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Home My WebLink AboutF2023-0039 - Permits��EWPORT City of Newport Beach D Community Development Department- Building Division r 100 Civic Center Drive, Newport Beach, CA 92660 U > 2 Permit Counter Phone: (949) 644-3288 .a.. Inspection Requests Phone: (949) 644-3255 CqC/FppN�P newportbeachca.gov/inspections Combination Type - SFP Work Class - Addition/Alteration COMB Permit: F2023-0039 F 2 0 2 3 0 0 3 9�� II Plan Check No: PC2023-0154 Issued Date : 0112412023 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 : 5 CHERRY HILLS LN Legal Desc : N TR 7638 BLK LOT 8 Description: SFR FIRE SPRINKLERS-35 HEADS (X2022-2258) Owner: BENJAMIN & KELL]TRACHTMAN Address : 5 CHERRY HILLS LN NEWPORT BEACH, CA 92660 Phone: (949)463-0720 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 Lie: 876004 Lie Expire : 04/30/2024 Bus Lie: BT30040107 Bus Lie 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 Lie Engineer: Address Phone: Designer: MONTYCASEY Address : 1101 KINGSTON DR LA HABRA, CA 90631 Phone: (714)476-5370 Code Edition : 2022 Fire Sprinklers : YES Construction Valuation : $3,500.00 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: 2 Added/New sq. ft. Garage: 0 TOTAL sq. ft. 0 Building Setbacks : Front: 10, Side: 5, Side: 5, Rear: 15 Flood Zone : X Use Zone : PC - BigCanyon PROCESSED BY: J\ SPECIAL CONDITIONS I hereby affirm under penally of perjury that I am exempt from the Contractors' Slate. License Law for the reason(s) indicated below by the checkrnark(s) I have placed next io 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 the permit to file a signed statement that ho 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 exemptfrom 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 not more than five hundred dollars 0 1, as owner of the property, or my employees with wages as their sole compensation, will do U 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 not bulit or Improved for the purpose of sale). 0 I, 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 apply 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). 111 am exempt from licepsure under the Contractors' State License Law for the following reason: 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 legally sell a structure that I have builtas 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 or the Business and Professions Code, is available upon request when this application is submitted or at the following Web site:http:/iwww.teginfo.ca,gov/calaw.html. Signature of Property Owner or Authorized Agent LICENSED CONTRACTOR'S DECLARATION 7 I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (commencing with Sect' IT 700 ) of Division 3 of the Business and Professions Code, and my license is In full force and effect. License Class License. No at 'L t) Contractor Signetlyrg,��-._ WORKERS' COMPENSATION DECLARATION �7 MASHING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED 7HOUSAND DOLLARS tSt00,000j, IN AOonION TO THE COST OF COMPENSATION, DAMAGES As PROVIDED FOR IN SECTION 3706.OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES, hereby affirm under penalty of perjury one of the following declarations: -11 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, for tht "mrance, or 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 permit is issued. My workers' carrier and policy number are: Policy Number of Agent Date LJI 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 agre that, if I shouid become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. 1 � Signature of Applican Da \ 1 114 , 3 / DECLARATION REGARDII'G CON 'Rl ION LENDING AGENCY i -t-- I hereby affirm under penalty of perjury that there is a construction lending agency for the performance ofthe work for which thispennit is issued (Section 3097, Civil Code). Lenders Name Lender's Address By 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 applicablecity and county ordinances and state laws relating to building construction. I authorize representatives of this city or county to enter the above identified pro for inspection purposes. Si nature of property Owner or Authorized Agent Nnnt r'IopLi Owner's or Authorized Agent's Name Date 1 2 ) ACTION DATE By DECLARATION 0" t-PNI F LANCE WITH(ODE O4 FEDE NAL FOR OFFICE USE ONLY ' REGULATIONS PART61 OF TITLE 40 AND AQMJ RJLE 1403 PERMITEXPIRED ISUBMI_TTFD ASSES -OS NO-IFICAT_ION TO _ PERMIT CIINCELLED tEPA PERMIT EXTENDED OVI D PERMIT FINAL /j /l3 ASBESTOS NOTIFICATION 1$ NOT APPLICABLE TO CERTIFICATE OF PROPOSED DEMOLITION OCCUPANCY155UED SIGNATURE: