HomeMy WebLinkAboutF2022-0532 - PermitsW oRT
City of Newport Beach
Community Development Department- Building Division
t y
100 Civic Center Drive, Newport Beach, CA 92660
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Permit Counter Phone: (949) 644-3288
Inspection Requests Phone: (949) 644-3255
newportbeachca.gov/inspections
Combination Type - SFP
Work Class - New
COMB Permit: F2022-0532
Plan Check No : PC2022-2549
Issued Date : 10/12/2022
Inspection Area : 2
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 : 1821 TAHUNA TER Legal Desc : N TR 2813 BLK LOT 107
Description : SFR FIRE SPRINKLER SYSTEM W/ (33) HEADS. (X2021-2464)
Owner: WILLIAM RIGHEIMER
Address : 1821 TAHUNA TER
CORONA DEL MAR, CA 92625
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 Lie: BT30040107
Bus Lic Expire : 07/31/2023
Workers' Compensation Insurance
Carrier: SECURITY NATIONAL INS CO
Policy No : SWC1373758
W. C. Expire : 2/15/2023
Architect
Address
Phone:
State Lic
Engineer:
Address
Phone
Designer: MONTY CASEY
Address : 1101 KINGSTON DR
LA HABRA, CA 90631
Phone: (714)476-5370
Code Edition :
2019
Fire Sprinklers :
YES
Construction Valuation : $3,300.00
Type of Construction :
V-B
Fire Hazard Zone :
NO
Added/New/TI sq. ft. Bldg
Occupancy Groups :
R3/U
No of Units :
1
Alteration sq. ft. Bldg :
Bldg Height :
No of Stories :
1
Added/New sq. ft. Garage : 0
TOTAL sq. ft. Bldg : 0 -
Building Setbacks :
Front: 10, Side: 4, Side: 4, Rear: 10
-
Flood Zone :
X
Use Zone:
R-1- Single -Unit Residential
BY:
'IA/v 1
PROCESSED
SPECIAL CONDITIONS:
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the ContractorsState License Law for thereason(s) indicated below by the checkmarka) I have placed next to 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
ie 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
'rofasslons Code) or that he or she is exempt from licensors 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).
7 I, as owner of the property, or my employees with wages as their sole compensation, will do U all of or U portions of the 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 [hat 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
n'Tproved for the purpose of sale),
J I, as owner of the properly, am exclusively contracting with licensed Contractors to construct the project (Section 7044. Business and Professions Code: The Contractors' State License Law does not
�pty 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).
I am exempt from finensure under the Contractors' Stale License Law for the following reason
ly my signature below f 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 pemtiL I cannot legally
ell a structure that I have built as an owner -builder if it has not been constructed in its entiirely 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 site:http:ltwww.leginfo.cs.gov/calaw.html,
signature of Property Owner or Authorized Agent ^, Date
.ICENSED CONTRACTOR'S DECLARATION
hereby affirm under penalty or perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7O 0} of Divisi IT $8 of the Business and Profes cons Code. and my license is in full force
ad effect. License Class License No Dete J l 1 1L Contractor Signature
PORKERS' COMPENSATION DECLARATION
'ARNING: 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 IE100,000), IN ADOMON TO THE
O IT OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 0706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES.
hereby affirm under penalty of perjury one of the following declarations:
I I have and well 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 thi
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 workfor which this permit is Issued. My workers
ranee carrier and policy number are:
Policy Number
Date
is 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 shouldbecome subject to the workers' compensation provisions of Section 3700 of the Labor Gode, I shall forthwith comply with those provisions.
of
Date - I t4j, 14 1
hereby affirm under penalty of perjury that there is a construction tending agency for the performance of the work for which this permit is issued (Section 3097
ender s Ngme Lenders Address
y my signature below, I certify to each of the following:
' am the frJf c iy owner or authorized to act on the property owner's behalf.
I have reed t+rT application and the information I have provided is correct.
i agree to comply with all applicable city and county ordinances and slate laws relating to building construction.
I authorize representatives of this city or county to enter the above -identified property for inspection purposes, ft -
iynature of P rpperly Owner or Authorized Agent I�Print Property Owner's or Authorized AGont's Name I �•..�
Civil Code).
11 , Date 1 a
ALTION
DATE.
BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL
FOR OFFICE USE ONLY
REGULATIONS PART fit OF TITLE 40 AND AQMO RULE
140s
"t¢I IT EXPIRED_D
SSrrU--BMITTED ASBESTOS NOTIFICATION TO
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