HomeMy WebLinkAboutF2023-0068 - PermitsCity of Newport Beach
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Community Development Department- Building Division
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100 Civic Center Drive, Newport Beach, CA 92660
Permit Counter Phone: (949) 644-3288
Inspection Requests Phone: (949) 644-3255
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newportbeachca.gov/inspections
Combination Type - SFP
Work Class - New
COMB Permit: F2023-0068
F 2 0 2 3 0 0 6������� II
Plan Check No : PC2023-0291
Issued Date : 0210812023
Inspection Area :3
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: 604 ALDEAN PL Legal Desc : N TR 1583 BILK LOT 2
Description: SFR FIRE SPRINKLER SYSTEM 53 HEADS (X2022-1610)
Owner: RICHARD NELSON
Address : 604 ALDEAN PL
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 :
Type of Construction
Occupancy Groups:
Bldg Height :
Building Setbacks
Flood Zone
Use Zone:
2019
V-B
Front: 20, Side: 4, Side: 4, Rear: 10
X
R-1 - Single -Unit Residential
PROCESSED BY:
SPECIAL CONDITIONS:
Contractor;
MONTY CASEY
Address :
1101 KINGSTON DR
LA HABRA, CA 90631
Phone:
(714)476-5370
Can 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
Fire Sprinklers : YES
Fire Hazard Zone : NO
No of Units : 1
No of Stories
Architect
Address
Phone:
State Lie
Engineer:
Address :
Phone
Designer: MONTY CASEY
Address : 1101 KINGSTON DR
LA HABRA, CA 90631
Phone: (714)476-5370
Construction Valuation : $5,300.00
Added/New/TI sq. ft. Bldg : 0
Alteration sq. ft. Bldg :
Added/New sq. ft. Garage: 0
TOTAL sq. ft. : 0
OWNER -BUILDER 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 70315, Business end 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 he or she is liconsed 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 exempt from lcensureand the basis for the alleged exemption. Any violation of Section 7031.5 by any applicant fora permit subjects the applicant to a civil penalty of
not more than five hundred dollars ($500).
1, as owner of the property, or my employees with wages as their sole compensation, will do (_) all of or L) 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 built or
Improved for the purpose of sale).
111, 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 properly who builds or Improves: thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law),
0 1 am exempt from tioensure 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
sail 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
Professions Code, is available upon request when this application is submitted or at the following Web site:http:llwww.leginfo.ca.gov/calaw,html.
Signature of Property Owner or Authorized Agent Date
LICENSED CONTRACTOR'S DECLARATION
I hereby affirm under penalty of perjury that I am licensed under provisions of Chapter 9 (Commencing with Section 0) a Di ision 3 of the Business and Proles I r de, • id my license is in full force
and effect. License Class License. No Date ']� L) Contractor Signature
WORKERS' COMPENSATION DECLARATION
WARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL, AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THD SAND DOLLARS t61D0,0001, IN AODRION TO THE
COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 0706 OF THE LABOR CODE, INTEREST, ANO ATTORNEY'S FEES.
I hereby affirm under penalty of perjury one of the following declarations:
❑ 1 have and will maintain a certificate of consent to self -insure tot workers' compensation, Issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for th1
If marice of 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' Compensation
nsurance Canter and policy number are;
Carrier Policy Number Expiration Date
Name of Agent Phone #
01 certify that, in the perfor ande 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 agree
that, if I should become s ject to the workera' �compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. �I
Signature of Applicant /V Date [— F t f
DECLARATION REGA. iN STRUCTION LENDING AGENCY
I hereby affirm under pe ally of perjury that there is a construction lending agency for the performance of the work for which -thispennit is issued (Section 3097, Civil ode).
Lendpes Name Lander'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 applicable city and county or trances and state laws relating to building construction.
I authorize representatives of this city or county to er the above -identified property for inspection purposes.
Signature of Property Owner or Authorized Agent 6 Print Property Owner's or Authorized A ent's Nam Li < Date' M1,
ACTION DATE. BY ECLA NOF COMPLIANC WITH CODE OF FEDERAL FOR OFFICE USE ONLY
ftEGULATION5 PART 61 OF TITLE AC AND ACMD RULE
PERMIT EXPIRED
PERMIT CANCEL!
PERMIT FINAL le 1.' /n/ S UASBE5TOS NOTIFICATWN 15 NOT APPLICABLE TO
CERTIFICATEOF 7 PROPOSED DEMOLITION
OCCUPANCY 155UED SIGNATURE: