as their sole compensation, Will do I all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044, Iusiness and Professions Code: The Contractors' State License Law does not apply to an owner of property who, through employees' or personal effot, builds or improves the properly, 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). 3 1, as owner of the properly, am exclusively contracting with licensed Contractors to construct the project (Section 7D44, Business and Professions Coder The Contractors' State. License Law does not poly 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•_ ell a structure that I have built as an owner -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 'rofessions Code, is available upon request when this application is submitted or Sill following Web she:http:fiwww.leginfo.ca.gov/calaw.htmj. Ilgnature of Property Owner or Authorized Agent Date .ICENSED CONTRACTOR'S DECLARATION hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Section 70D0 of Division 3 of the Business and Professions Cade, and my license is in full force nd effect. License Class License No Date lT V Contractor Signature, ignature VORKERS' COMPENSATION DECLARATION 'ARMING: FAILURE. TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AMC SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS ($100.0001, IN ADOn1ON TO THE OST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 0706 OF THE LABOR CODE, INTEREST', AND ATTORNEY'S FEES. hereby affirm under penalty, of perjury one of the following declarations: 3 1 have and will maintain a certificate of consent to selNraure for workers' compensation, issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for Ih erformance of the work for which this permit is issued. Policy No. and will maintain workers' compensationinsurance,. as required by Section 370D 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 Date certify that, in the performance of the work for which this perrlit is issued, I shallnot employ any person in any manner so as to become subject to the workers' compensation laws of California, and if I shouldbecome subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. or Applicant Date, -\' I /1 e 11 ) C WRATION REGARDING CONSTRUCTION LENDING AGENCY areby affirm under penalty of perjury that there is a construction lending agency for the performanceof the Work for which this permit is issued (Section 3097 iders Name Lender's Address my signature below. I certify to each of the following: I am the property owner or authorized to acton 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 this city or count t enter the above -identified property for inspection purposes. �yy, nature of Property Owner or Authorized Aoent �, Print Prooertv Owner's or Authorized Aaent's Name 1 \- 1 FOR OFFICE USE ONLY PERMIT EXPIRED FERMI r CANCELtEO REGULATIONS PART 61 OF TITLE 40 AND AOMD RULE 1403 Ell SUaMITrED ASBESTOS NOTIFICATION TO CERTIFICATE OF ITFINAL((- 1 3�Z� � � PROPOSED DEMOLITIONUASBESTDS TION lS NOT APPLICABLE TO OCCUPANCY ISSUED Civil Code).