HomeMy WebLinkAboutF2022-0462 - PermitsCity of Newport Beach
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Community Development Department- Building Division
100 Civic Center Drive, Newport Beach, CA 92660
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Permit Counter Phone: (949) 644-3288
Inspection Requests Phone: (949) 644-3255
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newportbeachca.gov/inspections
Combination Type -
Work Class - New
II II I I II I II I II IIII I I II COMB Permit: F2022-0462
Plan Date Check os No:
PC2022-2189
Issue022
Inspection Area : 5
PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION, BUT NO LATER THAN 3 rlhpCLe ERCytf `�I�INI"Ft� t&SU GATE `�
NO CONSTRUCTION RELATED NOISE ON SATURDAY OR SUNDAY IN HIGH DENSITY AREAS AND NO WORK ON SUNDAY AND HOLIDAYS IN ALL AREAS
Job Address: 232 ORCHID AVE Legal Desc : A TR RESUB OF CORONA DEL MAR BLK 142 LOT 3PI N THE WEEKEND
Description : SFR FIRE SPRINKLERS (X2021-2661) 34 HEADS '—,"^es'�
Owner: MARK PUTMAN Contractor : MONTY CASEY Architect : .1 U I € i I
Address : 6139 DOVECOTE LN MEMPHIS, TN 38120 Address : 1101 KINGSTON DR LA HABRA, CA Address
Phone
Applicant:
MONTY CASEY
Address :
1101 KINGSTON DR LA HABRA, CA 90631
Phone:
(714)476-5370
Owner/Builder:
Address
Phone:
90631
Phone: (714)476-5370
Con State Lic : 876004
Lic Expire : 04/30/2024
Bus Lic: BT30040107
Bus Lic Expire : 07/31/2022
Workers' Compensation Insurance
Carrier: SECURITY NATIONAL INSURANCE
COMPANY
Policy No : SWC1373758
W. C. Expire : 2/15/2023
Phone:
State Lic
Engineer:
Address
Phone:
Designer: MONTY CASEY
Address: 1101 KINGSTON DR LA HABRA, CA
Phone: (714)476-5370
Code Edition : 2019
Fire Sprinklers :
YES
Construction Valuation : $3,400.00
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 :
3
Added/New sq. ft. Garage : 0
Building Setbacks : Front: 20, Side: 3, Side: 3, Rear: 5
Flood Zone : X
Use Zone : R-1 - Single -Unit Residential
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PROCESSED BY:
SPECIAL CONDITIONS:
OWNER -BUILDER DECLARATION'
1 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)
iection 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
re permit to file a signed statement that he or she is licensed pursuant to the provisions of the Contractors' State License Law (Chapter 9 (commencing with Section 7000)of Division 3 of ule 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 fora permit subjects the applicant to a civil penalty of
of more than five hundred dollars ($500).
3 I, as owner of the properly, 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,
Business and Professions Code: The Contractors' State License Law does not apply to a owner of property who, through employees' or personal effort, builds or improves the property, provided that the
nprovements arenot intended or oKared 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).
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
�rply 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).
J I am exempt from licensure under the Contractors' State License Law for the following reason:
,y 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 IegaHy
ell a structure that I have built as an owner -builder if it has not been constructed in its entirety by iirensed contractors. I understand that 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://w ,loginfo,ca.govicalow.btmi.
,ignature 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 Section 7000 f Division 3 of the Business and Professions Code, and my license is in full force
nd effect. License Class License No Date '� Contractor Signature
VORKERS' COMPENSATION DECLARATION
'ARNING: FAILURE TO SECURE WORKERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SHALL SUBJECT AN EMPLOYER TO CRIMINAL PEN TIES AND CIVIL FINES UP TO ONE HUNDRED T USAND DOLLARS ($100,000), IN ADDITION TO THE
DST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST. AND ATTORNEYS FEES.
hereby affirm under penalty of perjury oneof the following declarations:
:' 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 IN
wformance of the work for which this permit is issued. Policy NI:u
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
11 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 agree
rat, if I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions.
ignature of Applicant y— D e I L
ECLARATION REGA-R G ONSTRUCTIDN LENDING AGENCY
hereby affirm 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).
ender's Name lenders Address
y my signature below, I certify to each of the following.:
I am the property owner or authorized to acton 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. `I
Imlature of ProDertv Owner or Authodzed Anent V L_�— Print Procartv Owner's or Authorized Auent's Name V M• ��* �- . Date Y 31 11.
ACTION DATE 1 BY DECL j REG 11LIA ONS PART CIO TTION OF ITLE 4CE 0 AND AOMDRULEITH CODE OF RAL FOR OFFICE USE ONLY
PERMITCANCELL£O BPA _ I eii squired .Iarrrs, latche] gate, and fences which serve as part of a pool/spa barrier, shall
PENMIt EXXTENDE� �]qDM� ke i7 place p-ior'.o apprcva'tc fit! pool/spa & shall remain In place & be maintained for the
PERMIT FINAL It (. I JASBESIO5 NCI II-ICATION 15 NOT APPLICABLE TO life of the pool.
CERTfFICA EE OF s PROPOSED DEMOLITION