HomeMy WebLinkAboutF2022-0453 - Permits�EWP0,4T City of Newport Beach II II I I II I II I II II IIII II
@ Community Development Department- Building Division
D 100 Civic Center Drive, Newport Beach, CA 92660
? Permit Counter Phone: (949) 644-3288
Inspection Requests Phone: (949) 644-3255
CqC/FpRN�P newportbeachca.gov/inspections
Combination Type -
Work Class - Alteration
COMB Permit: F2U22-0453
II
Plan Check No : PC2022-2124
Issued Date : 00/2312022
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 : 2206 ARALIA ST
Legal Desc : N TR 4705 BLK LOT 109
Description : SFR F/S (37) HEADS
Owner: SHAW KAMAO C TR THE SHAW FAMILY TR
Contractor: MONTY CASEY
Architect
Address : 2206 ARALIA ST NEWPORT BEACH, CA 92660
Address : 1101 KINGSTON DR LA HABRA,
CA Address
90631
„
Phone:
Phone: (714)476-5370
Phone:
Con State Lic : 876004
State Lic
Applicant: MONTY CASEY
Lic Expire : 04/30/2024
Address : 1101 KINGSTON DR LA HABRA, CA 90631
Bus Lic: BT30040107
Engineer
Phone: (714) 476-5370
Bus Lic Expire : 07/31/2022
Address
Workers' Compensation Insurance
Phone:
Owner/Builder:
Carrier: SECURITY NATIONAL
INSURANCE '
COMPANY
Address :
Policy No : SWC1373758
Designer
Phone:
W. C. Expire : 2/15/2023
Address
Phone:
Code Edition : 2019
Fire Sprinklers : NO
Construction Valuation : $3,700.,'
Type of Construction : V-B
Fire Hazard Zone : No
Added/New/Ti sq. ft. Bldg : 0
Occupancy Groups : R3/U
No of Units : 1
Alteration sq. ft. Bldg :
Bldg Height:
No of Stories :
Added/New sq. ft. Garage : 0
Building Setbacks : Front: 6, 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:
INS'P i.�
OWNER -BUILDER DECLARATION
I hereby affirm under penalty of perjury that I am exempt from the Contractors' State License Law for the reasons) indicated below by the checkmark(s) I have placed next to the applicable Retails)
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
ae permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' Slate 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).
I, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or U portions of the work, and the structure is not intended or offered for sale (Section 7044,
lusurais 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 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
5ply 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),
1 am exempt from licensure under the Contractors' Slate 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 legally
ell a structure that I have built as an owner -builder if it has not been constructed in its entirely 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:/lwww.leginfo.ca.gov/calaw.html.
signature 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 Sectiop 700 J of Division �3 of the Business and Prof sloes Code, and my license is in full force
nd effect. License Class License No Dat '� Contractor Signature �
VORKERS' COMV FNSATION DECLARATION
,ARNINO: FAILURE' `0 46CURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS t6100,0001. IN ADDITION TO THE
nsT OF COMPENSATION DAMAGES AS PROVIDED FOR IN SECTION 3706:OF THE LABOR CODE, INTEREST', AND ATTORNEY'S FEES.
hereby affirm unae, penalty of perjury one of the following declarations:
I I hate and wii: maintain a certificate or 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 IN
erforynance of the w�r't for which this permit is issued. Policy No.
and wii, T aintam 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 andpolicy number are::
Policy Number
of Agent
Date
JI certify that, ;n thin 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 Califomia,and agree
rst. If I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. ,i! G
1.r.ture of Apyl mit %'�---� ______. Dolt:'-y.._.,
IECLARATION REGARD�CONSTRUCTION LENDING AGENCY
hereby affirm under penalty of perjury thatthere is a construction lending agency for the performance of the work for which this permit is issued (Section 3097, Civil Code).
Repair s 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 t 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 county to enter the above -identified property for Inspection purposes. `
'ionalure of PFODertv Owner or Authorized ADent70 Print Prooerty Owner's or Authorized AaenCs NameY Y/f, I/ 4
f REGULATIONS PART El OF TITLE 40 AND AQMD RULE
3403
PBRlv'.IT FXYIREp l '15UBMITTF.)ASBFSTOS NOT] FICATION TO
PERMLTCANCELLED I Lj[PA
PFRIOITFINAi. �t1//D/ I&VS I j.4f.58E5TOS NOTIFICATION 15 NOT APPLICABLE To
CERTIFICATE OF / PROPOSED DEMOLITION
OCCUPANCYIESUED i t 51GNATURNO
FOR OFFICE USE ONLY
All required alarms, latches gates and fences which serve as part of a pool/spa barrier, shall
be in place prior to approval to fill pool/spa & shall remain in place & be maintained for the
life of the pool.