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Home My WebLink AboutF2022-0548 - PermitseW?r City of Newport Beach o @ Community Development Department- Building Division y 1D0 Civic Center Drive, NewportBeach, CA 92660 Permit Counter Phone: (949) 644-3288 u s Inspection Requests Phone: (949) 644-3255 C9[rpo0.N�P newportbeachca.gov/inspections Combination Type - SFP Work Class - New F 2 0 2 2 0 5 4 8COMB Permit : F2022-0548 Plan Check No : PC2022-2033 Issued Date : W/1N ILo2 L Inspection Area : 2 PERMITS EXPIRE 180 DAYS AFTER ISSUANCE OR LAST VALID INSPECTION, BUT NO LATER THAN 3 YEARS FROM ORIG ISSUANCE DATE NO CONSTRUCTION RELATED NOISE ON SATURDAY OR SUNDAY IN HIGH DENSITY AREAS AND NO WORK ON SUNDAY AND IDAYS IN ALL AREAS Job Address : 411 BAY FRONT N Description : DELTA 1 -ADD 11 HEADS Owner: LYMAN FAMILY PARTNERSHP Address : 411 N BAY FRONT NEWPORT BEACH, CA 92662 Phone : Applicant: MONTY CASEY Address : 1101 KINGSTON DR LA HABRA, CA 90631 Phone: (714)476-5370 Owner/Builder : Address : Phone Legal Case : A TR BALBOA ISLAND RESUB SEC 1 BLK 8 LOT 6 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 Code Edition : 2019 Fire Sprinklers : YES Type of Construction : V-B Fire Hazard Zone : NO Occupancy Groups : R3/U No of Units : 1 Bldg Height: No of Stories : 2 Building Setbacks : Front: 10, Side: 3, Side: 3, Rear: 5 Flood Zone : X; AO 1 Use Zone : R-BI - Two -Unit Residential, Balboa Island PROCESSED BY: SPECIAL CONDITIONS: Architect Address Phone: State Lic Engineer Address as=; - _ - .I •r t Designers: w IMONTY"CASey Address : 1101 KINGSTON DR LA HABRA, CA 90631 Phone: (714)476-5370 Construction Valuation : $3,000.00 Added/New/TI sq. ft. Bldg Alteration sq. ft. Bldg : Added/New sq. ft. Garage: 0 TOTAL sq. ft. Bldg : D OWNER -BUILDER DECLARATION I hereby affirm under penalty of perjury that I. am exempt from the Contractors' State License Lawfor the reason(s) indicated below by the checkmark(s) I have placed next to the applicable items) ;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 ;he permit to file a signed statement that lie or she is licensed pursuant to theprovisions 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 Ijoensure 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). 1 1, 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, 3usiness 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 �mprovemenls 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). 0 I, 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 ownerof property who builds or improves thereon, and who contracts for the projects with a licensed Contractor pursuant to the Contractors' State License Law). El I am exempt from Iicensure under the Contractors' State License Law for the following reason: _ By my signature below € 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 sell 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 sitehttp:lAwww.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 (commancing with Section 7000) tZi is on 3 of the Business and Pro !a Code, and my license is In full force and effect. License Class License No Dat o 1 Contractor Signature WORKERS' COM'.PENSATION DECLARATION NARNING: FAILURE TO SECURE WORHERS' COMPENSATION COVERAGE IS UNLAWFUL. AND SMALL SUBJECT AN EMPLOYER TO CRIMINAL PENALTIES AND CIVIL FINES UP TO ONE HUNDRED THOUSAND DOLLARS LE100,000j, IN AODRION TO THE COST OF COMPENSATION, DAMAGES AS PROVIDED FOR IN SECTION 3706 OF THE LABOR CODE, INTEREST, AND ATTORNEYS FEES_ hereby affirm under penalty of perjury one of the following declarations: I have and will maintain a certificate of consent to sell -insure for workers' compensation, Issued by the Director of Industrial Relations as provided for by Section 3700 of the Labor Code, for th l formance 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' carrier and policy number are: Policy Number of Agent Date 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 agre t, If I should become subject to the workers' compensation provisions of Section 3700 of the Labor Code, I shall forthwith comply with those provisions. nature of Applicant. --�,,,,,,� Da-1 O� ( � / b ti CLARATION REGARDI OBSTRUCTION LENDING AGENCY areby 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). iders Name Lender's Address 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 ordinances and state laws relating to building construction. I authorize representatives of this city or counYpto enter the above -identified property for inspection purposes. , ACTION DATE € BY' \j DECLARATION OF COMPLIANCE WITH CODE OF FEDERAL FOR OFFICE USE ONLY 1 Ifi j REGULATIONS PART 61 OF TITLF 40 AND AOMD RULE 1403 PERMIT EXPIRED I SUBMITTED ASBESTOS 1`10TI FICATION TC PERMIT CANCELLED CPA PERMITFINAL EON IS NOT APpU6ABlt TU CERTIFICATE OF PROPOSED DEMOLITION OCCUPANCVISSUED SIGNATURE: