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HomeMy WebLinkAboutF2023-0068 - PermitsCity of Newport Beach ��EWPp� 0 Community Development Department- Building Division F 100 Civic Center Drive, Newport Beach, CA 92660 Permit Counter Phone: (949) 644-3288 Inspection Requests Phone: (949) 644-3255 C,<�FOAN\P 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: