HomeMy WebLinkAboutF2023-0014 - Permits��gWPORT City of Newport Beach
0 @ Community Development Department- Building Division
s �n
100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone: (949) 644-3268
u " Inspection Requests Phone: (949) 644-3255
C9GlFepH�P newportbeachca.gov/inspections
Combination Type - SFP
Work Class - Other
COMB Permit : F2023-0014
F 2 0 2 3 0 0 1 4�� II
Plan Check No : PC2023-0050
Issued Date : 01/09/2023
Inspection Area : 1
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION, BUT NO LATER THAN 3 YE
NO CONSTRUCTION RELATED NOISE ON SATURDAY OR SUNDAY IN HIGH DENSITY AREAS AND NO WORK
Job Address: 251 CEDAR ST Legal Desc : N TR 772 BLK 4 LOT 11 TR 772 LOT 11 BLK 4
Description: SFR- INSTALL 28 NEW FIRE SPRINKLER HEADS X2021-2520
Owner: SCOTT WOODS
Address : 251 CEDAR ST
NEWPORT BEACH, CA 92663
Phone
Applicant: MONTY CASEY
Address: 1101 KINGSTON DR
LA HABRA, CA 90631
Phone: (714)476-5370
Owner/Builder :
Address :
Phone
Code Edition :
2022
Type of Construction :
V-B
Occupancy Groups:
R3
Bldg Height:
Building Setbacks :
Front: 5, Side: 3, Side: 3, Rear: 5
Flood Zone :
X
Use Zone :
R-1 - Single -Unit Residential
PROCESSED BY:
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
Fire Sprinklers :
YES
Fire Hazard Zone:
NO
No of Units :
1
No of Stories :
3
> FROM ORIGINAL ISSUANCE DATE
SUNDAY AND HOLIDAYS IN ALL AREAS
.Y 10 FT THEREOF AND ALL
iitect
ress
Phone :
State Lic
Engineer:
Address:
Phone
struction Valuation :
ed/New/TI sq. ft. Bldg
ration sq. ft. Bldg :
ad/New sq. ft. Garage
AL sq. ft. :
SPECIAL CONDITIONS: 1PE, � ,
$2,8010V '
0
0
0
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 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
the permit to file a signedstatement that he or she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 0 (commencing with Section 7000) of Division 3 or the Business and
Professions Code) or that he or she is exemptfrom leensure 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 ($500),
71 I, 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
improvements are not intended or offered for sale. If, however, the building or improvement is sold within o lL year of completion, the Owner -Builder will have the burden of proving that it was not built or
'mproved for the purpose of sale).
I'D 1, as owner of the property, am exclusively contracting with licensed Contractors to construct the project (Section 7044, Business and Professions Code: The Contractors' Stale 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).
1 I am exempt from licensure under the Contractors' State License Law for the following reason: _
3y my signature below I acknowledge that, except for my personal residence in which I must have resided for at least one year prior t0 completion of the improvements covered by this permit, I cannot logalf.
Roll a structure that I have built as an owner -builder if it has not boon constructed in its entirety by licensed contractors. I understand that a copy of the applicable law, Section 7044 of the ausinoss and
'rofessions Code, is available upon request when this application is submitted or at the following Web site:httpJiwww.leginfo.ca.gov/calaw.html.
Signature of Property Owner or Authorized Agent _ Date
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penallyof perjury that I am licensed under provisions of Chapter 9 (commencing with Section 7Q00) f v' ioUU 3 of the Business and Pmns y
fessi p Code, and m license 5 In full force
and effect. License Class License No Dats 1.'1 Contractor Signature &I
AIORKERS' COMPENSATION DECLARATION
NARNING: 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 ($100,000), IN AUDITOR TO THE
:DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE. INTEREST, ANn ATTORNEY'S FEES,
hereby affirm under penalty of perjury one of the following declarations:
-I I 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 th
te-formar;e of tho'A'o•k 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:
er --
is �f Agent _ _
Policy Number
Date
certity that, in the penormance of the work for which this permit is isSDed, I shall notemploy any person in any manner so as to become subject to the workers' compensation laws of California, and
, it I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
of
Date ,/ S I 1 >
hereby afirm 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).
earl s Name Lender's Address
ly my signature below, I certify to each of the following:
I am the property owner or authorized 10 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 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.
ignature of Property Owner or Authorized Agent 1 i%, i __ ___ _. Print Property Owner's Or Authorized AOent's Name
ACTION DATE BY DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY
REGULATIONS PART 610E TITLE 40 AND AQMD RULE
?403
EXPIRED
SUBMITTED
PERAVTWENDED LIAOM D
PERIvRT FIfrA! L 1/Z ESTO5 NOTIFICATION 15 NOT APPLICABLE 10
CER TIFICA7E OF { dl _ PROPOSED DE'Nq LIT� N
OCCUPAFJCY 15SUf0 SIGNATURE:`-�
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